help me with my bloodwork results:

[Becky826]

My latest results are as follows:
Free T3         2.8.        (2.18-3.98) PG/ML
Free T4           .73   *L (.76-1.46) NG/DL
TSH                .59        (.36-3.74) UIU/ML
Reverse T3    9.2         (9.2-24.1) ng/DL
TPOABS       7(a)         (0-34) IU/mL

I take Natur-Throid 81.25 mg daily. My dosage seems to go up slightly every time my bloodwork is redone.  ?!?

[Becky826]

Thank you. I'll look into all of the above.

[gimel]

I'll only speak to your thyroid issues.  When you get that resolved, then you can see how you are doing and what else needs to be addressed.  I've already given you the general direction for what you should get done.  A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and Free T3 levels as needed to relieve symptoms, without being influenced by resultant TSH levels.   If you have any reservations about what I have said, have a look at this link and read at least the first two pages.  I also recommend reading further to get into the discussion and scientific evidence for all that is suggested in the paper.  

http://www.thyroiduk.org.uk/tuk/TUK_PDFs/diagnosis_and_treatment_of_hypothyroidism_issue_1.pdf  

Do you think your doctor will be willing to treat clinically, as described and also do the additional testing for Vitamin D, B12 and ferritin, so that you can supplement as needed to optimize?  Also, have you been tested for cortisol?  There is also benefit from getting your DHEA, estradiol, progesterone and testosterone to optimal levels for your age.  So I would not ignore those areas.

[des900]

Adding a little hypothyroid or T4 medication along with your usual one might help you to up that low T4 levels.

[gimel]

What I see in your test results is that your Free T4 is way too low.  At .73 it is actually below range, when it should be at least mid-range for bet results.  Also, your Free T3 is too low.   It is only 2.8, which is 34% of the range, when it should be in the upper third of the range, and adjusted as needed to relieve hypothyroid symptoms.  So you need an increase in your thyroid med to reach those levels.  

In addition hypothyroid patients are frequently too low in the ranges for Vitamin D, B12 and ferritin.  All three are important, so you need to get those tested and then supplement as needed to optimize.  D should be at least 50, B12 in the upper end of the range, and ferritin should be at least 70.

So what symptoms do you have currently?  

[Becky826]

I have just about every symptom for low thyroid a person can have!  However, I've also recently been diagnosed with Lupus. Previously diagnosed with a few versions of Lichen, so I don't know if it's Lichen, Lupus, or thyroid making me dry and itchy.  I don't know whether it's thyroid or lupus that's causing extreme exhaustion. I have cold hands and feet as a general basis, but also mild Reynauds.  My eyes are dry, tired, sometimes blurry, but which AI is it?  I don't know if I'm having hot flashes (I'm 47) or if I'm having a lupus fever. Who can tell?
It never ends, and well-meaning people tell me, "Just go to the doctor!"  I want to scream back, "WHICH ONE?"  I'm juggling a few different specialists- rheum, hormone/gyno, and dermatologist, as well as trying to keep my general practitioner in the loop.
The diagnosis of lupus pushed me over the edge, as I've been dealing with the thyroid the longest (about 7years) and the lichens for about 6. Nothing seems to help but dexamethazone, but I have gained about 20 pounds that I don't want or need, and mentally cannot accept being on it continuously.  I teach kindergarten and sleep is my friend!! (As is my patience!)
How long should it take to stabilize my levels?  My husband was diagnosed with a low thyroid, started meds, and within a few months he had a stable situation going on. I've been YEARS of little incremental increases. Inch by inch. Always up a little. I've been on, and self removed from, estrogen, progesterone and testerone creams/pills, Vit D, DHEA, Vit Bs, etc. no combo is truly effective. And I'm tired. Just tired of asking.