SYMPTOMS OF HYPO?: Hi dear people, I would... - Thyroid UK

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SYMPTOMS OF HYPO?

FoxyTed profile image
20 Replies

Hi dear people,

I would really appreciate some reassurance

Can a low T3 cause fast heart rate/or palpitations, an unease in body like a driving sensation even though iv no energy, depression/moodswings, anxiety/low spikes and daily headaches that follow these spikes? zero motivation, cold feet, hair loss, brittle weak nails which have improved since iv began HCL acid, high cholesterol.

The latter ones I see a lot re hypo but some seem more like hyper which I am not. The unease in body settles in the late evening.

I have not been converting T4 to T3 and could not tolerate T3 so my Thyroid Doctor has put me on NDT almost 2 weeks 60mcg, seem to be tolerating so far🤞

My anxious brain when on overdrive questions everything.

My latest results DEC 24 on 50 levo

TSH 2.43

FT3 4.3 - 3.1-6.8

FT4 19

Anti bodies all ok and vits

Many thanks. ☺️

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FoxyTed
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20 Replies
waveylines profile image
waveylines

You could try splitting the ndt dose. Take half first thing....rest at lunch time. See if that settles things. T3 has a short haf life which is why you probably feel better by the evening.

Did the Endo start you on 2 grains straight away? Wouldve been better to have had you start at 1 grain for a week then increase to 1 1/2 & a week or two later to 2grains. The body takes time to adjust.

This might have been the problem with the liothyronine. Having said that I couldn't tolerate liothyronine either but did fine on ndt.

FoxyTed profile image
FoxyTed in reply towaveylines

Hi Wavy, no I split the 60mcg (1grain) morning and afternoon. I am to increase by half a grain soon.

I have had these symptoms from way back on and off so it’s not starting the NDT. I just wondered can my symptoms be low T3?

After 3 days of T3 synthetic I could not tolerate it was dreadful!

Tk u

FoxyTed profile image
FoxyTed in reply towaveylines

that’s half grain twice daily

waveylines profile image
waveylines in reply toFoxyTed

Apologies......yes ure right 60mg=1grain. Silly me. Yes split in half. 1/2 grain twice per day.

Is this Armour Thyroid? The T3 content is 9mcg so can be a lot at first. Your body needs time to adjust..... I did this at first.

Also have you made sure your cofactors are optimal (B12, folate, vit D & ferritin).

FoxyTed profile image
FoxyTed in reply towaveylines

Yes vits optimal. Its Armour

Did you have any experience of my presenting symptoms? I’m so low and anxious.

Also how long did you leave it until you increased by half grain

waveylines profile image
waveylines in reply toFoxyTed

I had to increase slowly. There isn't any real set schedule.....the aim for you is one grain.

Once you achieve that and feel OK you can increase. Usually it's 6-8 weeks but you maybe able to go more quickly if you're taking under.

You might find moving from 1 to 1/2 too much....so 1 1/4 maybe better as an intermediate dose then move to 1 1/2..

What I did was to keep a little daily record. Included supplement taken as well as Armour temp and pulse first thing before rising, signs symptoms during day (include slump of energy times). etc.. just brief..

This helped me to look back over to see patterns. Quite useful

I only needed to split dose for a while.

Remember your body takes time to adjust.

What dose of levo were you on?

FoxyTed profile image
FoxyTed in reply towaveylines

Thank you, I was on 50 levo.

What do I look out for to decide I can increase?

waveylines profile image
waveylines in reply toFoxyTed

I think you stay within the max limits of what your endo has prescribed but you can ease your way into the new dose the endo says take if you need to... my Endo suggested initially increase a little every three weeks BUT because this was a much lower dose than the levo that I'd been on I ended up increasing a bit quicker with the lower doses but slowed right down waiting 6 weeks as he instructed me as I got further in. That's why I recommend keeping a daily diary.

FoxyTed profile image
FoxyTed in reply towaveylines

Yes I get that, the 1grain im on is a bit than the 50 T4 but I’m giving it a settling in period as was told and to go by way I feel. Hoping the old mojo returns soon😁 cheers👍

waveylines profile image
waveylines in reply toFoxyTed

Ahhhh in that case go slowly.

FoxyTed profile image
FoxyTed in reply towaveylines

Can I ask what dose you are on?

greygoose profile image
greygoose in reply towaveylines

T3 has a short haf life which is why you probably feel better by the evening.

Sorry, but how does that work?

waveylines profile image
waveylines in reply togreygoose

🤣😂 OK admit I haven't written that particularly well!!

SlowDragon profile image
SlowDragonAmbassador

what were your most recent vitamin results and ranges

FoxyTed profile image
FoxyTed in reply toSlowDragon

hi Slow Tk u

AUGUST 24

Folate - Serum

Vitamin B12 - Active

Vitamin D

Observation Date : 15-AUG-2024

PID : 2022012221 Laboratory : Inuvi Diagnostics

23.1 nmol/L (Range: > 7)

>150 pmol/L

Please note update to reference range 29 Jul 2024.

(Range: > 37.5)

98.7 nmol/L

Total 25(OH) vitamin D < 25 nmol/L is deficient.

Total 25(OH)D of 25-50 nmol/L may be inadequate in some

people.

Total 25(OH)D > 50 nmol/L is sufficient in most

individuals.

Total Vitamin D level >250 nmol/L - indicates potential

for toxicity.

Please note change of reference range 23 Oct 2022

(Range: 50 - 250)

Thyroid Hormones

TSH

Free T3

Free Thyroxine

1.140 mIU/L

3.9 pmol/L

20.4 pmol/L

(Range: 0.27 - 4.2) (Range: 3.1 - 6.8) (Range: 1

IRON 25.3 (10-30)

FERRITIN 115.00 (30-332)

TRANSFERRIN SAT 41.6% (25-45)

SlowDragon profile image
SlowDragonAmbassador in reply toFoxyTed

AUGUST 24

Folate - Serum 23.1 nmol/L (Range: > 7)

Vitamin B12 - Active >150 pmol/L

Vitamin D 98.7 nmol/L

IRON 25.3 (10-30)

FERRITIN 115.00 (30-332)

TRANSFERRIN SAT 41.6% (25-45)

So yes these all look good

FoxyTed profile image
FoxyTed in reply toSlowDragon

Thanks slow, I have done work on my micro biome, stomach acid and I take a daily seeking health B complex methyl free as I can’t tolerate methyl - but these are for likes of me and still get to desired destination .

Is a multi vitamin not recommended even though it has 400 of folate? I bought some to switch for a while.

Can the racing heart at times still be down to hypo? Tk u!

SlowDragon profile image
SlowDragonAmbassador

AUGUST 24

TSH 1.140 mIU/L

Free T4 (fT4) 20.4 pmol/L (12 - 22) 

Ft4 84.0% through range

Free T3 (fT3) 3.9 pmol/L (3.1 - 6.8)

Ft3 21.6% through range

Was test early morning and last dose levothyroxine 24 hours before test

What were you taking at this test

DEC 24 on 50 levo

TSH 2.43

Free T4 (fT4) 19 pmol/L (12 - 22) 

Ft4 70.0% through range

Free T3 (fT3) 4.3 pmol/L (3.1 - 6.8)

Ft3 32.4% through range

which brand of Levo

How long at this dose

Was test early morning and last dose levothyroxine 24 hours before test

FoxyTed profile image
FoxyTed in reply toSlowDragon

Yes 24 hrs since last dose of levo - it was Eltroxine mercury I was on 50mcg on both tests. I felt dreadful trying to increase.

Thyroid clinic doctor has switched me to Armour. Just been on it 11 days so early but I haven’t noticed any unbearable side effects.

I have just read Paul Robinson mention racing heart can be a hypo symptom until optimised.

Just wondered had anyone on here experienced similar.

Test at 9am

Thank u

FoxyTed profile image
FoxyTed in reply toSlowDragon

I did stop the b complex 1 week b4 testing

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