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Total thyroidectomy, lab values?

I had a total thyroidectomy for a huge goiter and nodules 8 weeks ago, benign.On Synthroid 0.1 MG, Free T 3. 1.6, Free T4 0.8. Concierge endocrinologist home with ill wife, office closed with absolutely no physician backup. So, I know labs from early last week ( as posted), but no interpretation. Feel very unwell, mental fog, chills, night sweats, great fatigue, somewhat depressed. What do you think about these labs and thank you so very much for being there to help.
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I just sent a PM with info.  To access, just click on your name and then from your personal page click on messages.
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Yes, I would appreciate that. Are you able to send that privately?
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If you are interested I have the name of one doctor in your area that has been recommended by thyroid patients.
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Will do!
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Make sure they also test you for Vitamin D, B12 and ferritin when you go back for followup tests.  
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Gimel, you are absolutely correct! I left a strong message for my endocrinologist including phrases like complaint to State Medical Board, my attorney who is on retainer, medical abandonment and media. Must have hit a nerve,  he called this afternoon. Increase Synthroid to 125 mcg, email him about my status every few days, labs in 30 days, cannot make an appointment because his wife is ill. I also cannot believe that he can simply close office without notice. Suspect that because he does not take insurance, medical coverage during his absence would be difficult? Will be changing physicians STAT! Thank you so very much for your excellent advice.
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Avatar universal
Hard to believe your doctor would close up and leave no option for his patients to at least get some help from a doctor used as his backup.  Since that appears to be the case, you have three options:  One is to do nothing more, which is not really acceptable.  Two is to self-medicate, which is not usually recommended, but in your case would be understandable.  You could increase your T4 med by 25mcg and see if that helps any after a few days.  If not, then if the doctor has not returned you could increase by another 25 mcg.  Realize that the full effect of changes in T4 meds takes about 4 weeks to reach 90% of its final effect on serum levels.  The third option would be to go to ER and relate how bad you feel, with symptoms of hypothyroidism and that your test results show how badly you need to increase your Free T3 level and also your Free T4 level, and ask for both T3 and T4 meds.  T3 acts much faster than T4, so if you could get a prescription for maybe 10 mcg of T3 daily, you would feel the effects faster.  If you do this, also ask for 25 mcg of T4.  Doubtful they would do both.  Most likely they would only give you T4, so that would not really be any better for you than self-medication.  

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Avatar universal
Thank you much for your response. Concierge physician is home with ill wife, office closed with no medical backup. Do you think I can continue with these lab values until he may return next week or is this worth of an ER visit, which I do not want to do. So, hold on with current Synthroid dose or E.R.
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Avatar universal
Your Free T4 is at rock bottom of the range.  Healthy adults with no known thyroid pathology would be more like the middle of the range, at minimum.  Your Free T3 is abysmally low.  Many members say that relief from hypothyroid symptoms required Free T4 around the middle of its range, and Free T3 in the upper third of its range, or as needed to relieve symptoms.  

At first opportunity I also recommend testing for Vitamin D, B12 and ferritin.  Hypo patients are frequently too low in the range for those as well.  D needs to be about 55-60, B12 in the very upper end of its range and ferritin should be about 70 minimum.
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