Seeking help on latest test results

[TheMudRunner]

Hi,

I have just had my third set of blood tests done, following an increase to 100mg levothyroxin 8 weeks ago. My results are interesting. My (private) GP had a suspicion after my first lot of results (8 weeks on 50mg levothyroxin) that I may not be converting T4 to T3 well, and I think these results might suggest the same..? Thoughts from folk here would be most appreciated on that point please 😀

In terms of dose and how I’m doing. I’m feeling much better than I have been, but as though I could still feel better, if that makes sense. However, I suspect my TSH and T4 levels would suggest I don’t need more levothyroxine, I do wonder if my T3 levels suggest I’m right to suspect further improvement is needed. My GP had suggested we try NDT if I had a T4 to T3 conversion issue, but I feel a bit nervous about switching over - thoughts definitely wanted on that front please. I see him again on the 24th September and just want to get my thoughts straight before I am there.

Thank you again 😀

[TiggerMe]

Yep, you are a poor converter...

Free T4 (fT4) 22.2 pmol/L (12 - 22) 102.0%

Free T3 (fT3) 4.7 pmol/L (3.1 - 6.8) 43.2%

T4:T3 Ratio 4.723 

In your position I'd be keener to try adding a little T3 rather than NDT as it is easier to adjust your dose as the ratio in NDT mightn't suit you

p.s. don't let him drop your T4 dose down as adding T3 will do this, they have a habit of dropping it and then you feel awful after a couple of weeks even with the added T3