Guest guest Posted May 5, 2011 Report Share Posted May 5, 2011 Hello, I started taking 50 mcg of levothyroxine three weeks ago and just had my numbers rechecked. Would you be so kind as to help me interpret? Three weeks ago: TSH = 10.95 Free T4 = .72 Free T3 = 2.8 Today (note that Free T4 isn't showing up for some reason): TSH = 2.40 (acceptable range is between .55 and 4.78) Free T3 = 2.8 (acceptable range is between 2.3 and 4.2) Thyroglobulin AB = <20.0 (normal is below 39.9) Thyperoxidase AB = 53.1 (lab reports that this is high - normal should be below 35.0) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2011 Report Share Posted May 6, 2011 Â T4 Free = 1.04 (acceptable range .8 to 1.9) Thanks! From: ledbyrain@... <ledbyrain@...> Subject: new numbers hypothyroidism Date: Thursday, May 5, 2011, 5:02 PM Â Hello, I started taking 50 mcg of levothyroxine three weeks ago and just had my numbers rechecked. Would you be so kind as to help me interpret? Three weeks ago: TSHÂ = 10.95 Free T4 = .72 Free T3 = 2.8 Today (note that Free T4 isn't showing up for some reason): TSH = 2.40 (acceptable range is between .55 and 4.78) Free T3 = 2.8 (acceptable range is between 2.3 and 4.2) Thyroglobulin AB =Â <20.0 (normal is below 39.9) Thyperoxidase AB = 53.1 (lab reports that this is high - normal should be below 35.0) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2011 Report Share Posted May 6, 2011 Hi, Ledbyrain. I'm not one of the lab experts here but I'll make a couple of comments. First, 50 mcg is a very low dose of T4; at best it's a starting dose for titration. Second, the fact that your TSH change so much in 3 weeks with such a low dose is confusing to me. It usually takes longer and a higher dose AFAIK to bring hypothyroidism under control. Third: I think Thyperoxidase AB is an abreviation of thyroid peroxidase. That is one indicator of an autoimmune attack on your thyroid gland such as Hashimoto's. OTOH your Thyroglobulin AB appears within range; and that is another test that can indicate Hashimoto's. To me one appears positive while the other in negative. But both of them can be indicators of things other than Hashimoto's so hopefully someone with greater insight than I will chime in. Luck, .. .. > Posted by: " ledbyrain@... " ledbyrain@... > <mailto:ledbyrain@...?Subject=%20Re%3A%20new%20numbers> > ledbyrain <ledbyrain> > > > Thu May 5, 2011 2:02 pm (PDT) > > > > Hello, > > I started taking 50 mcg of levothyroxine three weeks ago and just had > my numbers rechecked. Would you be so kind as to help me interpret? > > Three weeks ago: > > TSH = 10.95 > Free T4 = .72 > Free T3 = 2.8 > > Today (note that Free T4 isn't showing up for some reason): > > TSH = 2.40 (acceptable range is between .55 and 4.78) > Free T3 = 2.8 (acceptable range is between 2.3 and 4.2) > Thyroglobulin AB = <20.0 (normal is below 39.9) > Thyperoxidase AB = 53.1 (lab reports that this is high - normal should > be below 35.0) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2011 Report Share Posted May 8, 2011 Thank you both for your review of the numbers and comments. My doctor has instructed me to maintain at this dose and to come back for additional testing in 3-4 months unless I become pregnant before then, in which case I should return 4-6 weeks after conception. Given the peroxidase antibody number, I am going to begin taking selenium as well. - I can't account for the quick improvement at such a low dose, but I am grateful for it. I've been going to acupuncture twice a week to help jumpstart symptom reduction, and though people have said it doesn't affect numbers, I feel it's been a good adjunct for me so far. From: Roni Molin <matchermaam@...> Subject: Re: Re: new numbers " hypothyroidism " <hypothyroidism > Date: Saturday, May 7, 2011, 11:05 AM  It looks to me like the T3 is too low, and you might not be converting properly. You could find this out with an RT3 test, which you will probably have to convince the doctor to order, as most of them seem unwilling to even SEE if this problem is there.  If you're not converting you will need T3 only which has to be titrated starting at 5mcg and working up slowly, about every week to two weeks, depending on how your body reacts. If you take too much, all you have to do is go back down a dose, and if you take too little you just go up a dose. Again, you need to have a doctor willing to work with you. Most often a holistic doctor or an MD who practices alternative medicine are the ones most willing to work with you.  Roni From: <res075oh@...> hypothyroidism Sent: Friday, May 6, 2011 2:54 PM Subject: Re: Re: new numbers Hi, Ledbyrain. I'm not one of the lab experts here but I'll make a couple of comments. First, 50 mcg is a very low dose of T4; at best it's a starting dose for titration. Second, the fact that your TSH change so much in 3 weeks with such a low dose is confusing to me. It usually takes longer and a higher dose AFAIK to bring hypothyroidism under control. Third: I think Thyperoxidase AB is an abreviation of thyroid peroxidase. That is one indicator of an autoimmune attack on your thyroid gland such as Hashimoto's. OTOH your Thyroglobulin AB appears within range; and that is another test that can indicate Hashimoto's. To me one appears positive while the other in negative. But both of them can be indicators of things other than Hashimoto's so hopefully someone with greater insight than I will chime in. Luck, .. .. >   Posted by: " ledbyrain@... " ledbyrain@... >   <mailto:ledbyrain@...?Subject=%20Re%3A%20new%20numbers> >   ledbyrain <ledbyrain> > > >    Thu May 5, 2011 2:02 pm (PDT) > > > > Hello, > > I started taking 50 mcg of levothyroxine three weeks ago and just had > my numbers rechecked. Would you be so kind as to help me interpret? > > Three weeks ago: > > TSH = 10.95 > Free T4 = .72 > Free T3 = 2.8 > > Today (note that Free T4 isn't showing up for some reason): > > TSH = 2.40 (acceptable range is between .55 and 4.78) > Free T3 = 2.8 (acceptable range is between 2.3 and 4.2) > Thyroglobulin AB = <20.0 (normal is below 39.9) > Thyperoxidase AB = 53.1 (lab reports that this is high - normal should > be below 35.0) ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2011 Report Share Posted May 8, 2011 i am open to correction but i don't think the rt3 test is indicative of conversion problems per se but rather is indicative that for reasons a, b or c, the body cannot use free t3 so makes rt3 instead. high ft4 and low ft3 would be more indicative of conversion problems i would have thought? > > It looks to me like the T3 is too low, and you might not be converting properly. You could find this out with an RT3 test, which you will probably have to convince the doctor to order, as most of them seem unwilling to even SEE if this problem is there. > � > If you're not converting you will need T3 only which has to be titrated starting at 5mcg and working up slowly, about every week to two weeks, depending on how your body reacts. If you take too much, all you have to do is go back down a dose, and if you take too little you just go up a dose. Again, you need to have a doctor willing to work with you. Most often a holistic doctor or an� MD who practices alternative medicine are the ones most willing to work with you. > � > Roni > > From: <res075oh@...> > hypothyroidism > Sent: Friday, May 6, 2011 2:54 PM > Subject: Re: Re: new numbers > > Hi, Ledbyrain.� I'm not one of the lab experts here but I'll make a > couple of comments. > > First, 50 mcg is a very low dose of T4; at best it's a starting dose for > titration. > > Second, the fact that your TSH change so much in 3 weeks with such a low > dose is confusing to me.� It usually takes longer and a higher dose > AFAIK to bring hypothyroidism under control. > > Third:� I think Thyperoxidase AB is an abreviation of thyroid > peroxidase.� That is one indicator of an autoimmune attack on your > thyroid gland such as Hashimoto's.� OTOH your Thyroglobulin AB appears > within range; and that is another test that can indicate Hashimoto's.� > To me one appears positive while the other in negative.� But both of > them can be indicators of things other than Hashimoto's so hopefully > someone with greater insight than I will chime in. > > Luck, > > . > . > > > > > > >� � � Posted by: " ledbyrain@... " ledbyrain@... > >� � � <mailto:ledbyrain@...?Subject=%20Re%3A%20new%20numbers> > >� � � ledbyrain <ledbyrain> > > > > > >� � � � Thu May 5, 2011 2:02 pm (PDT) > > > > > > > > Hello, > > > > I started taking 50 mcg of levothyroxine three weeks ago and just had > > my numbers rechecked. Would you be so kind as to help me interpret? > > > > Three weeks ago: > > > > TSH� = 10.95 > > Free T4 = .72 > > Free T3 = 2.8 > > > > Today (note that Free T4 isn't showing up for some reason): > > > > TSH = 2.40 (acceptable range is between .55 and 4.78) > > Free T3 = 2.8 (acceptable range is between 2.3 and 4.2) > > Thyroglobulin AB = <20.0 (normal is below 39.9) > > Thyperoxidase AB = 53.1 (lab reports that this is high - normal should > > be below 35.0) > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
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