What to do?

[lisan1]

I have tried to take 100 Levothyroxine but I felt horrible. Would you recommend lowering Levothyroxine to 75 and adding 5 or perhaps 5+5 liothyronine?

On 87.5 t4

TSH 0.23(0.4-4.2)

Ft3 4.2 (3.5-6.5)

Ft4 15 (12-23)

[Jaydee1507 Administrator]

How are your vitamin levels looking and what are you supplementing with?

Free T4 (fT4) 15 pmol/L (12 - 23) 27.3%

Free T3 (fT3) 4.2 pmol/L (3.5 - 6.5) 23.3

You really need more Levo, your FT4 is far too low. You don't need to lower Levo at all.

[lisan1 in reply to Jaydee1507]

I'm supplementing iron and vit D.

[Jaydee1507 Administrator in reply to lisan1]

When did you last test them?

Vit D should be tested twice a year until you know how much you need in each season.

NHS easy postal kit vitamin D test £31 via

vitamindtest.org.uk

You need to get B12 & folate tested as likely low. Most hypo people need a B complex at least.

To tolerate T3 you will need OPTIMAL levels of all key vitamins.

[lisan1 in reply to Jaydee1507]

Testen autumn for vit d and at that time 65 so doc won't test again but I'm supplementing. Ferritin was tested a month ago and was 50 and Im supplementing.

[Buddy195 Administrator]

were you previously on combination treatment, then moved to mono therapy with Levo?

[lisan1 in reply to Buddy195]

Yes I was.

[Buddy195 Administrator in reply to lisan1]

Can you remind us why you changed?

[lisan1 in reply to Buddy195]

Because doc wanted tsh within range.

[mistydog in reply to lisan1]

Yet when taking T3, it suppresses TSH. Drs are obsessed with TSH but when diagnosed it's more important to have T4 and 3 optimal in range.

[lisan1 in reply to mistydog]

What would you do? 75 and add t3 or 87 add t3

[mistydog in reply to lisan1]

I think you need a little more of each and retest

[Buddy195 Administrator]

How was Liothyronine prescribed or was it self sourced? Did your endocrinologist or GP want TSH in range? Knowledgeable medics should know that liothyronine can suppress TSH and look to FT3/ FT4 when adjusting medication.

[lisan1 in reply to Buddy195]

Yes, Gp wants ash in range. I get it from a online doc but they can't guide me. Do you think its best for me to try 87+5 or 75+5?

[Buddy195 Administrator in reply to lisan1]

I would try 87 + 5 as your FT4 is low.