Opinion on test results

[Girlsailor]

Begining of april I was taking Euthyrox 50/75 mg alternating every other day and my results were:TSH 5.43 , reference 0.35-4.45

Ft3 4.56 pmol/L ref 3.5-6.5

FT4. 20.43 pmol/L ref. 10.0-23.0

My endo put me on 75 mg Euthyrox every day.

My results today are:

TSH 0.47

ft3 5.3

Ft4. 18.5

Do you think maybe tsh dropped too much? Or is it all ok?

I feel good no symptoms at all.

Thanks, Joy

[tattybogle]

when T4 and T3 are in range and you feel well , then TSH 0.4 is fine . i'd have no worries at all .

large long term studies of patients on levo showed TSH between 0.04 and 0.4 had no more risks associated with it than TSH 'in range' does ..... below 0.04 and the associated risks did increase but you are fine at 0.4 : healthunlocked.com/thyroidu... useful-evidence-that-tsh-between-0.04-0.4-has-no-increased-risk-to-patients-on-levothyroxine-updated-new-study-does-show-small-risk

[Girlsailor in reply to tattybogle]

Thank you for answering, I just hope that my endo won't lower my dose!

[tattybogle in reply to Girlsailor]

they would have no grounds to do so ... your TSH is in range , so are T4/T3 .

so assuming you have no signs / symptoms of overmedication ?. .... if they suggest reducing ..

"Just Say No"

[SlowDragon Administrator]

Ask endo to test vitamin D, folate, ferritin and B12

What vitamin supplements are you taking

Is your hypothyroidism autoimmune

[Girlsailor in reply to SlowDragon]

Hi, Ferritin is 190. D vit was once very low and I'm taking supplement - 25000 IU every two weeks. It was 41, now it is 80.4 nmol/l. Folate and b12 are in normal range but lower.

Yes it is autoimmune my antiTPO is high.

Thanks for answering, Joy

[SlowDragon Administrator in reply to Girlsailor]

Folate and b12 are in normal range but lower.

How low

What B vitamins are you taking

If B12 below 500 - need a separate B12

Week later add separate vitamin B complex

[SlowDragon Administrator in reply to Girlsailor]

vitamin D

Better to take a lower dose everyday than one mega dose

And separate magnesium supplement afternoon or evening

[SlowDragon Administrator]

as you have Hashimoto’s it’s ALWAYS worth trying strictly gluten free diet

Get coeliac blood test FIRST before trial on GF

[Girlsailor in reply to SlowDragon]

Hi again,My b12 is 189 pmol/L ref 145.0-637.0

Folate 14.0 nmol/L ref- 7.0-39.0

I don't take supplements for b12 or folate cause my endo said there's no need?

About d vit - I did try to take smaller doses every day for 6 months or so but there was no improvement so now I take a big dose every two weeks and the number is climbing so...

And I got coeliac test a year ago and it was negative-no coeliac, it was because I also have microscopic colitis. Since then I am strictly gluten and dairy free and very careful about what I eat. It took a while but my MC is under control now (thank god because it was horrid).

I also take Mg glycinate 350mg in 3 separate doses daily and it helped me very much with sleeping properly.

Maybe I should take b12 and folate?

Thank you for your time and advice,

Joy