It seems as though the meds are not getting me back to normal energy levels and I cannot kick memory issues / serious brain fog that seemed to come on suddenly (last 6 months).
Do test results indicate my body is not converting t4 to t3? Should I ask for t3 medicine in addition to t4? Should I ask for ultra sound of thyroid? Should I ask for other test? I have been treated with 25mg and now 50 mg levothyroxine since feb 2019 (I think). Currant symptoms include hair loss, poor energy levels, irritability, brain fog, memory issues, high total and high ldl (bad) cholesterol, sore throat (last 3-4 weeks), often tired (last 6 months), head aches (last 3-4 weeks usually never get headaches), excessive dry skin and hair (last 6 months), constipation, night sweats, swollen ankles, cramps in muscles on top of feet at night (never get muscle cramps).
Improvements achieved body temperature, no more cold extremities! Energy levels have come up some, maybe 70% of previous levels.
first complete panel after switching drs. (Previous dr only tested tsh and free t4 if tsh was high).
High antibodies, tpo >2000 <5.61;
thyroglobulin 319.4 <4.11;
Tsh 3rd gen 6.57 0.27-4.20;
Free t4 0.961 0.71-1.7;
Free t3 2.07 2.5-4.3;
Reverse t3 9.8 9.0-27;
Sex hbglobulin 40.82 20-130
Dhea sulfate 206.5 60.9-337;
Cortisol (am) 14.15 6.02-18.4;
Previous dr diagnosed hypothyroidism after tsh level was 11.6. Repeat tsh brought level down to around 6, then changed from 25 mg to 50 and had one test under 2 so previous dr didn’t even indicate when I should retest. tested through work. showed tsh going up again so found new dr. Most recent test is above. Currently taking 50mg levothyroxine sodium test taken 9am after took thyroid medicine at 530am, per dr order, dr said wanted to see “as corrected levels”.
Eat healthy, mostly no processed foods, lots of spinach, sardines, nuts, avacado, grass fed beef, pastured chicken eggs.
Drink 1 cup of black coffee daily. Drink lots of water and herbal tea.
Gave blood after blood test and iron level from diet alone was iron level/ hemoglobin(?) adequate to give blood, like 15.5 when it has to be 12.5 I think. I historically have been turned away based on iron level.
Only supplement taken right now is vitamin d. Vitamin d level was 30, the very bottom of range when tested about a month ago. Started taking 25mg about 1 week ago (after blood test) histamine allergy medicine 1x a day at dr recommendation to see if it helped sore throat. Seems to reduce sore throat pain but not eliminate it.
Non drinker, non smoker, Female early 40s, bmi 24.4, body fat under 28%. A1c 4.6 (low end of normal). Mother and aunt diagnosed ms, high cholesterol, and more recently hypothyroidism.