How can I improve my situation/results?

[Clara62]

Here are the results of my latest tests. What do you think? Any recommendation is welcomed. 🙏Thank you!

- Ferritin: 74 ng/mL (      Range: 13 - 150)

- Folate: 601                 (340-1474)

- Vitamin B12: 584 pg/mL    (Range: 197 - 771)

- Vitamin D (25-OH): 48.7 ng/mL        (Optimal range: 40 - 60)

- TSH: 0.033 µUI/mL               (Range: 0.270 - 4.200)

- FT3: 3.10 pg/mL                 (Range: 2.00 - 4.40)

- FT4: 11.1 pg/mL               (Range: 9.3 - 17.0)

I am currently taking:

75 mcg of T4 and 10 mcg of T3.

Last T4 dose: taken 24 hours before the test.Last T3 dose: taken 12 hours before the test.

Thyroid antibodies: negative.

Vital Signs:

- Resting heart rate: 68 bpm.

- Blood pressure: morning 100/70 and evening 110/75 mmHg

Current Symptoms:

- Hair loss and hair thinning.

 - Weight gain (this is the most significant issue—I've never been this heavy in my life, and I've gained 5 kilos over the last 6 months despite eating the same as usual).

- Feeling cold when I am at rest or after lunch.

- acid reflux at night, not great sleep

I am also on HRT.

[SlowDragon Ambassador]

Free T4 (fT4) 11.1 pmol/L (9.3 - 17) 23.4%

Free T3 (fT3) 3.10 pmol/L (2 - 4.4) 45.8%

Ft4 is low

Suggest you try initially increasing levothyroxine to 87.5mcg daily

Retest in 6-8 weeks

Increasing Ft4 (Levo) will also increase Ft3

[Clara62 in reply to SlowDragon]

Thank you SlowDragon.

I will increase T3. Hopefully it will help.

[SlowDragon Ambassador in reply to Clara62]

you need to increase Levothyroxine at this stage

not T3

[Clara62 in reply to SlowDragon]

Sorry my mistake. I meant T4 . 🙄

[Clara62]

I wonder if taking the thyroid medication at night might be better. If it might help with keeping acid reflux under control. It has been with me every night for the past 12 years …