Levo up, T3 down: So wondering if you good people... - Thyroid UK

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Levo up, T3 down

StanleyThyroid profile image
16 Replies

So wondering if you good people could give me some pointers. I have been on levo over a year now. I have got my dosage up from 50mg to 125mg Accord. Now having done 3 private blood tests (and c a couple of GP tests) although my TSH is down my T3 is also down on what it was. I am still experiencing hypo symptoms and it feels to me that my next course of action should be to add T3 to the mix, so looking for validation on that and recommended approach. I am not looking to go through the GP (very much still looks at TSH).

All tests done first thing, stopping all dosing 24 hrs before.

Also I am taking vit D+K, B complex, Magnesium, Zinc,Fish Oil, L-Glutamine

All help gratefully received

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16 Replies
TiggerMe profile image
TiggerMeAmbassador

You aren't converting well... have you optimised your folate, ferritin, B12 and Vit D?

Certainly looking like adding a little T3 is going to be the way to go

StanleyThyroid profile image
StanleyThyroid in reply toTiggerMe

Thank you, my results from end of last year are above. Specifically I am taking high dose Vitamin D 10,000 iu (I went from 4,000 post this result). I am not sure if the other levels are optimal (will post second image below)

Iron status
StanleyThyroid profile image
StanleyThyroid in reply toTiggerMe

Vitamin levels

Vitamin levels
TiggerMe profile image
TiggerMeAmbassador in reply toStanleyThyroid

All look pretty good, like you say the increase in Vit D should have got your levels up, worth retesting and getting on a maintenance dose.

So it certainly looks like adding T3 is the way to go

TiggerMe profile image
TiggerMeAmbassador in reply toTiggerMe

Perhaps worth contacting rosewaylabs.com/patients/

Or are you planning on just DIY?

StanleyThyroid profile image
StanleyThyroid in reply toTiggerMe

To be honest I have seen a fair few clinicians in my years of managing my intolerances and I would say that only the Oxford professor who diagnosed my gluten intolerance 25 years ago has actually helped. It was only through a chance encounter that I was advised to check out my thyroid 18 months ago. (The last food allergy specialist I saw, who also is a university lecturer, advised me that my brain fog was due to a lack of carbs from following a keto diet🥺)

That said I do wanted to go the right way here so keen to accept recommendations and thanks for your inputs.

TiggerMe profile image
TiggerMeAmbassador in reply toStanleyThyroid

Yes, I'm not a fan of the clinicians and have found wellness by educating myself and sorting out all the other issues that come with being Hashi

Roseway get good reviews, it is just a phone consultation with you supplying blood test results and then they will prescribe and supply T3

FancyPants54 profile image
FancyPants54 in reply toStanleyThyroid

Roseway Labs is a place to buy T3 in the UK. But you need a prescription so they offer a very reasonable prescribing service for less than £40. As @TiggerMe says, they talk to you on the phone and review a set of bloods you provide in advance and then they write you a prescription with repeats on it and you can draw it down from the lab as you need it.

I've been using it for some time now and am very happy with it. You don't get advice as such, they just make sure you know what you are doing, why and what your aims are. They keep an eye on you by asking you to book another phone consult now and then. I'm due one soon I think.

StanleyThyroid profile image
StanleyThyroid in reply toFancyPants54

Thanks that's most helpful. I think that's what I will do in the first instance.

FancyPants54 profile image
FancyPants54 in reply toStanleyThyroid

It gives me peace of mind. My meds aren't going to get lost in customs or post. I can't be scammed. There's continuity of supply. The medications they supply cost more than the Tiromel we might find in Greece or Turkey, but it's good stuff. T3 is Thybon Henning from Germany.

Jaydee1507 profile image
Jaydee1507Administrator

Ft4 is top of range and FT3 only 24% through range so conversion appears to be an issue.

You can email info@thyroiduk.org for a list of T3 friendly Endo's/doctors. Pick a couple and start a new post asking for feedback via PM only. Remember some doctors offer virtual appointments that can widen the area you look for, also Roseway pharmacy prescribing service.

StanleyThyroid profile image
StanleyThyroid in reply toJaydee1507

Thanks Jaydee, I was thinking I could source T3 privately following guidelines on the forum or is that not something recommended?

Sparklingsunshine profile image
Sparklingsunshine in reply toStanleyThyroid

Plenty of us do it. I've been on self sourced T3 since December. I think there are a number of pluses, you dont have a long wait for an NHS Endo, who might not be T3 friendly. Or might not agree that you need it.

You dont have to worry about keeping your TSH in range just to please them, you dont have to stay undermedicated, ditto. You dont have to worry about the NHS deciding T3 is too expensive and removing your prescription. Or GP's being difficult about ongoing prescribing.

Yes self sourcing can be a pain as obviously its an added expense, although Tiromel isnt expensive. You are at the mercy of global supply issues and this can be a problem as suppliers can come and go but if you ask for sources on the forum to be sent via a private message, then I'm sure you'll get suggestions.

DippyDame profile image
DippyDame in reply toSparklingsunshine

I absolutely agree but the bottom line is that T3 is, in extremis, a life saving treatment. Patients should not be left to trawl the world to source it when it can be produced relatively cheaply....it's a scandal of monumental proportion.

We are fortunate in that we understand T3 so can source it and correctly use it to self medicate.

But, how many are quietly suffering and dying behind closed doors because they do not have the knowledge to dig themselves out of a miserable thyroid hole.

It's not rocket science yet the NHS are failing in their basic philosophy....First Do No Harm!

They are causing untold harm....and I for one, in years gone by, nearly didn't make it to this point until I discovered that I need a supraphysiological dose of T3.

My GP thought I was killing myself....conversely, I was keeping myself alive!

There needs to be a level playing field for every thyroid patient!

Jaydee1507 profile image
Jaydee1507Administrator in reply toStanleyThyroid

Its your choice if you want to self source but be aware that there are scammers in this group, so if you get a personal message suggesting a source you should always run that by an admin who can give you any feedback we have about the source.

DippyDame profile image
DippyDame

We cannot self source T3 in the UK it is prescription only.

However we can buy from private sources abroad which obviously comes with possible problems of reliability of supply.

It is legal to import T3 for personal use

You could post giving details of your medical condition and treatment. Ask for sources which, if offered, can then be checked with Admin who are generally aware of scams and the like.

I would suggest you first follow Jaydee's advice and find a T3 friendly medic (NHS or private)...that suggestion comes from someone who self medicates and is aware of possible (long term) problems eg lack of supply, supply during hospital visits or care home stay.

Just something to consider.

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