recent tests results

[Nambo]

T3 120.7 ( 80.0 - 200.00) ng/dL

T4 9.23 (5.10-q4.10) pg/dL

TSH 0.215 (low) 0.27-4.20 poi/mL

Vit D 20.9 low insufficient 20. -30

I got these tests abroad and the doctor said I should reduce my Levo to 75…. I’m presently on 100 mg ?

Appreciate your thoughts ? 🙏🏻

[Star13]

Personally I’d be more worried about your Vit D which is ridiculously deficient. The Dr wants you to reduce your thyroid meds because your TSH is a fraction below the reference range which is laughable!

What time did you do your test was it as recommended on here - close to 9am and 24 hours after last T4 dose and 8-12 hours after T3 dose?

How do you feel?

What vitamins are you taking and have you tested B12, Folate, Ferritin too?

Your Dr should have given you a loading dose of Vit D so I’d ask your GP to prescribe that as a start before you even think about reducing any medications.

[Nambo in reply to Star13]

thank you for taking the time to reply to me. I will certainly be looking into all. I have an appt with hospital for Hormone doctor

[Jaydee1507 Administrator]

The T3 result looks like a total T3. Can you clarify?

Please correct the range for FT4.

How are your other vitamins?

What supplements do you tke?

Which range and units does the vit D test use? The UK uses a different range and measurement to Europe/USA.

Start with 3 sprays of the Better You D+K2, 1,000iu per spray.

[helvella Administrator Thyroid UK in reply to Jaydee1507]

Both the units used and the reference interval mean it must be Total T3.

For example, 60 to 175 ng/dL

Free T3 would be in pg/mL or pmol/L.

en.wikipedia.org/wiki/Thyro...

[Nambo in reply to Jaydee1507]

I did test in India ..

[Jaydee1507 Administrator in reply to Nambo]

The doctor is probably just looking at your TSH which is very slightly under range.

What time of day did you take the test?

Did you do the test as per the protocol recommended here? Recommended blood test protocol: Test at 9am (or as close as possible), fasting, last levo dose 24hrs before the blood draw & no biotin containing supplements for 3-7 days (Biotin can interfere with thyroid blood results as it is used in the testing process).

Testing like this gives consistency in your results and will show stable blood levels of hormone and highest TSH which varies throughout the day. Taking Levo/T3 just prior to blood draw can show a falsely elevated result and your GP/Endo might change your dose incorrectly as a result.

Suggest you get some accurate tests run in the UK where you know the reference range and test according to the protocol. I doubt you need to reduce Levo.

Also include vitamin testing.

[Dublinkate]

I would have the test repeated. Mine was reduced to 75 and I became ill, it is now 75 during the week and 100 at weekends. Still not great but better than it was. Also depends on how you are feeling at the minute. Get another test and monitor your health. Hope this helps

[Nambo in reply to Dublinkate]

Always tired! Thank you for replying to me 😀