This week I'll be doing my next Medichecks blood test for TSH, T4 and T3. I do the blood tests at around 8am. I take 100mcg levothyroxine at bedtime and I know I need to miss the dose the night before testing.
I also take 5mg T3 in the morning. Last time I did my bloods, I took the T3 the morning before as usual and then did the blood test the next day at 8am before taking that day's dose of T3. But from what I've learnt on this forum, it seems the the ideal is to take the previous T3 dose 12 hours before the test, not 24 hours before, to get a sense of the average T3 level in the blood. So should I take my T3 in the evening the day before rather than in the morning, even though that's different to my usual routine?
Grateful for any advice from those more experienced than me! Thanks.
Written by
Tasker
To view profiles and participate in discussions please or .
* Book the first appointment of the morning. This is because TSH is highest early morning and lowers throughout the day. If we are looking for a diagnosis of hypothyroidism, or looking for an increase in dose or to avoid a reduction then we need TSH to be as high as possible.
* Fast overnight - have your evening meal/supper as normal the night before but delay breakfast on the day of the test and drink water only until after the blood draw. Eating may lower TSH, caffeine containing drinks affect TSH.
* Leave off Levo for 24 hours before blood draw, if taking NDT or T3 then leave that off for 8-12 hours. Take after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.
These are patient to patient tips which we don't discuss with doctors or phlebotomists.
I take Levo plus T3 and I alter the timing of my dose of both the day before to accommodate the time gap that's advised here.
Thanks for that clarification. I'd not known to delay the levo dose before (I'd just missed the dose the night before testing) so will start doing that for this and future tests, and will also adjust the T3 timing as you've both suggested. The T3 is self medication and it's really the effect of that I want to find out (I have previous results for just the 100mcg levo) so am looking to get the T3 result as accurate as possible rather than as low as possible, if you see what I mean.
That's food for thought. I'm at the stage now of fine tuning my dose, and perhaps experimenting with timing will be part of the answer to getting things as good as they can be. I'm currently taking just 5mcg T3 (alongside 100mcg levo) and that's a quarter of a 20mcg tablet so I can't divide it any further, so will need to take all the T3 at once - but will see if taking it in the evening is better than the morning (have just taken it!).
Hi SeasideSusie - I take my T3 in one dose with my Levo in the morning. For my blood test, I take my Levo 24hrs before but what about the T3 please as I usually take this in one dose same time as the Levo? Thanks.
You split your T3 dose the day before, into 2 or 3 depending on the dose you take, eg 10mcg or 12.5mcg you'd split into two (2 x quarter tablet), 15mcg or 18.75mcg you could split into three (3 x 1/4 tablet), etc. Take the first part of your dose with your Levo in the morning and the last part 8-12 hours before your blood draw.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.