If the report doesn't specify "Free" or "FT", then the test done are Total T3 and Total T4... They aren't the same tests as Free T3 and Free T4 and don't provide the same information. Free T3 and Free T4 are the hormones that are actually available for use, while the majority of Total T3 and Total T4 are bound by proteins and can't be used. We need to know the the unbound (Free) portions, but if you don't have those, we'll make do with what you have...
Are the ranges for the tests done in 2014 the same as the ones done in 2013? Ranges vary from lab to lab and sometimes, a lab will change their ranges. We have to compare the results with the ranges on each report.
Most of us find that Free T4 has to be about mid range; your mother's T4 was only at 5% of its range in 2013 and only 19% in 2014. We also find that Free T3 has to be in the upper half to upper third of its range; hers was only 25% of the range in 2013 and 42% of the range in 2014... I'd say the doctor was justified in starting her on the Eltroxin, intitially, but levels certainly need to be monitored periodically and dosages adjusted, according on symptoms and labs...
These results don't indicate over medication, but if she hasn't been tested since 2014, there's no telling what her levels are now... does she have any other symptoms of over medication, such as diarrhea, rapid heart rate, heart palpitations, hand tremors, etc?
Do you know what dosage of Eltroxin your mother is taking?
You said your mother is in a 3rd world country... not all countries have Free T3 and Free T4 tests available, so make sure she asks for them.
1) Eltroxin is used to treat hypothyroidism... High cholesterol is, often, a symptom of hypothyroidism...
Please post your mother's actual thyroid hormone levels at the time she was started on the Eltroxin... Even though they were "in range", if they were too low in the range, she may have been hypo and that could have contributed to high cholesterol.
2) Thyroid levels should be monitored periodically, to make sure levels are where they need to be - not to high and not too low.
3) Thyroid medication does not cause bone loss, though some articles you'll find do say that... Thyroid medication controls metabolism and it's higher metabolism that may contribute to loss of bone density. A bone density scan (called a DEXA scan) will tell whether bone density is normal for the person's age.
4) If the patient does not need levothyroxine, she may stop taking it. Depending on whether she needed it at the time she began taking it, it may advisable to simply decrease dosage.
5) The tests your mother needs to check thyroid function are Free T3, Free T4 and TSH.
6) High CRP indicates that there is inflammation in the body, but can not tell where the inflammation is located. Treating with antibiotics will only resolve inflammation if it's caused by bacterial infection. Antibiotics will not resolve inflammation caused by a virus or things such as an autoimmune response, arthritis, etc. Best course, course of action is to find the cause of the inflammation, then decide on the treatment.
I think you've done the right thing in telling her to get a second opinion about the 3 meds, since she doesn't seem to have symptoms for which she would need those.
Do be sure that she doesn't just stop the Baclofen... that sounds like a nasty drug and one I'd probably want off from, but as I mentioned it sounds like it must be tapered down...
It's important to note that some meds are worse than the conditions they're meant to treat...
Thank you for confirming the ranges for me...
You did mention those symptoms in your original post; I was just asking if she had any other symptoms that we'd normally associate with too much thyroid medication (hyperthyroidism), such as the ones I listed...
I'm quite familiar with the vitamins prescribed and those are all things we would, typically, suggest someone with hypothyroidism should often take... especially, vitamin D and B12. I take Benfotiamine, also, so there's nothing harmful there.
Not being familiar with the medications, a quick search tells that Bucklizine HCL is used for motion sickness. It's not commercially available in the U.S. and Canada and constipation, dryness of mouth, and urinary retention (especially in males) are more likely to occur in the elderly. If she has any of these, they could account for the bloating...
Selegiline hcl - side effects include nausea/vomiting which could cause her to not want to eat or to feel hungry, but not be able to eat.
Baclofen - muscle relaxant used to treat pain, spasm and stiffness of Multiple Sclerosis... side effects can include nausea, constipation, diarrhea, loss of appetite, plus many more... This drug should NOT just be stopped as there seems to be serious withdrawal effects... it appears that it may require a taper down - be sure to check this out before stopping this and any other med.
Do a search in www.drugs.com for each of these medications, then look at the side effects. I've only listed the ones that pertain to what you told me she has, but each of these drugs can produce many other side effects. You should make sure she doesn't have other symptoms...
In addition, since the drugs all seem to cause similar side effects, combining them could be compounding the problem...
If she's taking these meds at the same time she's taking her Eltroxin, that could also be causing some issue... thyroid medication is to be taken first thing in the morning with 1 cup of water then wait 30 minutes to an hour before eating/drinking anything else. Other meds should be separated from the thyroid hormones by, at least an hour. She should read the instructions for taking all the other meds, as well to make sure there are no separation requirements.
Right now, it's very important that she get thyroid hormone levels tested to see what's going on there... then figure out why her doctor prescribed those other medications if she has none of those conditions.
If possible another doctor is certainly in order.