Thyroid treatment

[angel121212]

Sex - female
Age - 42 .

Thyroid function test -
MARCH
T3 - 0.869 ng/ml
T4 - 8.08 ug/dl
16.690 uU/ml

Was taking eltroxin 75 mg


MAY
T3- 0.811 ng/ml
T4 - 9.43
TSH - 4.520 uU/ml

Thyroup - 100 mg



July
T3 - 0.896 ng/ml
T4 - 8.39 ug/dl
TSH 0.437 uU/ML

TSH is in range now - Should continue the medication or lower the dose ?

Thank you

[goolarra]

You have been on 100 mcg of eltroxin.  If that's a little too much for you, you could have some hyper symptoms, but you have to understand that you would technically not be hyper, but overmedicated...take away the medication, and you would be hypo again.  So, your doctor is really not making sense.  The treatment for that would simply be to decrease your meds slightly.  Taking the 100 mcg is not going to make you hyper.  And, furthermore, with your FT3 as low as it is, there's very little chance that you are overmedicated.  

If I were you, and you are feeling pretty well, I'd stay on the 100 mcg and monitor in 3 months as the doctor suggested.  

[angel121212]

Hi goolarra,

        Thanks again , today  had followup from the endocrinologist today , we talked about the free T3 and T4 and asked if we should continue the 100 MG thryroxine medication or not .

Yes , I am not in US . To Did another test today for T4 and also total hemoglobin count cbc as there are appearing pale and there is some episodes of vertigo every time when wake up in morning for short while .


So my biggest concern is to whether should continue the 100 MG thryroxine 100 Mg medication or not as even the Endocrinologist said that need to monitor within every 3 months and if it's converted to hyper then need to treat for hyper which didnt sound very comforting .

So I am concerned should I lower the dose or continue with 100 mg thyroxine .

Apart from this rest symptoms are ok .

So would like to know what your opinion is about >

Thank you

[goolarra]

Both your T3 and T4 tests are total T3 and total T4.  Your doctor should be ordering FREE T3 and FREE T4 since they give much better information.

Your latest T4 is pretty good.  It's just below nidrange, and that's the target to T4 until you find out where you feel best.  On the other hand, your T3 is quite low.  It's in the bottom of the range, adnd upper half to upper third of range is the rule of thumb for T3.

Do you still have hypo symptoms?  Any hyper symptoms?

I doubt your frind converted from hypo to hyper.  She was probably just overmedicated a little, or her doctor might have been relying too much on TSH and lowered her meds when he shouldn't have.  How had she been feeling before her meds were lowered?  Did she feel better or worse?

What you should do now is a matter of how you feel.  If you have hypo symptoms still, then you should either increase your meds a little or, preferably, add a little T3 to your meds.  Since you are on Eltroxin, I assume you are not in the U.S., and it can be difficult to get T3 meds outside the States.

If you have any hyper symptoms, it might be a good idea to lower your meds just very slightly.

[angel121212]

Thank you so much for the reply .
The moodiness is changed tremendously then before .

It says its Serum T3 ( ECLIA ) - Normal range - for adult - given -
   Normal Range    0.70   -   2.0ng/ml

March               -T3 -    0.869 ng/ml
May                   T3-     0.811 ng/ml
July                   T3 - 0.896 ng/ml

Was taking ELTROXIN tab

Thyroxine sod. 50mcg  -http://www.****.com/endocrine/thyroxine_sodium.html

Serum  T4 - Normal Range - 4.6 - 11 ug/dl

March  8.08 ug/dl
May    9.43 ug/dl
July     8.39 ug/dl


TSH -
Normal range - 0.400 - 4.200 uU/ml
March 16.690 uU/ml
May    4.520 uU/ml  
July      0.437 uU/ML

Before March  2012 was continuing ELTROXIN tab
http://www.****.com/endocrine/thyroxine_sodium.html
Thyroxine sod. 50mcg

Since - March - Thyroxine sodium - increased to 75 mg

and after May 2012 - thryoxine sodium increased to 100 mg .

As as TSH level is within range so was wondering what to do now ? One o my friend was having same problem and after continuing medicine . Hypothyroidism converted to Hyperthyroidism .

Thanks again .

[goolarra]

How do you feel?  Do you have any nypER symptoms that would indicate a decrease is in order?

What are the ranges on your latest labs?  Ranges vary lab to lab and have to come from your own lab report.  Are those FREE T3 (FT3) and FREE T4 (FT4) or total T3 and total T4?

What are you taking for meds?