If possible could greygoose TiggerMe or anyone else offer some much needed advice.
A few weeks ago I reduced t4 to 75/100 over one week (high t4) I felt very under medicated so then increased again. I then changed to a lactose free make to see if accord was causing the acid reflux.
Recently I tried again but felt as before, and since this reduction, I have felt more unstable in my symptoms and feeling undermedicated so I am getting quite at a loss what to do.
I also saw a private endocrinologist two weeks ago (I have seen him before)) who saw the finger prick test from MMH in August and said he couldn’t be confident with the result (high over range t4) 2.5 hours after t4 tablet. T3 normal TSH slightly low. He didn’t question the tablet and never seems to regarding whether to take or not take t4 before test. He saw my NHS normal result from June (again T4 taken 2 hours before by mistake).
I asked for t4/t3 combination therapy and he said come back to see me in a month for consideration but request full bloods from GP before this. He mentioned dropping t4 to 50 mcg (from 100 mcg when adding in T3)
Can anyone give any reasons why I feel so unwell after reducing t4 and greygoose did say it needs reducing before t3 therapy (endocrinologist didn’t seem to suggest this even if he said he could have relied on finger prick test). But I never thought to question him on this.
Also, last week, I went and had a venus blood draw privately (sent to a London Laboratory) and t4 was over range again but by not as much (I had to take the t4 tablet to resemble the finger prick test).
I would be very grateful for any further help but realise it is not straight forward due to conflicting private/NHS tests and t4 taken prior to test.