Up T4 or is T3 indicated

[AFMB]

Hi there, I am now on Vencamil Levothyroxine 75mcgs (instead of Teva) after your advice, having been diagnosed with Hypothyroidism about 18 months ago. I tried an increase to 87.5mcgs but I suffered palpitations, sweats and vivid dreams/nightmares so went back down to 75mcgs. I am feeling much better but still have episodes exhaustion. Following really helpful advice on a previous post here re vitamin supplementation I have just got my private blood test results back having been on B12, Vit D +K2; Super B Complex and Magnesium ( I am also on Omega 3, plus HRT patch :

TSH-3.96mu/l (normal range 0.27-4.2mu/l)

FT4-17.9pmol/l (normal range 12-22pmol/l)

FT3-3.4pmol/l (normal range 3.1-6.8)

TPO-13iu/ml

Vit D - 109 (up from 64nmol/l end of last year) (normal range 62-102)

HB - 135g/l (down from 144g/l end of last year) (normal range 124-270)

Ferritin - 84mg/l (normal range 10-405)

TSAT-31% (normal range 16-50%)

Active B12 - 91pmol/l (up from 48pmol/l end of last year) (normal range 40-210)

Folate - 10.5ug/l (up from 7.5ng/l end of last year) (normal range 3-25)

I would be really grateful for your thoughts. I sense I need to try and up my Levo again (I have an NHS blood test next week) or is T3 indicated?

Many thanks, Ali

[SlowDragon Administrator]

perhaps increase even slower

87.5mcg and 75mcg on alternate days

Get a weekly pill dispenser so you remember which dose which day

[AFMB in reply to SlowDragon]

Good idea-will do, Ali