Help with latest results - diagnosis keeps changing

[Victoria27]

Hi had my thyroid bloods done last week with following results

Tsh 0.02 (0.49-5.32)

Ft4 10.6 (11.5-22.7)

Ft3 4.4 (3.5-6.5)

these are 5 weeks after stopping 25mcg levothyroxine after I ended up in “hyperthyroid state”. Results from 4/6:

Tsh 0.01 (0.49-5.32)

Ft4 20.8 (11.5-22.7)

Ft3 7.6 (3.5-6.5)

I was initially put on Levo 25mcg back in March when my ft4 was 11.4 and I had symptoms of hypo and they took me off it 2 months later because of the above results.

I’m 14 weeks pregnant and waiting for a referral for endo but the gp have changed my diagnosis from hypo to hyper and waiting to see what they say from the latest results but I can see myself I’m definitely not hyper.

Thanks in advance

[Jaydee1507 Administrator]

If you have previously been hyperthyoid or over replaced then it can take many months, even years for your TSH to recover, so you then almost need to disregard TSH and look at your free hormone results FT4 & FT3.

GPs are trained mainly just to look at TSH which is why your GP thinks you are presenting more as 'hyper' now which is clearly not the case looking at FT4 & FT3.

Have you tested and are now supplementing key vitamins - ferritin, folate, B12 & D3?

Its hard to know what to do if just 25mcgs Levo sent your results to over replaced.