Hi Update on my last question on weight loss. Got the results of blood tests.

[gojo1]

Hi Update on my last question on weight loss. Got the results of blood tests from specialist. Now tsh.9.52 free t4 10.0and free t3 3.7 endo has said to increase to 25 liothyronine and keep same levothyroxine at 150. So increase of 5 liothyronine in morning. Are 5mcg liothyronine easy to get as I already have 10s which were hard enough.

[TiggerMe Ambassador]

Which range are these results? 5mcg T3 is available but expensive so if you have 10mcg then split those or better still 20mcg and split... though not an option if issued capsules

Using your last lab ranges...

Free T4 (fT4) 10 pmol/L (9 - 19.1) 9.9%

Free T3 (fT3) 3.7 pmol/L (2.4 - 6) 36.1%

[gojo1 in reply to TiggerMe]

I have been issued capsules they were changed. I am concerned as to why really I need to increase. Are the capsules really as good as tablets?

[TiggerMe Ambassador in reply to gojo1]

I've been using Roma and I find them ok but I don't split my dose as that doesn't work for me, as for cost saving they'd be better off issuing you with 20mcg tablets!

But your real issue is you just aren't on enough of either or you are having absorption issues, what sort of weight are you?

For me fT4 that low I'd be feeling tragic, is your Endo thinking you will end up on T3 only?

[gojo1 in reply to TiggerMe]

They changed me from capsules to tablets I have a feeling it's to do with the change to capsules as my tests were good before this. Just also seen the doctors have changed the endo request from tablets to capsules. I dont think this will make any difference.

[TiggerMe Ambassador in reply to gojo1]

Some find it's the actual capsule causes them issues and by tipping it out into a shot of water works better

[gojo1 in reply to TiggerMe]

I am now confused. She said if I increased weight she would put the levothyroxine up. Instead with the latest results she has increased the liothyronine instead to 25 levothyroxine stayed at 150. My tsh changed to 9.52 from around 7.

[TiggerMe Ambassador in reply to gojo1]

Let's hope that helps, perhaps next time she will increase Levo if still as low 🤷‍♀️

[Regenallotment Ambassador]

I get 20mcg T3 from Thybon Henning (lactose free) they snap into 4 super easy.

(Adding to what Tiggs says below)

[SlowDragon Ambassador]

Looking at previous post here

healthunlocked.com/thyroidu....

Are you still taking Roma capsules for T3

Significant number of patients find capsules don’t work as well as tablets

They aren’t necessarily cheaper either (depending on dose and how you split)

Current prices capsules v tablets

healthunlocked.com/thyroidu...

Are you taking vitamin D supplement as tablets or gels?

Or mouth spray

Vitamin D supplements that are tablets or gels need to be at least 4 hours away from levothyroxine

Which brand of levothyroxine are you taking

Have you been tested for coeliac disease, SIBO and H Pylori

[gojo1 in reply to SlowDragon]

I was told to reduce vitamin d. So I take them midday. 12.5 and vitamin k

[gojo1 in reply to SlowDragon]

Vitamin d tablets it was 116 so she told me to reduce vit d.

[SlowDragon Ambassador in reply to gojo1]

Vitamin D result presumably 116nmol

Generally we recommend on here to aim to maintain vitamin D levels between 80-125nmol

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[gojo1 in reply to SlowDragon]

Not sure about the fact caps same as tablets. Next month will put the dose in water. Capsule so difficult to swallow.

[SlowDragon Ambassador in reply to gojo1]

Open capsules and take with water

Or cut tablet up with sharp knife and take with water