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Re: Ideal labs/Elaine

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Aldyth Rae wrote:

>

> I was wondering if there is an ideal TSH and FT3 for people with Graves, or is

it a case of if you feel good then it must be right for you?

I think more is written about individual variation in what

works, than actually occurs.

Modal (most common) value from healthy people are TSH 1.25 (with

fT4 somewhere low in it's range and fT3 quite near the top of

it's range, although I haven't seen hard numbers on the

distribution of these quantities I've seen enough).

Most people with Graves' feel okay when they get the fT4 and fT3

value back to these sorts of numbers, those who have ablation

and only levothyroxine need higher fT4, which can suppress TSH.

Even here where we have collected presumably more odd cases,

most still seem to need the same numbers, with maybe a few extra

needing TSH suppressed slightly below 1.25.

But yes in the end it is engineering , not

maths, if it works don't fix it ;-)

With slightly raised fT3 I feel okayish, but despite Elaine

listing it in her book, I remain unconvinced on hyperthyroid

euphoria. It has been used as an excuse to deny people extra

hormone as it makes them " feel good " , but if hyperthyroid

euphoria exists, it is because when that patient goes " manic " he

is a happy maniac, and not some ordinary feeling of well being.

My GP hadn't seen any hyperthyroid euphoria either last time I

asked him, then again maybe they don't go to the doctor lest he

cure them.

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Hi Aldyth,

Many endos write that people on meds feel best with a TSH between 0.4 and 1.0

mu/L and with thyroid hormone levels near the high end of the normal range.

But we're all different. While this rule seems to hold true for most people,

I've met a number of people who do better with thyroid hormone levels in mid

range. Take care, Elaine

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Hi Aldyth,

Many endos write that people on meds feel best with a TSH between 0.4 and 1.0

mu/L and with thyroid hormone levels near the high end of the normal range.

But we're all different. While this rule seems to hold true for most people,

I've met a number of people who do better with thyroid hormone levels in mid

range. Take care, Elaine

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