Am I over medicated?

[kilowhiskey]

I have been taking 60 mg armour thyroid twice daily for Hashimoto’s.  I feel pretty good considering I also have chronic fatigue syndrome and fibromyalgia and chronic migraines. I had my annual physical and blood work and the following thyroid labs:

TSH <.006 (.450-4.500)
Free T3 5.6 (2.0-4.4)
Free T4 1.72 (.82-1.77)
Thyroid Peroxidase Ab 9 (0-34)
Thyroglobulin Antibodies <1.0 (.0-.9)

I was excited to see my antibodies lowwe from their previous level by removing gluten from my diet. Is it possible that I am over medicated with the Armour Thyroid? Might the dose need to be lowered because I am now gluten free? I have a follow up with my pain doc who prescribes my hormones in March. Thanks for the help!

[kilowhiskey]

Thank you so much! I will message my doc to ask that these other tests be done!

[gimel]

It is obvious tht your Ft4 and FT3 levels are on the high side and above.  Which is somewhat puzzling considering you are taking only 120 mg of Armour.  Along with the high levels  you are still having many hypothyroid symptoms.  Which makes me wonder if your serum levels are not reflective of your tissue thyroid levels.  Hypothyroidism is correctly defined as "insufficient T3 effects in tissues throughout the body, due to inadequate supply of, or response to, thyroid hormone.  There is a thyroid hormone transport function that is affected by a number of things.   The best measure of tissue thyroid is a Reverse T3 test along with a Free T3 test from the same blood draw.  Reverse T3 is a mirror image molecule of T3 but it is biologically inactive.  In excess amounts RT3 can block effects of Free T3, and cause hypometabolic symptoms.  

In addition, cortisol is an antagonist of thyroid.  Excess levels can block the effect of Free T3.   Ferritin is also very important to a hypothyroid patient.  So I highly suggest getting all three of those tests done and post results and reference ranges so that we can help assess further and advise.  You should be able to get your doctor to do those tests if you explain that you are still having hypo symptoms, even though your  thyroid hormone levels are on the high end.  So other things need to be assessed.

[kilowhiskey]

Ugh. The mobile version is being glitchy on my phone.  

My symptoms: extreme fatigue, unrefreshinf sleep, migratory althralgias, chronic migraines, enlarged lymph nodes, consrioarion, puffy face, loss of outer 1/3 eyebrow, constipation, tingliness, tender/trigger points, irritability, rapid heartbeats,

I do not remember my labs at time of diagnosis.
I took my dose of armour at midnight before the morning of the labs (taken at 9am). I didn’t get the reverse t3 not the ferritin. My vitamin d is normally around 70-80 and I give myself twice weekly b-12 injections.

[kilowhiskey]

I agree that cfs and fm can be blanker diagnoses for many people. I was diagnosed with both of them 23 years ago. The Hashi’s was diagnosed about 11 years ago.

Most of my symptoms actually lean towards hypo:
Cold intolerance,

[gimel]

I think that Chronic Fatigue syndrome and fibromyalgia are names given to sets of symptoms for which the doctors are unsuccessful in identifying a cause, following their usual diagnostic practices.  

Before going further, please tell us about specific symptoms, rather than just calling it CFS and fibromyalgia.

Also, what were your thyroid related test results and reference ranges at the time of diagnosis as Hashi's ?

Do you take your morning dose of Armour Thyroid before the blood draw?  If so, how long was it before the blood draw for the last results?

If tested for Reverse T3, cortisol, Vitamin D, B12 and ferritin, please post results, with ranges.