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Thyroid
I am in medication of depression i have TSH 29.6 and T4 0.8 what type of sympots should i supposed to be in and how many time it will take symptoms to disappear after medicine thyroxin?
I am very thankful to you i have experiencing so much symptoms so worried and waithing for moment when i really feel nice.0.8 is my FT4 0.8 its reference level start with 0.89,i dunt like in any activity very sluggish,mind seem totally numb.
If at all possible, you should make sure they test you for Free T3 and Free T4 each time you go in for tests. Note that these are not the same as Total T3 and Total T4. Free T3 is the most important because it largely regulates metabolism and many other body functions. Scientific studies have shown that Free T3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all. Since your Free T4 is low, I expect that you will find that your Free T3 is also low, which is indicative of having hypo symptoms.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. You can get some good insight into clinical treatment from this letter written by a good thyroid doctor for patients that he sometimes consults with after initial tests and evaluation. The letter is then sent to the participating doctor of the patient to help guide treatment. In the letter, please note the statement, "the ultimate
criterion for dose adjustment must always be the clinical response of the patient."
http://hormonerestoration.com/files/ThyroidPMD.pdf
Since hypo patients are frequently too low in the range for Vitamin D, B12 and ferritin, I also suggest tests for those as well. Then when test results are available, please post results and their reference ranges shown on the lab report and members will be glad to help interpret results and advise further.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. You can get some good insight into clinical treatment from this letter written by a good thyroid doctor for patients that he sometimes consults with after initial tests and evaluation. The letter is then sent to the participating doctor of the patient to help guide treatment. In the letter, please note the statement, "the ultimate
criterion for dose adjustment must always be the clinical response of the patient."
http://hormonerestoration.com/files/ThyroidPMD.pdf
Since hypo patients are frequently too low in the range for Vitamin D, B12 and ferritin, I also suggest tests for those as well. Then when test results are available, please post results and their reference ranges shown on the lab report and members will be glad to help interpret results and advise further.
Hi gimel i have experience some positive,little active though i havent got chance to test vitamin d b12 i have appointment with doc this tuesday what things of test i should ask for doc. I need ur suggestion.
As mentioned previously, you should request to be tested for Free T3 and Free T4 (not the same as Total T3 and T4), along with the TSH they always test. If the doctor resists, you should insist on those specific tests and don't take no for an answer. Also, since hypo patients are frequently too low in the range for Vitamin D, B12 and ferritin, I also suggest tests for those as well. Then when test results are available, please post results and their reference ranges shown on the lab report and members will be glad to help interpret results and advise further.
When you go into the lab for them to draw blood for the tests, I would suggest that you also make sure they know you are to be tested for Free t3 and Free T4, not Total T3 and T4. That way you may avoid the problem many hypo patients encounter, where the lab people do the same tests they usually do and overlook Free T3 and Free T4.
Good luck to you. Please let us know how you are doing.
When you go into the lab for them to draw blood for the tests, I would suggest that you also make sure they know you are to be tested for Free t3 and Free T4, not Total T3 and T4. That way you may avoid the problem many hypo patients encounter, where the lab people do the same tests they usually do and overlook Free T3 and Free T4.
Good luck to you. Please let us know how you are doing.
hi gimel i have given blood sample for test of free t3, t4 ,B12,total vitamin D,ferritine i will get the reports on thursday.there is no improvement in libido and sex drive,i have get few energy n little alert type,i have also problem with vision i felt something is disturbing sunlights.memory and concentration are weak but little imporvement than before.i have seen that a women with normal T3 and T4 with TSH 16.1 has been prescribed with calcium and vitamin D3 and cadila with something UI.
Hello sir i got my ferritine.,vitamin D and b12 report ferritine 86.4 ref range (25-350),vitamin b12 235.1 ref range (200-1100),vitamin D3 42.9 ref range (30-100).
Did you also get tested for Free T3, Free T4 and TSH? If so, please post those results, along with reference ranges.
i have given blood sample i will get throid test result by sunday i will post it.thanks for your support really thank you.
hello sir i got my thyroid test my lab reports are like this ferritine 86.4 ref range (25-350),vitamin b12 235.1 ref range (200-1100),vitamin D3 42.9 ref range (30-100).FT3 3.3 ref range (1.2-4.1),FT4 1.5ref range (0.8-1.7),TSH 5.1ref range (0.5-4.5).i am feeling little better than a week ago.
Your B12 is way too low in the range, so you should supplement that in order to get into the upper part of its range. Also, your Vitamin D needs to be supplemented to get it up to the middle of its range.
What is your thyroixin dosage and when did you start taking it?
What is your thyroixin dosage and when did you start taking it?
my thyroxine dose is 100 mg i have taken it for one months.within 1 month level decreases from 26.9 to 5.1.
Since you have only been on the thyroxine for a month, your levels may continue to change a bit, and your symptoms may improve a bit also. Supplementing with the B12 and D will also help. If anything further is needed, a small amount of T3 could be added to your dosage, rather than just increasing your thyroxine. All this is something you should discuss with your doctor.
Would you please check the reference range you listed for Free T3?. I have never seen one that goes as low as 1.2.
Would you please check the reference range you listed for Free T3?. I have never seen one that goes as low as 1.2.
Thanks for your suggestion symptoms disturbing me are brain fog,sex however i am seeing some improvent for FT3
3.3 (units) pg/ml {method}CLIA (MAGLUMI) 1.2-4.1
3.3 (units) pg/ml {method}CLIA (MAGLUMI) 1.2-4.1
So far, Japan and Europe have risen the B12 serum to a minimum of 500 or 550pg/mL. This is progress at least. Brain fog is one of the many symptoms of B12 deficiency.
i was prescribed with methylcobalamine 15000 mcg once a day at night not any medicine for vitamin D and T3.
Methylcobalamin is the most potent form of Vitamin B12 found in nature, so your doctor responded to your B12 test and related symptoms. I suggest that you continue to see the doctor for followup tests, especially on your Free T3 and Ffree T4, along with B12 and Vitamin D. I also suggest that you can supplement your D level to raise it to the middle of the range.
If you continue to have hypothyroid like symptoms, be sure to tell the doctor about them and ask for T3 med to raise your Free T3 as necessary to relieve symptoms. It might also help if you gave the doctor a copy of this scientific study that concluded that Free T3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all.
http://www.ingentaconnect.com/content/routledg/cjne/2000/00000010/00000002/art00002
If you continue to have hypothyroid like symptoms, be sure to tell the doctor about them and ask for T3 med to raise your Free T3 as necessary to relieve symptoms. It might also help if you gave the doctor a copy of this scientific study that concluded that Free T3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all.
http://www.ingentaconnect.com/content/routledg/cjne/2000/00000010/00000002/art00002
Thank you sir very much for your support your support have given me i am feeling some good all because of your direction i will defenitely talk with doctor about FT3 and FT4.
the main concerning symptoms for me now is brain fog,i am sluggish at work.i find it difficult to work at this time.i make mistakes.did B12 release my brain fog or FT3 relieve me get out of symptoms,but there is slight improvement than before.
I suggest that you continue with your current plan to improve B12 level, and also supplement your Vitamin D level to get it up around the middle of its range. Then give your body some time to heal and see how you are feeling at that point.
The main things to discuss would be your B12 level, and the need to supplement that to get it up in the upper part of the range. You can take Vitamin D supplements on your own to raise your level to around the midpoint of the range. Since you are already taking T4 med, and your Free T4 is nearing the top of the range, the best approach to address your remaining hypo symptoms would be to add a bit of T3 med to your dosage. So you should discuss that with the doctor.
i was consulting with pychatrist doctor,he didnt prescribed me vitamin D so wil l you tell me what dosage is right for me to take vitamin D cant i take vitamin drugs under your subscirption,i had gone to endo doctor he told me to do following test.
1.LH
2.FSH
3 prolactin
4S. testosteron
5.TFT
what are these test for ...he just told me do follwing test and we will discuss more on when your result came.I havent done this,is this test are necessary.
1.LH
2.FSH
3 prolactin
4S. testosteron
5.TFT
what are these test for ...he just told me do follwing test and we will discuss more on when your result came.I havent done this,is this test are necessary.
I take 2000 IU of Vitamin D3 daily. That should be enough to raise your levels also. And you are working on your B12 level, which is way too low in the range. Beyond that, as I suggested, I think you need to give you body some time to respond to the thyroid medication and these supplements and see how you feel.
As for your questions about those tests. I found the following info.
Testing for FSH and LH levels might be recommended for women and men experiencing fertility issues because it can provide some insight into how your sex organs are functioning. If FSH and LH levels are abnormally high, it may indicate problems with the ovaries or testicles. If they are low, there may be an issue with the pituitary or hypothalamus.
The prolactin test also may be used as part of a work-up for irregular menstrual periods, fertility problems, some types of thyroid or adrenal gland dysfunction, anorexia, and polycystic ovarian syndrome.
http://labtestsonline.org/understanding/analytes/testosterone/tab/test
TFT is for thyroid function tests.
I am really not sure what your doctor is looking for with these tests. It appears that he is looking into the pituitary/hypothalamus functions. but I am not sure why that would be. You started with having high TSH level, and somewhat low T4 level. You were started on 100 mcg of thyroxine. You have had some recent tests that show that your TSH came down. You still have some symptoms that may relate to low Vitamin B12 and Vitamin D and the short time you have been on the thyroid med. I really don't understand the point of the requested tests. If anything maybe you should test for the presence of thyroid antibodies related to the presence of Hashimoto's Thyroiditis, which is the most common cause for diagnosed hypothyroidism. Those tests are Thyroid Peroxidase and Thyroglobulin antibodies, usually shown as TPO ab and TG ab.
Maybe you should ask your doctor about doing the TPO ab and TG ab tests first. Do you have to pay directly for tests, or are they covered by health insurance?
As for your questions about those tests. I found the following info.
Testing for FSH and LH levels might be recommended for women and men experiencing fertility issues because it can provide some insight into how your sex organs are functioning. If FSH and LH levels are abnormally high, it may indicate problems with the ovaries or testicles. If they are low, there may be an issue with the pituitary or hypothalamus.
The prolactin test also may be used as part of a work-up for irregular menstrual periods, fertility problems, some types of thyroid or adrenal gland dysfunction, anorexia, and polycystic ovarian syndrome.
http://labtestsonline.org/understanding/analytes/testosterone/tab/test
TFT is for thyroid function tests.
I am really not sure what your doctor is looking for with these tests. It appears that he is looking into the pituitary/hypothalamus functions. but I am not sure why that would be. You started with having high TSH level, and somewhat low T4 level. You were started on 100 mcg of thyroxine. You have had some recent tests that show that your TSH came down. You still have some symptoms that may relate to low Vitamin B12 and Vitamin D and the short time you have been on the thyroid med. I really don't understand the point of the requested tests. If anything maybe you should test for the presence of thyroid antibodies related to the presence of Hashimoto's Thyroiditis, which is the most common cause for diagnosed hypothyroidism. Those tests are Thyroid Peroxidase and Thyroglobulin antibodies, usually shown as TPO ab and TG ab.
Maybe you should ask your doctor about doing the TPO ab and TG ab tests first. Do you have to pay directly for tests, or are they covered by health insurance?
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As for symptom relief, that tends to lag behind changes in blood levels of thyroid hormones, and is also dependent on severity and length of time you have been suffering with hypo symptoms. It also depends somewhat on the current levels of your biologically active thyroid hormones, Free T3 and Free T4 (not the same as Total T3 and T4), and what amount of thyroid med will ultimately be required to increase your Free T3 level enough to relieve symptoms. And of course you cannot just start with a large dose of thyroid med. You have to start with a small dose and increase in small increments about every 6 weeks, until you achieve symptom relief.
Sorry I cannot give you a more definite answer, but it will take a while. For best results, people with hypothyroidism have to make med changes slowly and be very patient.