results help please

[Quinc]

greetings

I wonder if anyone might help interpret these results please?

I am on levo 50mg (4days a week) and 75mg (3 days) .. I have been given a relatively new product called Crescent.

Thanks so much … I am suffering from this cold weather and am feeling tired by late afternoon and somewhat unsettled. Also added pains in hand and wrist that are unexplained as yet …

Ferritin 276 ug/l normal range 20 - 300

Serum TSH level: 2.96 mU/L Normal range: 0.30 to 4.20

Serum free T4 level: 11.1 pmol/L Normal range: 9.0 to 23.0

Serum free T3 level: 3.7 pmol/L Normal range: 2.4 to 6.0

[Buddy195 Administrator]

From reading your previous post, you asked for an increase from 50- 75mcg Levothyroxine 9 months ago. It’s definitely time for another increase to get FT4 higher in the range (and TSH should always be under 2- with most forum members reporting they feel best when this drops nearer 1).

I understand that you experienced some palpitations in the past, so I would suggest increasing Levo very slowly. I like to add 12.5mcgLevo (even alternate days at first), then daily until well tolerated. I find a pill cutter handy for this.

As a first step, I would increase to 75mcg daily and (once tolerated) increase to 87.5mcg/75mcg alternate days, then 87.5 daily. Recheck levels 6-8 weeks after being in a consistent dose.

All the adverse symptoms you note could be linked to thyroid medication not being optimal.

[Quinc in reply to Buddy195]

Thanks Buddy 195 … I’ll certainly ask for a 75 per day increase … is there a recommendation for Brand? The chemist says they offer what they are given.

[Buddy195 Administrator in reply to Quinc]

If one brand suits you best you can ask your GP to specify this on your prescription

[SlowDragon Ambassador]

You’re on too low a dose of levothyroxine

Which brand are you taking

Do you always get same brand at each prescription

Follow Buddy195 advice re increasing dose SLOWLY

Retest 2-3 months after getting on 87.5mcg daily

What vitamin supplements are you taking

You need to test vitamin D, folate and B12

[fiftyone]

i have pains in hand and wrist. Arthritis I think.