Thyroid Disorders :: Hashimoto's - Raising T3 And T4 Doses
Jan 11, 2016
I have Hashimoto's. I was diagnosed with this 2 years ago. I take 75mcg T4 and 10mcg T3 but I want to raise this on alternate days with 100mcg T4 and 15 mcg T3. My endo does not yet know I want to do this because I'm worried she will think I'm doing something silly.
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I have had my thyroid function test done last week and the results have come back but I'm not being told what they are until I get it in writing. The endo wants my TSH to come back up to 2.5.
Symptoms I have:
Goitre (ultrasound says thyroid is swollen but no nodules)
Itchy feeling in throat (front of neck where thyroid is)
Dizziness when standing
! Serum TSH level: <0.02mpmol/L IU/L (0.27 - 4.20)
Serum Free T4 level: 19.8pmol/L (12.0 - 22.0)
Serum Free T3 level: 5.2pmol/L (3.90 - 6.70)
! Serum TSH level: <0.02mIU/L (0.27 - 4.20)
Serum Free T4 level: 20.5pmol/L (12.0 - 22.0)
Serum Free T3 level: 5.0pmol/L (3.90 - 6.70)
Serum TSH level: 1.30mIU/L (0.27 - 4.20)
Serum Free T4 level: 17.1pmol/L (12.0 - 22.0)
Serum Free T3 level: 4.1pmol/L (3.90 - 6.70)
! Serum TSH level: 5.61mIU/L (0.27 - 4.20)
Serum Free T4 level: 18.1pmol/L (12.0 - 22.0)
Serum Free T3 level: 4pmol/L (3.90 - 6.70)
! TPO antibodies: 275IU/L (<34)
Serum TSH level: 0.41mIU/L (0.27 - 4.20)
Serum Free T4 level: 13.2pmol/L (12.0 - 22.0)
Serum Free T3 level: 4.2pmol/L (3.90 - 6.70)
I have an important question.
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My last blood work from one mouth ago revealed a TSH of - 0.16. (ranges 0.3-4.5)
Though my levels of free T3 & T4 were midrange and maybe even slightly lower than they should be.
FT3: 3.30 (ranges 2.1-4.2)
FT4: 1.02 (ranges 0.7-1.8)
I'm on 112,5 levothyroxine and 12,5 cytomel daily dose.
Is it safe to have a TSH that low?
Can I even upgrade my meds to 125 levo a day? I still feel hypo and under medicated.
I did hear about the 'optimal' values between the ranges were a lot of people are on their best in their 'sweet spots'.
If the rule of thumb is that FT4 has to be 50% of the range and FT3 upper half to upper third, i's logical that I'm still hypo. This all being said, will my TSH drop even more when I go to 125?
I don't understand the link between TSH and the FT3 & FT4 results. How can I have such a low TSH and still not reach the recommended levels?
I Am wondering if someone can help me out with what my blood results mean . ok so i went to a walk in clinic because i was having a laundry list of stuff going on with my health . asked doc to do some blood work and see if he could find what might be wrong .
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blood work came back showing some thyroid issues . my TSH was .16 my T4 free was 18 free T3 was 6.1 and my TPO was 102
the doc said i have Hashimoto's thyroiditis and referred me to endocrinologist which im waiting for appointment .
so my question is after doing some googling im wondering if the doc might have meant to say graves disease rather than hashimoto's . it was very busy in the office and maybe he just mixed the two up ? the reason im thinking this is because when i look at what my blood work results are they point to hyperthyroid rather than hypo . can anybody tell from my numbers i really would like to know and its a bit of a wait till my appointment with the specialist.
I've read recently that iodine is not necessarily bad if you have hashi's. I found other articles that say too much iodine is the cause of many hashis cases. Nothing better than getting feedback from those that are living with hashish. My questions are:
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Should I not be using regular iodized salt?
Will using uniodized sea salt be better than regular salt?
Do I need to be concerned at all with my salt/iodine intake as long as I'm taking 200 mg selenium now?
Are these articles about iodine mainly referring to iodine supplements and not what a person consumes through diet?
I understand hypothyroidism is not necessarily hashimoto's thyroiditis but quite frankly, my head is spinning right now. I don't want to aggravate my hashi's but on the other hand, maybe I'm overly concerned. BTW, I am currently not taking any thyroid medicine. Other than having difficulty losing weight.
I'm trying to recover from an eating disorder with hashimoto's, and I've been gluten and dairy (among other things at times) free for several years to try to manage the hashimoto's. But all these dietary restrictions are making me crazy and make the eating disorder worse. BUT i'm really afraid to eat gluten again because everyone says it will make the hashimoto's worse and/or cause weight gain and i am already weight restored and NOT keen on gaining more. Does anyone here have hashimotos and maintain their ideal weight while eating unrestrictedly? Are my concerns about gluten causing weight gain all in my head?
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I was recently referred to an endocrinologist due to 'abnormal' blood test results. The results were not shared with me. The endo gave me a full exam & at the time concluded my thyroid was fine & I was just stressed from work & maybe a psychologist would help. He took a blood test anyways.
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A week later I got a call to say a prescription was in the post for 125 mg of Eltroxin!
I've managed to get a copy of the blood test result that the endo took & I'm trying to figure out if it means I have Hashimoto's disease. My endo never mentioned this to me but it seems from what I can find online that might be the case. Any help at all with this is greatly appreciated :
Free T3: 5.2
Free T4: 14.7
Anti TG: 358.8
Anti TPO: 8.1
I'm 23 years old, 5 months ago I got diagnosed with Hashimoto's. I was scared of having to go on meds for the rest of my life at such a young age so I opted for natural route. The homeopathic Dr. I went to see gave me i Throid iodine pills, and had me go on a 2 week liquid diet (I only lasted 4 days) and he wanted me to do a 60-90 smoothie diet. Needless to say I gave up after the 4 days and when I stopped the diet I stopped taking the i Thyroid pills. 2 weeks ago I went to see my endocrinologist who wasn't very happy that I hadn't been taking the Synthroid as she had prescribed and told me the results from my ultra sound to my thyroid looked rough. She went on to stress how important it is that I take it and how my levels are worse off then when I first came to see her. She also told me if I was trying to get pregnant how important it is for the baby to have thyroid. So yesterday I find out I'm pregnant and now I'm freaking out. My natural part of me is screaming don't take it, start the iThroid religiously and stick to it, but I feel like it's too late. At this point it's too late for me to experiment what may/may not work for me in terms of trying out the natural route. I had months to figure that out and I didn't and now I'm pregnant. If my baby needs my thyroid to develop properly then I need to start taking the prescribed synthroid. My endo prescribed me .05 mg I don't know if that's a lot or a little. She also told me if I find out I'm pregnant I need to let her know immediately so she can increase it by 30%. I guess I'm wondering if others who have hashimoto's and those that have gone through pregnancy while taking synthroid can tell me anything. I'm scared my body's going to react weird to it. I'm scared my hairs going to fall out and I'm going to gain weight (currently 5"5 114lbs.) I read those are some of the side effects from Synthroid. I'm scared to have heart palpitations and anxiety) which I already have but I'm scared it'll make my anxiety worse to the point I'm a complete wreck. While having all these fears I'm also scared about what may happen to the baby if I don't take it. So before writing this post I popped my first synthroid pill. Maybe I'll go on it until the baby is born and then come off it and try natural again? Anyone think that's a good idea? I just don't want to be dependent on something big pharma produced in a lab. Maybe it's just a matter of changing my diet and exercising and eating gluten free foods. I'm wondering if anyone with Hashimoto's can tell me about their experience with it and help ease my mind.
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I have Hashimoto's disease. Over the last year or so I have really started to experience some of the symptoms of hyperparathyroidism such as super bad fatigue, LOTS of pain in my bones, etc. Are the two connected?
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I have seen some videos that support a gluten free diet and an end to Hashimoto's.
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Has anyone tried going completely gluten free and had an improvement in their symptoms or even and reduction or end to their meds?
I am very new to this site and extremely grateful that I found it. I was diagnosed with inappropriate sinus tachycardia almost three years ago. I am taking 350 milligrams of metoprolol. My primary doctor ordered new labs since my cardiologist has not requested any in the last 2.5 years. My results are as follows:
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TSH - 0.01
Vitamin D - 26
Carbon Dioxide - 18
Free T4 - 1.3
Thyroglobulin Antibodies <1
Thyroid Peroxidase Ab 421
Primary doc originally thought I graves or Hashimoto's, but now wants me to follow up with an endocrinologist. Of course that appointment is 2 months away.
I do not have many symptoms. I do have the feeling of warmth in my shins, but that comes and goes. I have a little muscle weakness. I have been having trouble sleeping through the night, but 2 glasses of wine have been helping.
If I do have either Graves or Hashimoto's is waiting 2 months for a doctor appointment ok? I would think that I need some type of medicine.
I don't really know how to begin this message, I'm so exhausted and mad against that weight gain and stuff.
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I am 20 years old and was diagnosed with Hashimoto one year ago. Since then, I put up 20 kilos ( most of them in 6 months ). My t4f and t3f are okay, and THIS is at 0.40, which is the minimum.
There are two years and a half ago, I was 110 kilos. I decided to lose weight and did 2 to 3 hours of sport per day + a diet. I lost 54 kilos and reached 56 kilos for 180. I felt soo good and happy for the first time of my life, no kidding.
And then, I haven't even had the time to have fun with my new body, that I began putting up weight.
I do 10 to 14 hours of sport per week ( I run a lot, quick walks in the mountain and so on ) and still follow my diet ( 1200-1300 cal )
I'm sick, I'm trying not to be too depressed, but it's hard. I'm so tired, my muscles don't want to keep on, and neither want I. Thinking that I've lost one year of my life trying to lose weight for nothing makes me mad.
I'm followed by a diet doctor, who can't even find why I keep on putting weight,m but tries to change some of the aspects of what I eat. I also see a psy, he can't really help me, as my problem is real, and not just in my head.
I was diagnosed w/Graves disease 5 yrs ago after presenting with atrial fibrillation, bp 214/125,tremors;sweating & other symptoms- (I thought previous to this I was in menopause so I hadn't gone to the dr.)-Dr did bloodwork for thyroid and sd my tests were the highest he'd seen in his 50 years of practice- wanted me to go ER but I couldn't as I was the caregiver for my mom w/Parkinson's- To make a long story short, he gave me 20 mg methimazole, atenolol,paxil (I was a nervous wreck) 25 mg hctz and 1 aspirin.
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After 1 yr methimazole was dropped to 15mg and now 10mg because I was doing so well my tests were indicating Hypothyroid rather than Hyper. So, up & down and up & down for 5 long years. Lately, I have been HOT & Cold on the same day, hair & skin very dry, cold feet and hands, joint pains in lower back and knees and some days can't walk well due to knees- has this happened to anyone? Computer suggested Hashimoto's symptoms and I cannot go to the Dr for 3 months due to finances- I am currently taking 0-10 mgs methimazole,10 mg paxil, 25 mg hctz and 1 aspirin- I tried cutting the methimazole for a month and everything SEEMED ok, but then got scared and went back on it- additionally, my weight has gone from 119 lbs to 165 in 5 yrs- Cannot lose weight no matter what I do; another indication of HYPO- Dr says weight gain is my body responding to disease and I was underweight when I was 119 lbs at 5'6"- HUH? I read that some of the side effects for methimazole are MY LIFE- Anyone have any suggestions?
Over the last year and a half, they have been testing my thyroid as it keeps showing up as underactive (no they have not done anything about it, for some reason they just keep getting more bloods done?). Until 2 years ago, all of my bloods came back perfect, with a high iron count of 148, but the other levels pretty much smack in the middle of normal ranges. This time, My iron came back as 53 - the doc said for me this is quite bad because mine are usually so high. My Thyroid level was 13, and he told me that my Vitamin D was terribly low. Although he did not give me the exact level of Vit D, I can only assume it was rather terrible as that is the only supplement he told me that I need to get onto immediately.
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So, I know these levels are not great, but as it was a rushed appointment, he told me those levels, told me that I have Hashimoto's Disease and wrote up another batch of blood tests. So now I am lost.
Can anyone tell me what on earth this all means?
I AM going back to him, but couldn't get an appointment until mid/end next week (which is great because my bloods should be back by then anyway).
This will be the 4th set of bloods I have done in the last 18-20 months, all of which showed an underactive thyroid. I'm just not sure why they are still testing?
Is this normal? And what do those iron and thyroid levels mean? I'm assuming it isn't anything drastic or he would have done more about it?
Is this common? I just got my lab results back from my last checkup, my thyroid function is good and being controlled well by my Armour, but I have a severe vitamin D deficiency (8.9 with a range of 30-100). Is this pretty normal? My doctor recommended that I take a D supplement. Should this fix the problem or is there an underlying issue? This also seems to explain a lot of the muscle/bone aches I've been having.
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I am a 25 year old female and I was diagnosed with Hashimoto's Disease probably around 2012 or so. I take 75MCG every morning and I do blood tests about once or twice a year to make sure my levels are stable. What I need help with are symptoms. My boyfriend has been very supportive, he was the reason I went to get the initial blood test because he said my symptoms reminded him of Graves Disease and it worried him. Well, I went to the doctor and got the tests done and he told me I had Hashimotos. Since then, my boyfriend has told me that he hasn't seen any improvement in my symptoms, in fact he thinks they've gotten worse. I have looked at a lot of different lists of symptoms that people with Hashimoto's Disease can experience and I experience a lot of them. I'll list the ones I experience the most and a little bit of a description to each so maybe someone can help me with what I need to do to feel better because honestly it makes me miserable.
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-Hair Loss - Every time I brush or wash my hair there is always tons of hair in the brush or tub. It's everywhere all the time, I shed like the cats.
- Depression - I don't know if it is actually depression, but a lot of the time I feel like I'm just not good enough to be around anyone. I'll find myself crying at ridiculous moments with absolutely no reason for it. I also find myself thinking that people I know (and can acknowledge even when I'm feeling this way) love and care for me, and yet I still think they don't care about me and will abandon me at the drop of the hat, which breaks me down mentally.
- Stress - This is probably one of my worst symptoms. I am always stressed out about something, even ridiculous things that shouldn't be stressing me out. One of the biggest things I stress about is what I mentioned with the depression. I feel like my friends and loved ones are going to abandon me at any minute, which scares me and results in me lashing out at them in ways that if I can't control it soon enough may result in them actually leaving, which terrifies me and just puts me into a never ending loop of stress and depression.
- Anger - I can't seem to rationalize other people's behaviors. Completely normal behaviors that don't normally bother me result in me lashing out and screaming at people and saying things that I don't mean to say.
- Memory Loss - This is a really bad symptom. I forget things very quickly. If I don't actively keep it in my mind, I won't remember it. A perfect example, when I was still in college I was walking through town with some people and when we were going back to the dorms I made a comment about a truck I saw. I used to see it all the time and hadn't seen it in a while so I made the comment. The people I was with looked at me really confused and just flatly stated "You said the exact same thing when we walked by it on the way out" and I honestly don't remember seeing it at any point that day. In fact I didn't remember seeing it for around 5 months, and yet they claimed that I made the exact same comment I just had, earlier that day. It really messes with my head when people tell me that I did or said something and I can't remember doing it to save my life.
- Weight - Before I started taking synthroid I weighed 110 lbs, after I started taking it I gained like 30 lbs and I can't lose it. I'm stuck between 135 and 140 (I'm about 5'6" tall)
- Headaches - I get headaches on a daily basis. Sometimes they're really bad but generally they're just a slight discomfort in my frontal lobe area.
- Sleep - It takes me forever to fall asleep and even when I do I can't stay asleep and then I feel exhausted all day when I wake up, as if I never slept at all.
Another thing I've noticed and that is that sometimes I feel like I can't swallow properly, I always feel like I have to yawn to get a lung full of oxygen, and my nails curl downward along the curve of the tip of my fingers on like 3/5 fingers.
i have my lab results, and the same goes for me my dr. changed my prescription from .5 to .75, i think .75 is to strong for me so i talked him into me alternating .5 one day and .75 the next. i did this for 60 days and felt pretty good, i had leg cramps but not as severe as now. i am back up to .75 because of my lab test showing me to have very high numbers. its pretty much just my right leg cramping , you can actually see the muscle tighten up starting at my lower calve and climb right up yo my knee. my foot contorts and stays like that for a few minutes , its unbelievably painful. what should i change, I'm willing to do anything .
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What is this test? I had this test done last month among others and this one came back as 7.46 mIU/L and the reference range is 0.40-4.50 . Dr. Wrote "elevated-over 7."
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Also my calcium was high at 10.6 mg/dL and reference range from 8.6-10.2
Free T3- 4.3 ph/mL reference range from 2.3-4.2 , slightly elevated.
T-4, free- 1.5 B&G/dL reference range from 0.8-1.8
My main question is what is the tsh 3rd generation with reflex to ft4?
how do I control hypothyroidism when I can't tolerate the meds?
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I am a 17 year old male and I have a severe hgh deficiency. I was diagnosed when I was 12 and have been put on a shot for the past 5 years and it has helped a ton. I used to have a very small head because I was hgh deficient and even now I feel it is small. The circumference of my head is 21.6 inches and according to Google that's below average. I really hope it doesn't look small but I feel like no one will give me an honest answer. I am still on the shot and will be for 3-6 months. If my doctor sees no growth next visit he will take me off it. I see my doctor every 3 months for a checkup to see how much I've grown and stuff. After I am done with the shot I have to see my doctor a month after to see if I make enough hgh without the shot or I will get osteoporosis, but I want to know if my head will still grow to the average size which is 22 inches around according to Google even without the shot. Also my head has grown a ton in the past 6 months. In the best 6 months my hats have increased in size. Please help me. If you need to know im 5'9" also I take the hgh shot 6 days a week.
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I've been on Synthroid medication for 20 plus years and have done pretty well on it until recently. This routine test showed a TSH level > 100 and my Free T4 at .24 which is low. I've been placed on Synthroid at 300 mg and I'm waiting to see a specialist. In the meantime, I'm wondering what does this means?
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I just received my latest thyroid lab results and my TSH was a 0.06 (range 0.34-5.60) and my T4 FREE is 0.99 (range of 0.61-1.12). My Dr said to continue my dosage of medications and we would recheck in a year. Should I be concerned
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