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Hi everyone.

Anyone like to comment on message 96343?

I`d really appreciate opinions on my last blood tests TSH 4.5, FT4 7.7 and FT3

5.0 My dosage was 20mcg, now 30mcg in two doses.

Thanx

Chrissie

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  • 1 month later...

> Hello Everyone

> Can you comment on my latest test results please? They were a little

surprising and I am not sure where I go from here so any help would be be

welcome.

> Blood tests on 30mcg T3 since 10th Jan

> TSH 0.9 from 4.5 last time (0.3-5.5) (early January)

> FT4 4.4 from 7.7 last time (11.5-22.7)

> FT3 4.5 from 5.0 last time (<7.1)

> I have no improvement in symptoms as such though I have better spells but they

dont last for more than a few hours.

> I suspect continued undermedication but when I see my GP he will freak out at

raising the dose on such a TSH. He hates the idea of a suppressed TSH, he cannot

get his head round the idea that T3 has that effect. I am more concerned about

the low FT4,should it be that low?

> Could the TSH just be unstable ? I had low antibodies at my test last year so

they disregarded that. I know it is only a snapshot and I have family history.

> I was kept on low dosage of T4 (75mcg) so when I started on T4/T3 combination,

lowering the T4 while introducing the T3 and then raising it and taking into

account the X 4 factor-there was very little room for manoeuvre before the T4

was stopped altogether. As a result, I have no idea what my optimal dose is on

either,so I am a bit stymied.

>

> Thanks

>

> Chrissie

>

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Do I take it that you didn't take any thyroid hormone

replacement on the morning you had your blood drawn Chrissie?

If you are not feeling any benefit, then it looks like you need to

increase your dose by 10mcgs daily. It is usually recommended that you increase

your dose by 10mcgs or 12.5mcgs (depending on whether you are using

Liothyronine or Cytomel) every 2 to 3 weeks until you find the dose where your

symptoms have been mitigated.

Your free T4 is rather low and you might benefit by adding back

in 25mcgs levothyroxine.

However, have you had all the specific nutrients tested to see

whether any of them are low in the range or not, because if they are, no amount

of thyroid hormone is going to work until whatever is low has been

supplemented. Please check the attached document.

Luv - Sheila

> Blood tests on 30mcg T3 since 10th Jan

> TSH 0.9 from 4.5 last time (0.3-5.5) (early January)

> FT4 4.4 from 7.7 last time (11.5-22.7)

> FT3 4.5 from 5.0 last time (<7.1)

> I have no improvement in symptoms as such though I have better spells but

they dont last for more than a few hours.

> I suspect continued undermedication but when I see my GP he will freak out

at raising the dose on such a TSH. He hates the idea of a suppressed TSH, he

cannot get his head round the idea that T3 has that effect. I am more concerned

about the low FT4,should it be that low?

> Could the TSH just be unstable ? I had low antibodies at my test last year

so they disregarded that. I know it is only a snapshot and I have family

history.

> I was kept on low dosage of T4 (75mcg) so when I started on T4/T3

combination, lowering the T4 while introducing the T3 and then raising it and

taking into account the X 4 factor-there was very little room for manoeuvre

before the T4 was stopped altogether. As a result, I have no idea what my

optimal dose is on either,so I am a bit stymied.

1 of 1 File(s)

WHY THYROID HORMONE REPLACEMENT MAY NOT BE WORKING FOR YOU.doc

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