Question on dose

[ando35]

Sorry to beat a dead horse but I recently got labs back and asked if I should raise my dose. Barb mentioned adding t3 and needing to know my free t3 which I dont have.

Anyways, I am feeling hypo and want to go from 88 to 100 synthroid.

Do you think it will make me hypo?


Test Name Result Flag Reference Range Lab


TSH 4.08  range 0.40-4.50 mIU/L 01


T4, FREE 1.2  range : 0.8-1.8 ng/dL 01


T3, TOTAL 91 range :76-181 ng/dL 01


THYROID PEROXIDASE ANTIBODIES 606 HIGH    range : <9 IU/mL 01

[ando35]

Thank you. I will stay with the increase to 100 and test in 5 weeks. Just got insurance so i can see a doc too.

[gimel]

I assume you meant to ask if it would make you hyper.  The answer to that is that it is most unlikely since your Free T4 is a bit low yet, and you don't have a Free T3 result, but based on your Total T3, I am sure Free T3 will be in the low end of its range, so yes you do need to add a source of T3 to your med to raise your Free T3 into the upper third of its range, or as needed to relieve hypo symptoms.  Another indicator of being too low in med is that your TSH is still high in the range.  Hypo patients taking thyroid med adequate to relieve symptoms most frequently find that their TSH becomes suppressed.

Without looking back to prior threads, if you haven't been tested for Vitamin D, B12 and ferritin, those are very important for a hypo patient.  D should be about 55-60, B12 in the upper part of its range, and ferritin should be about 70 minimum, so you should know those and supplement as needed to optimize.