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>Hi there, and thanks for all your useful comments & info.

Hello and welcome

>

>Apologies for being dumb - completely new to this rt3-ft3 ratio, t3 only

treatment etc - but have had some lab tests done for the first time and

struggling to get the rt3-ft3 ratio.

> So assume that I am to put the decimal point where i think it should be - ie 4

divided by .23, which gives ratio of 17?

>

Yep. We look for a ratio of at least 20 so this is a little under but

not terrible.

>Presuming ratio is 17, which looks close to normal would any one recommend t3

to take it up to 20 or would it be better just to leave things as they are? Have

chronic fatigue (which came on suddenly after acute viral illness 15 years ago)

and odd hypo background (diagnosed hypo aged 17, only to be told aged 20 that I

was ok).

Personally I would say if you don't feel well then it's worth dropping

that T3 and ramping up slowly on T3 to see if you feel any better.

Most people that are hypo do better with some T3 at least added. With

a TSH of 2.6 you are NOT normal, people that have normal thyroid

function have a TSH of 1 or under. From those labs there is something

funny going on and we need more things to know what it is. For a

starter some adrenal and ferritin tests.

>For info, have been taking 25mcg of synthroid for one year (as last year got

pretty desperate to try something to alleviate exhaustion) but this was not

prescribed by my doctor (he just took tsh and free t4 tests and they came back

normal)

It's not enough to do any good and T4 is pretty useless for a lot of

people,

>

>I suspect my tiredness is probably due to some other cause as these results

seem ok to me but if any one has any comments would be gratefully received.

>

Ferritin and cortisol are the first steps.

The " quick and dirty " cortisol test is a temperature check, the method

is to take it at specific times each day, average the temperature for

that day, and then compare these averages from day to day.

If they are within 0.2F from day to day cortisol is probably OK. If

it's not then a " 4 sample saliva test " is the gold standard to find

out how bad.

Ferritin is a blood test the Drs can run. For thyroid health it needs

to be between 70 and 90 and I think yours may well be low,

This page has info on both tests as well as dosing and ramping up T3.

http://thyroid-rt3.com/dosing.htm

My gut feeling is your body temperature will be around 96 F and

fluctuating by a whole degree F from hour to hour!

Let us know if I am right.

My gut feeling is that if you get ferritin and cortisol in place and

ramp up on T3 you may well feel a LOT better.

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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Ah, brain cramps again!

Given what you said, I get 1739.1: nano = 1 billionth, pico = 1 trillionth, 4

billionths/2.3 trillionths = 4000/2.3. But that does sound weird. Could one be

in mL and the other dL? 100 mL = 1 dL. If we assume, ft3 is in dL, then ratio

becomes 40/2.3 or 17.39, what you got. That's less than the optimum 20 and might

suggest rt3 problem, but as you point out, you seem sicker than that. Are you

still taking t4? If you are, and it's conversion to t3 is awry, that might

account for ratio and not feeling well.

You can get your own cortiso/saliva via Canary club pretty cheap.

Lee

>

> Hi there, and thanks for all your useful comments & info.

>

> Apologies for being dumb - completely new to this rt3-ft3 ratio, t3 only

treatment etc - but have had some lab tests done for the first time and

struggling to get the rt3-ft3 ratio.

>

> My results:

>

> tsh ..2.6

> ft4....1.33

> ft3....4 (pg per ml) (range reference given as 2 to 4.5)

> rt3....2.3 (range reference 1.5 to 3.5 ng per ml)

> antibodies.. tpo 8.9, thg 10

>

> If same units are used for both ft3 and rt3 - say ng per ml, then ratio seems

ridiclously low to me (ie .004 divided by 2.3, since 1pg is .001ng I think). So

assume that I am to put the decimal point where i think it should be - ie 4

divided by .23, which gives ratio of 17?

>

> Presuming ratio is 17, which looks close to normal would any one recommend t3

to take it up to 20 or would it be better just to leave things as they are? Have

chronic fatigue (which came on suddenly after acute viral illness 15 years ago)

and odd hypo background (diagnosed hypo aged 17, only to be told aged 20 that I

was ok). For info, have been taking 25mcg of synthroid for one year (as last

year got pretty desperate to try something to alleviate exhaustion) but this was

not prescribed by my doctor (he just took tsh and free t4 tests and they came

back normal)

>

> I suspect my tiredness is probably due to some other cause as these results

seem ok to me but if any one has any comments would be gratefully received.

>

>

> Many thanks

>

>

> NB am currently overseas and lab does not offer the 24hr cortisol saliva

levels (only able to do 24 urine cortisol which came back normal..80) also didnt

get ferretin levels checked either)

>

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Many thanks for advice Lee.

All the best

--- El mar, 2/16/10, Lee escribió:

De: Lee Asunto: Re: new on forum..A: RT3_T3 Fecha: martes, 16 de febrero de 2010, 01:29 am

Ah, brain cramps again!Given what you said, I get 1739.1: nano = 1 billionth, pico = 1 trillionth, 4 billionths/2. 3 trillionths = 4000/2.3. But that does sound weird. Could one be in mL and the other dL? 100 mL = 1 dL. If we assume, ft3 is in dL, then ratio becomes 40/2.3 or 17.39, what you got. That's less than the optimum 20 and might suggest rt3 problem, but as you point out, you seem sicker than that. Are you still taking t4? If you are, and it's conversion to t3 is awry, that might account for ratio and not feeling well.You can get your own cortiso/saliva via Canary club pretty cheap.Lee>> Hi there, and thanks for all your useful comments & info. > > Apologies for being

dumb - completely new to this rt3-ft3 ratio, t3 only treatment etc - but have had some lab tests done for the first time and struggling to get the rt3-ft3 ratio. > > My results:> > tsh ..2.6> ft4....1.33> ft3....4 (pg per ml) (range reference given as 2 to 4.5)> rt3....2.3 (range reference 1.5 to 3.5 ng per ml)> antibodies.. tpo 8.9, thg 10> > If same units are used for both ft3 and rt3 - say ng per ml, then ratio seems ridiclously low to me (ie .004 divided by 2.3, since 1pg is .001ng I think). So assume that I am to put the decimal point where i think it should be - ie 4 divided by .23, which gives ratio of 17? > > Presuming ratio is 17, which looks close to normal would any one recommend t3 to take it up to 20 or would it be better just to leave things as they are? Have chronic fatigue (which came on suddenly after acute viral illness 15 years ago) and odd hypo

background (diagnosed hypo aged 17, only to be told aged 20 that I was ok). For info, have been taking 25mcg of synthroid for one year (as last year got pretty desperate to try something to alleviate exhaustion) but this was not prescribed by my doctor (he just took tsh and free t4 tests and they came back normal)> > I suspect my tiredness is probably due to some other cause as these results seem ok to me but if any one has any comments would be gratefully received. > > > Many thanks> > > NB am currently overseas and lab does not offer the 24hr cortisol saliva levels (only able to do 24 urine cortisol which came back normal..80) also didnt get ferretin levels checked either)>

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Welcome, and glad you are here. I'm overseas most of the time, so I hear you on

the tests. I was unable to get the cortisol test for months. Meanwhile, I

tried using adaptogens which helped somewhat. I'm thinking you should be able

to get the ferritin done, though. It is pretty common. I could get that in

China where I am for many months of the year.

Sherry

>

> >Hi there, and thanks for all your useful comments & info.

>

> Hello and welcome

> >

> >Apologies for being dumb - completely new to this rt3-ft3 ratio, t3 only

treatment etc - but have had some lab tests done for the first time and

struggling to get the rt3-ft3 ratio.

> > So assume that I am to put the decimal point where i think it should be - ie

4 divided by .23, which gives ratio of 17?

> >

> Yep. We look for a ratio of at least 20 so this is a little under but

> not terrible.

>

> >Presuming ratio is 17, which looks close to normal would any one recommend t3

to take it up to 20 or would it be better just to leave things as they are? Have

chronic fatigue (which came on suddenly after acute viral illness 15 years ago)

and odd hypo background (diagnosed hypo aged 17, only to be told aged 20 that I

was ok).

>

> Personally I would say if you don't feel well then it's worth dropping

> that T3 and ramping up slowly on T3 to see if you feel any better.

> Most people that are hypo do better with some T3 at least added. With

> a TSH of 2.6 you are NOT normal, people that have normal thyroid

> function have a TSH of 1 or under. From those labs there is something

> funny going on and we need more things to know what it is. For a

> starter some adrenal and ferritin tests.

>

> >For info, have been taking 25mcg of synthroid for one year (as last year got

pretty desperate to try something to alleviate exhaustion) but this was not

prescribed by my doctor (he just took tsh and free t4 tests and they came back

normal)

>

> It's not enough to do any good and T4 is pretty useless for a lot of

> people,

> >

> >I suspect my tiredness is probably due to some other cause as these results

seem ok to me but if any one has any comments would be gratefully received.

> >

> Ferritin and cortisol are the first steps.

>

> The " quick and dirty " cortisol test is a temperature check, the method

> is to take it at specific times each day, average the temperature for

> that day, and then compare these averages from day to day.

>

> If they are within 0.2F from day to day cortisol is probably OK. If

> it's not then a " 4 sample saliva test " is the gold standard to find

> out how bad.

>

> Ferritin is a blood test the Drs can run. For thyroid health it needs

> to be between 70 and 90 and I think yours may well be low,

>

> This page has info on both tests as well as dosing and ramping up T3.

>

> http://thyroid-rt3.com/dosing.htm

>

> My gut feeling is your body temperature will be around 96 F and

> fluctuating by a whole degree F from hour to hour!

>

> Let us know if I am right.

>

> My gut feeling is that if you get ferritin and cortisol in place and

> ramp up on T3 you may well feel a LOT better.

>

> Nick

>

> --

>

> for more information on RT3 and Thyroid Resistance go to

>

> www.thyroid-rt3.com

>

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