Now you're starting to sound like a doctor....... "normal" is not always created equal. Look how low in the ranges the levels are.
My initial "pre-medicated" FT4 was 0.8 (0.8-1.8). Would have said I wasn't hypo, because it was still in range?
yes those numbers look a little low. maybe time for a boost !!!!
Yes, you're missing something!! Even though the labs are in the normal range, they aren't right for this patient. The labs are too low in the ranges, to alleviate symptoms.
I have felt that. It is strange. Everything feels heavy and, as you said, resistive. I would like to hear possible reasons too.
everyone time out......
If you look at her labs unmedicated, they are all normal. She tested negative for hashis as well as graves. How do we know that this is even thyroid related? Even though she feels bad and has horrible weight gain, there are nothing in her labs that even point to a thyroid issue.
Since I'm not a doctor, I can't tell you how much medication to take. That's between you and your doctor.
As long as your levels stay at the bottom of the range, I would usually say that you're still hypo. If you go up on the med, and it's too much, you can always back down again.
Rule of thumb is to get FT4 at/near mid range and FT3 in the upper 1/3 of it's range. That's just "rule of thumb"; we're all different and some can't be that high, others need to be higher.
As both goolarra and AJ have said - it's trial and error and you'll never know until you try.
Hello friend, one step at a time, small increases in meds has done wonders for people. Goolarra has already made recommendation in previous posts. With thyroid disorder or TT patients, there is no magical answers, it's all trial/error, what works best for you, but the key is one step at a time (patience),.
There are other health disorders that can cause symptoms your feeling, such as diabetes, sleep apnea, Etc..... I have both, which can make me feel unfunctional, if not in control.
Truth is friend, no one knows the outcome, but one never knows, if one does not try, wishing you well on your journey :)
Barb135, how much Synthroid (or whatever thyroid medication) do you recommend for me to be on?
If I load myself up with thyroid meds and still do not feel better, at what point would you be convinced that it is not my thyroid?
How much medicine and what thyroid lab values would convince you otherwise?
I'm just confused because I feel like it's HARDER for me to walk, now that I have gotten back on Synthroid. I'm apprehensive about upping the Synthroid because I know if will increase the RT3 and I will gain even more weight.
I am very confused by all of this. certainly there is something wrong with you and i am far from an expert, but the labs presented below look perfectly normal to me. am i missing something?
02/06/12 Lab Tests
TSH 2.79 (Range: 0.40 - 4.50)
Free T4 1.0 (Range: 0.8 - 1.8) (20 percent of range)
Free T3 2.8 (Range: 2.3 - 4.2) (26.3 percent of range)
Reverse T3 20 (11-32)
Thyroid Antibodies (ATA, TPO) NONE
Thanks for the support, everyone!
I will try to do the 62.5 and see what happens. A couple other places on the internet say that low iron causes increased RT3. My ferritin is at 30 (Range: 10-154), and I found that out after I had seven vials taken out of me. I have increased my iron since discovering this. I will maybe wait a month for my iron to build before trying this, perhaps. If raising my synthroid makes me feel better, I will be the most shocked and happy person on the planet. Time will tell. Thanks, again!
Yes, I felt the same way, but also carrying a 500 lbs back pack prior to TT :)
Thanks so much - goolarra. I know the RT3 issue is controversial for some. I really do think it made me gain weight, though. My weight has been pretty steady, but then I got back on 50 Synthroid and *BAM!* 25 lbs were added to the scale.
Also, my biggest complaint is exercise intolerance. It feels like I am walking through a pool of water with the resistance when I walk. That horrible feeling felt WORSE when I got back on Synthroid. It is so hard for me to believe that adding more of something that had the above effect on me, would be a good idea. Do you see what I am saying? I just will be the most surprised person in the world if I upped to 62.5 Synthroid and that feeling got better (or went away). It blows my mind. It is devastating to sit on the couch all day and not know where to turn.
Good things that happened with adding Synthroid:
no more constipation
no more heartburn
eyebrows grew back in a bit more
fewer blood sugar/adrenaline rushes at night
more stable mood/emotions
Bad things that happened with Synthroid:
gained 25 lbs
feels like there is more of a resistance with each step I take
Given what I have said above, goolarra, do you think I should still up the Synthroid?
Let's look to the future: what if I up the 62.5, I gain even more weight, and I feel worse on a higher dosage of Synthroid. What would you recommend then?
Your most recent labs look good, but there is room in there for a little increase. If I were you, I'd ask my doctor if you could increase a bit.
Even though both FT3 and FT4 have room to move up a little, your balance of FT3 relative to FT4 looks really good. It doesn't look to me like you need to add T3. I also don't see a problem with your RT3...relative to your FT3, it looks fine.
I'd go fo the increase and see how you feel.
Oh, and I felt like it was HARDER for me to walk once I got on Synthroid. I felt like there was more resistance with every step I make when I walk. That bothers me.
Low body temperature (about 97.1) and my eyebrows are still not as full as they should be. I don't know what to do. I cannot tolerate anything with T3.
I got back on Synthroid 50 and within 2-3 months, I gained 25 lbs.
I feel like the adrenals cannot heal unless the thyroid is supported and not stressing them out. I still get adrenaline rushes at night and cannot sleep. I do not necessarily get jolts in the morning as much, but things are not perfect. It's like I feel like the thyroid is not properly supported with thyroid meds, but then I don't want to add more T4 because I will get more RT3 and gain weight, but then again I cannot handle virtually ANY T3, so what am I left with? I am **** 1/2 teaspoon of sea salt in morning and night and taking a good amount of vitamins including Vit. C.
So, I don't know what to do. I am going to start taking some adrenal herbs. It's like I can try that stuff for six months and NOT know if they are working or not. I don't know if I should up my synthroid or try NDT again, although I did not like it in the past because of the T3.
Here are my latest labs:
02/06/12 Lab Tests
TSH 2.79 (Range: 0.40 - 4.50)
Free T4 1.0 (Range: 0.8 - 1.8) (20 percent of range)
Free T3 2.8 (Range: 2.3 - 4.2) (26.3 percent of range)
Reverse T3 20 (11-32)
Thyroid Antibodies (ATA, TPO) NONE
02/15/12 *****PUT ON 50 MCG of SYNTHROID*****
03/27/12 Lab Tests
TSH 2.77 (Range: 0.40 - 4.50)
Free T4 1.2 (Range: 0.8 - 1.8) (40 percent of range)
Free T3 3.5 (Range: 2.3 - 4.2) (63.2 percent of range)
Reverse T3 27 (11-32)
When I was hypo, I often felt like some invisible force (beyond gravity!) was pulling me down...to the point at times when I felt my back wouldn't hold me up.
Do you have other hypo symptoms still?
If 62.5 doesn't work for you, you have more adverse effects and labs have gone up, I'd recommend reverting to 50 mcg.
All I'm saying is that you don't know what 62.5 mcg will do for you unless you try. You're not happy with where you're at at the moment, so you have a few choices. Stay where you are and put up with the remaining symptoms. Or experiment. See if an increase helps...you can always cut back again if it doesn't. See if a decrease helps...perhaps the walking in water feeling will go away and you can confirm it's from the Synthhroid.
I think you're paralyzing yourself. I have a congenital heart defect that causes me to have tachycardia. I struggled through every increase when I was first on meds. Every time I increased, the tachycardia did, too. I was completely convinced that the more thyroid meds I took, the worse my tachycardia was going to be. And, it felt that way for a loooong time. Lo and behold, when my thyroid hormones stabilized and I stayed on a stable dose for a while, the tachycardia actually improved. Yeah, it go worse every time I increased until I got it right. Next month will be two years since my last episode of tachycardia, and I've had it since I was 7 or 8. Let's just say that's the best it's been in...oooh...50 years (or so).