Thoughts on bloods please

[FoxyTed]

These are my bloods from Jan past….. (due to get them updated shortly) ….but just wanted to know what your thoughts on these are please? I’m not converting T4 to T3 and really struggling. Your thoughts on iron, ferritin etc please would be greatly appreciated. I was given a trial of low dose T3 along with my 50mcg of T4 but I couldn’t tolerate it at all!

Is there something I’m missing?

These are my 4 point cortisol saliva results from last week.

CORTISOL - WAKING

< 20.3 R

18.4

nmol/L

CORTISOL - 12:00

1.6 - 5.6 R

8.25

nmol/L

CORTISOL - 16:00

< 6.94 R

2.79

nmol/L

CORTISOL - BEFORE BED

< 7.56 R

<1.5

Many thanks

[TiggerMe Ambassador]

So your fT3 was rather good compared to your very low fT4, did you increase your T4 dose after these results? 50mcg is a starter/ child's dose, all your other results look good

It doesn't look like you have a conversion issue you just don't have enough T4 in your system so adding T3 was likely a bit of a shock to the system at this early stage, didn't you only start on T4 earlier this year? Need to gradually work up to a full replacement dose (fT4 around 80%) and then we can see how well you convert

[FoxyTed in reply to TiggerMe]

Sorry those results were BEFORE I started T4. My last T4 was above 16 but the T3 had went down to 3.7.

[TiggerMe Ambassador in reply to FoxyTed]

16 on the 12-22 range? So only around 40% not high enough to have good outcome even when adding T3

Perhaps better to put up your last results?

[FoxyTed in reply to TiggerMe]

Can’t get my head round why when I started T4 50mcg my T3 dropped? Tk you

[TiggerMe Ambassador in reply to FoxyTed]

It takes a while for the system to readjust and settle, did you increase your T4 before trying T3?

When people are first diagnosed they often have higher fT3 as the body is desperately trying to keep things on track whilst there is a lack of T4

[FoxyTed in reply to TiggerMe]

I tried increasing T4 by 25mcg but I felt unwell, I just can’t see how increasing could push my low T3 up to a good level? Is it possible?

Above are my recent Thyroid results, thank you for kindly replying.

Colour

[FoxyTed in reply to FoxyTed]

Added my recent T results tks

[TiggerMe Ambassador in reply to FoxyTed]

Often increases make you feel grim whilst the body readjusts, usually around week 4-5 and then it passes

Free T4 (fT4) 16 pmol/L (12 - 22) 40.0%

Free T3 (fT3) 3.7 pmol/L (3.1 - 6.8) 16.2%

T4:T3 Ratio 4.324 

Perhaps raise it more slowly or split the T4 dose and see what is does but if your conversion isn't good you'd still want fT4 around 70% before adding any T3

If you try changing things too quickly it can set you back so giving changes a chance to settle is all part of it, sticking with 6-8 weeks without changes and then testing

Have you managed to optimise your vits and mins?

[FoxyTed in reply to TiggerMe]

Thank you Tigger really appreciate you responding as all this can be a lonely place and it raises anxiety. I take the 50mcg T4 first thing 8am, will try extra 25mcg - what time do you think I could try that?

When you say vits and minerals, which ones?

I haven’t had bloods done since the one above last January apart from the Thyroid and cortisol. Thanks again x

[TiggerMe Ambassador in reply to FoxyTed]

Perhaps before bed if it doesn't clash with anything? Many of us take magnesium before bed, anxiety is common when under replaced

Looking to optimise folate, ferritin, B12 and Vit D as these are essential for conversion

[FoxyTed in reply to TiggerMe]

Thank you !!

[FoxyTed in reply to TiggerMe]

I shall try bedtime Tigger and 🤞 x