Am I on the right dose?

[catpurple7]

I posted my latest test results on here the other day and had some great advice but I wondered if I'm on the right dose of levothyroxine?I'm taking 100mcg daily

TSH 0.01 mU/L 0.30-4.20

T4 17.6 pmol/ L 9.0-19.0

T3 4.5pmol/L 3-5.4

[SlowDragon Ambassador]

Free T4 (fT4) 17.6 pmol/L (9 - 19) 86.0%

Free T3 (fT3) 4.5 pmol/L (3 - 5.4) 62.5%

How do you feel?

Ft4 is nudging a bit high

Do you always get same brand levothyroxine at each prescription

You might consider tiny reduction eg 87.5mcg once a week and 100mcg rest

That might make Ft3 reduce or it might stay as is or possibly even increase

[catpurple7 in reply to SlowDragon]

Yes i always get given Accord.

I'm so tired, doesn't matter how much sleep i have i wake up exhausted, brain fog, words and even sentences are a struggle

[DippyDame]

Most important question...."How do you feel?"

[catpurple7 in reply to DippyDame]

Tired 😴

[DippyDame in reply to catpurple7]

Anything else?

Full list of hypothyroid symptoms....

thyroiduk.org/signs-and-sym...

Have you optimised vit D, vit B12, folate and ferritin?

[catpurple7 in reply to DippyDame]

I think i have about 95% of the symptoms 😂

Vit D 108nmol/L 50-250

B12 875ng/L 180-900

Ferritin 77.3microg/L 30-336

Folate 11.4 microg/L 3.0-20.0

[FallingInReverse]

Did you ever sort out your HRT?

[catpurple7 in reply to FallingInReverse]

I did speak to my dr but she said the HRT that i would have to start on would give me periods again (and i don't want that) so to wait until i had gone 12 months without any. I did ask for my hormones to be checked, the results said normal

[FallingInReverse in reply to catpurple7]

You may want to Google the option of bioidentical micronized progesterone.

it’s indicated for its sleep and calming benefits. And I just looked it up and unless you have high enough estrogen level to build the uterine lining, taking it won’t cause withdrawal bleeding.

I’m early in my journey so still learning, but after a moment of feeling like I’d finally optimized my ft4/ft3 it seems my perimenopause wanted to mix everything up again!

I’ll be starting of bioidentical micronized progesterone as my next step, so will see how it goes.

Just sharing - as I’m taking it primarily for an awful fatigue that comes with vengeance the day I ovulate and get less noticeable day 1 of my period.

I guess you’re still peri… do you know if you ovulate at all? Ever track Basel temp or cervical mucous?

Again - just for thought, as I’m tackling similar sounding fatigue. There are lots more people here who know more than I do, but just sharing.

[catpurple7 in reply to FallingInReverse]

Thanks for the info, i'll have a look. I think i'm just in menopause as i've not had a period for a year 🥳

[FancyPants54 in reply to catpurple7]

You can start continuous HRT now then! Why has your silly GP said you have to wait longer. Ridiculous. You can start whenever you like. No need for periods. You need continuous oestrogen and progesterone. No gaps.

Please go and read up, listen to podcasts etc. at balance-menopause.com, it's a mine of up to date information and help. Unlike your GP. Read up and then go back and ask for what you want and ask for it now. There is always a risk of some bleeding in the first 6 months as your body gets used to things. But it soon passes and it's not like a period.