Aa
need different dr
In in southeastern Michigan and I need to find a Dr that will test and if needed treat t3. Was diagnosed 7 months ago with hashimotos and have a 2.2 cm nodule in thyroid. After one month on l-thyroxine I was feeling better. Then 2 month later symptoms started creeping back. I have no energy and my body temp is usually at 96.3. My primary tested my free t4(1.14) and my tsh(.738) and said because those numbers are so good there isn't any need to test t3 or anything else. If my numbers are so good why do I feel so bad.
Thank you for your input. I am located in Monroe county Michigan. I am willing to travel an hour for a good doctor. My vitamin d is at 23 (range 30-100). I don't know if this makes sense but about a month ago I got so frustrated I stopped taking my l-thyroxine for about 8 days. When I did this my body temp came up to normal. When I take my l-thyroxine as prescribed 25mcg once a day my body temp is about 96.3 and has dropped as low as 94.7. When I told my Dr this she said some people are just cold.
Just because your thyroid tests fall within the so-called "'Normal' ranges does not mean they are adequate for you. For many hypo patients the ranges are far too broad to be functional across their entire breadth. Also, Free T3 correlates best with hypo symptoms, while Free T4 and TSH do not correlate.
You doctor did not test for Free T3 on the mistaken assumption that T4 always converts to T3 as needed. That is very wrong. Conversion is affected by many things and you cannot be sure of having adequate Free T3 levels without testing and assuring. Also, your Free T4 is less than optimal. Members say that symptom relief required Free T4 at the middle of its range, at minimum, and Free T3 in the upper third of its range, or as necessary to relieve symptoms.
In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin. So if not tested for those it would be a good idea to do so. D should be about 55-60, B12 in the upper end of its range, and ferritin should be about 60 minimum for ladies.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and Free T3 as necessary to relieve symptoms, without being constrained by resultant TSH results. Symptom relief should be all important, not just test results.
If you will tell me more specifically where you are located, perhaps I can recommend a good thyroid doctor for you.
You doctor did not test for Free T3 on the mistaken assumption that T4 always converts to T3 as needed. That is very wrong. Conversion is affected by many things and you cannot be sure of having adequate Free T3 levels without testing and assuring. Also, your Free T4 is less than optimal. Members say that symptom relief required Free T4 at the middle of its range, at minimum, and Free T3 in the upper third of its range, or as necessary to relieve symptoms.
In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin. So if not tested for those it would be a good idea to do so. D should be about 55-60, B12 in the upper end of its range, and ferritin should be about 60 minimum for ladies.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and Free T3 as necessary to relieve symptoms, without being constrained by resultant TSH results. Symptom relief should be all important, not just test results.
If you will tell me more specifically where you are located, perhaps I can recommend a good thyroid doctor for you.
Have an Answer?
You are reading content posted in the Thyroid Disorders Community
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
