I got some good advice after being dispirited last week by 'normal' results from my GP.
I got a set done by Monitor my health, hope you can read them.
My question is, should I go back to my GP and ask for an increase in Levo from 75mcg to 100mcg or is that not going to help my T3 - which is presumably why I'm not feeling any different to when i started this lark in September 2023?
Or do I need to try and get T3 directly by seeing an endo privately?
I couldn't find what a reasonable T4:T3 ratio would be but guessing mine isn't it!
All my vits are Ok except for perhaps folate which is 5.9 ug/L (3-20.5) which I will start to supplement.
Not sure what my next step should be. Why isn't it simpleeeee?
Thanks
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CinnamonNutmeg
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We generally feel best when the T4 is up in the top quadrant of the range with the T3 tracking slightly behind at around 60/70% through its range.
If just looking at the T3/T4 readings - the accepted conversation ratio is said to be 1 / 3.50-4.50 T3/T4 with most people feeling at their best when they come in this ratio at 4 or under:
So looking at your results - first I think you need a dose increase in T4 - to at least try and see if T4 monotherapy works for you - as it is the easiest, cheapest, treatment option to manage :
Maintaining optimal core strength vitamins and minerals a given - folate is too low -
I now aim for a ferritin at around 100 - folate 20 - active B12 125 ( serum B12 500 ++ ) and vitamin D around 125 :
Going by your free hormone results you have a long way to go before you're optimally replaced on Levo. Your FT4 needs to be well above 50% and all vitamins at optimal levels before thinking about adding T3.
Optimal vitamin levels help conversion.
Exactly what were your vitamin results for ferritin, B12 & D3?
Usually for folate members take a good methyl B complex which helps keep all the B's in balance.
If GP questions the need for a dose increase quote them NICE guidelines stating dose by weight 1.6 x weight in kilos = approx final levo dose.
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