TSH and T4 numbers haven't budged

[CherryPie2]

Hi all,

Can I have a bit of help on these numbers please? (attached screenshot with ranges below)

Just had bloods back NHS and was expecting my TSH to have gone down. Was upped to 75mcg/100mcg alternating days beginning of July. Prior to that I was taking 75mcg daily and my TSH was 2.95 and T4 15.7

Today's results

3.01 TSH Range 0.27-4.2

16.7 T4 Range 11.1 - 22

Results end June before Levo increase

2.95 TSH Range 0.27-4.2

15.7 T4 Range 11.1 - 22

They are pretty much the same which i find so strange as I feel remarkably much better!

And certainly much better than when on 25mg and was on my knees in pain (and brain fog, and all the other symptoms) - was around 7 TSH and swinging between 11 and 17 T4 then.

I have purchased a Medichecks test for a broader picture as have been trying to boost vitamins but not done this yet.

I've never really understood where T4 should be either - nearer the top end?

Should I be less fixated on numbers as feel ok, or push to up the Levo and lower TSH?

Ps I'm in Club Hashimotos if that is useful info

Thanks!

[CherryPie2]

Here they are

bloods results

[Noelnoel in reply to CherryPie2]

Nov 23 FT4 was excellent at just over 87% through range. Too high for some but perfect for me. How were you feeling at that point

[CherryPie2 in reply to Noelnoel]

Not anywhere as good as I feel now. I still had aches and pains in joints (none now) . Previous month was 15.9 and then it plummeted following March 13.9 so all over the place. The GP had put me on steroids in August 23 for the joint pain which is ridiculous as it's all thyroid - but that may have affected results.

Can I ask about the % as I don't understand. Are we aiming to be top/100% on FT4?

Going to be interesting to see what my T3 is as have never had that tested

[Noelnoel in reply to CherryPie2]

No, not aiming for 100% unless that’s at where we feel best. I suspect many, if not most, would find that much too high

From what I see on here, feeling better/well seems to occur anywhere between 45% upwards. You only know where you feel good when you get there

Wait to see your FT3, only then, coupled with core nutrients, will you get a clearer picture that will inform what you need to do next

[CherryPie2 in reply to Noelnoel]

Yes that's what i think too - so frustrating you only get part of the picture with NHS. I have a feeling I'm not converting well. We battle on!

[SlowDragon Administrator]

Free T4 (fT4) 16.7 pmol/L (11.1 - 22) 

Ft4 only 51.4% through range

Request next dose increase to 100mcg daily

Retest in 6-8 weeks

Which brand Levo are you currently taking

Do you always get same brand

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

what vitamin supplements are you taking

When were vitamin levels last tested

[CherryPie2 in reply to SlowDragon]

Thank you SlowDragon.

Ft4 only 51.4% through range - this bit. I still can't work out what is a "good" % here or really what it means. Have you popped up one of your fab posts to explain. I did try to find it.

...

Vits done across March/May this year before I was really supplementing. Thats why I ordered a private test to to see what they have done, if anything. Attached are the current set where I was only really taking magnesium, tumeric.

Iron has always been on the floor but GP always with the "Its in range" chorus!

Have given up gluten for 4 months via advice here. Hardly any dairy now too.

...

6am Levo TEVA 75mcg and 100mcg

...

11am Vit D3000 & K2 Better you Spray and

IRON 10mg Better You Spray

...

Post Dinner:

High potency Fish Oils 330mg of EPA and 220mg of DHA x 2

Magnesium Bisglycinate 600mg x 2

Zinc Citrate 15mg

Vitamin B12 1000µg

Tumeric and 10µg of vitamin D

Probiotoc

[CherryPie2]

Key vitamins

xx

[CherryPie2]

The endocrinologist I see (NHS) is utterly useless. Because I feel well I know he'll say to stick to it unless I ham up symptoms. I doubt he'll even see me again because..."it's all in range"

[eeng]

You asked where in the range your FT4 ought to be. Usually people on this forum recommend the top third (i.e.over 66%) or top quarter (75%) of the range. Hope that helps.

[CherryPie2 in reply to eeng]

Thank you. So looking at that I've not managed to hit that other than the freak good month of Nov 23

x