Re: new and trying to figure out if I have a RT3 problem

[Guest guest]

I am bumping this so it does not get lost.

Hoping someone can offer me some info.

>

> Hello. I am new here; am trying to clarify whether I have a RT3 problem, and

would be grateful for any guidance, info, or feedback.

>

> I am working with a doctor who is good on some issues, and though he seems

unaware of other issues is relatively open minded. I am trying to prepare to be

able to address the issue of RT3 during an appointment this Thursday.

>

> Below are my recent lab results:

> 2/26/10

> FT3 2.37 pg/mL (1.5-4.1)

> RT3 25 ng/dL (11-32)

> FT4.928 ng/dL (.8-1.9)

> TSH .001

> FT3/RT3 ratio = 9.5

>

> 1/11/10

> FT3 2.62 pg/mL (1.5-4.1)

> RT3 33 ng/dL (11-32)

> FT4 .907 ng/dL (.8-1.9)

> TSH .004

> FT3/RT3 ratio = 7.9

>

> On 11/23/09 my RT3 was 46, and that was the first time it was tested (I don't

have a ratio for 11/23/09 because the FT3 test is not accurate since I had taken

my thyroid med too recently).

>

> My doctor said he thought the RT3 was high because I was on too high of a dose

of thyroid meds (currently canadian efra). He lowered the dose. The RT3 # has

been coming down, and he seems to indicate that there is no longer a problem.

>

> However, if I am understanding correctly (and doing the math correctly), my

ratio of FT3/RT3 is still not good, so I still have a problem.

>

> My questions are:

> Is this correct?

> and

> Is there anything I can show my doctor that states that a ratio under 20 is a

problem? In looking for this I looked at Dr. Holtorf's interview with

Shamon, but am confused regarding his statement that a ratio of 1.8 or greater

is ok:

>

> Shomon: At what point do you consider reverse T3 too high and requiring

treatment?

> Kent Holtorf, MD: Like everything else in medicine it is a continuum, but

healthy individuals are usually below 250 pg/ml and should have a free

T3/reverse T3 ratio greater than 1.8 if free T3 is in ng/dl or 0.018 if free T3

is in pg/ml.

>

> Thank you.

>

[Guest guest]

I am bumping this so it does not get lost.

Hoping someone can offer me some info.

>

> Hello. I am new here; am trying to clarify whether I have a RT3 problem, and

would be grateful for any guidance, info, or feedback.

>

> I am working with a doctor who is good on some issues, and though he seems

unaware of other issues is relatively open minded. I am trying to prepare to be

able to address the issue of RT3 during an appointment this Thursday.

>

> Below are my recent lab results:

> 2/26/10

> FT3 2.37 pg/mL (1.5-4.1)

> RT3 25 ng/dL (11-32)

> FT4.928 ng/dL (.8-1.9)

> TSH .001

> FT3/RT3 ratio = 9.5

>

> 1/11/10

> FT3 2.62 pg/mL (1.5-4.1)

> RT3 33 ng/dL (11-32)

> FT4 .907 ng/dL (.8-1.9)

> TSH .004

> FT3/RT3 ratio = 7.9

>

> On 11/23/09 my RT3 was 46, and that was the first time it was tested (I don't

have a ratio for 11/23/09 because the FT3 test is not accurate since I had taken

my thyroid med too recently).

>

> My doctor said he thought the RT3 was high because I was on too high of a dose

of thyroid meds (currently canadian efra). He lowered the dose. The RT3 # has

been coming down, and he seems to indicate that there is no longer a problem.

>

> However, if I am understanding correctly (and doing the math correctly), my

ratio of FT3/RT3 is still not good, so I still have a problem.

>

> My questions are:

> Is this correct?

> and

> Is there anything I can show my doctor that states that a ratio under 20 is a

problem? In looking for this I looked at Dr. Holtorf's interview with

Shamon, but am confused regarding his statement that a ratio of 1.8 or greater

is ok:

>

> Shomon: At what point do you consider reverse T3 too high and requiring

treatment?

> Kent Holtorf, MD: Like everything else in medicine it is a continuum, but

healthy individuals are usually below 250 pg/ml and should have a free

T3/reverse T3 ratio greater than 1.8 if free T3 is in ng/dl or 0.018 if free T3

is in pg/ml.

>

> Thank you.

>

[Guest guest]

,

Thank you for the information.

Do you know of anything written that I can show my doctor that states that a

ratio under 20 is a problem?

Also, when my doctor said my thyroid med was too high the test results were:

FT4 1.44 (.8-1.9)

FT3 4.2 (1.5-4.1)

TSH 28.009 (.4-4)

RT3 was not tested. My TSH is unreliable. From test to test it varies from

high to low. But my ft4 was at 1.4, so do these #s indicate to you that my

thyroid med could have caused the rt3 #s?

Also, I am on 30mg of HC (started after saliva testing that showed very low

cortisol all day and night) and have been taking iron to bring up ferritin

level, and the last test was 77 (up from 24). So those things are covered.

I am just wondering what to push for with my doctor tomorrow. I think I either

need to raise my thyroid med (but am concerned if that would make the rt3

problem worse) or go on t3 only.

Anyway thanks again for your response and any further info you (or anyone else

out there) can provide.

I really appreciate it.

>

> 2/26/10

> > FT3 2.37 pg/mL (1.5-4.1)

> > RT3 25 ng/dL (11-32)

> > FT4.928 ng/dL (.8-1.9)

> > TSH .001

> > FT3/RT3 ratio = 9.5

>

> As your FT4 is now too low, this is not enoguh to correct your RT3 problem,

Your earloier labs the RT3 was NOT caused by high thyroid either. If FT4 was

over 1.4 then Iowuld say it might be caused by too much NT but neither was the

case for you. What doctors do not realise is ther eare MANY other causes for

high RT3, such as low ferritin or low or high cortiosl, or who knows what else

as we are just beginning to research al it's causes. Your supressed TSH si NOT a

dign of hyperthyroid when you have LOW thyroid hormoen levels as YOU do. It is a

sign of intolerance,ususlaly from a cortisol or lwo ferritin problem. I would

suggest a compolete iron panel and saliva cortisl panel to hunt fo rthe cause

before going to all T3 to correct it.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>