Re: Advice--Tsh .05 free T4 and T3 below midrange
I thought I read somewhere (probably on here) that the selenium can help conversion of T4 to T3 but maybe I'm mistaken. It can't hurt to give it a try.
My group of ob's conflicts on thyroid levels in pregnancy. The one I initially saw gave me correct information that the thyroid binding globulin increases during pregnancy which can give a high total T4 result while a person has a low free T4. The next doc I saw gave me some nonsense that they don't like to have the free T4 level too high during pregnancy (I don't think he knows anything about thyroid hormones)--this while my free T4 was at 19% of the range (I wasn't asking to increase with a solid free T4 number. He did agree to increase my Synthroid at that time.
My endo didn't want to increase my meds when my tests early in my pregnancy showed rising TSH and dropping free T4. He did agree when I specifically asked but only gave me the smallest of bumps.
It doesn't seem like there is anything to be concerned about with my pregnancy since my levels are within range. It's the same old story, though, my labs are within range but I could feel better and there is room to increase. Ah, but there is my low TSH to contend with.
I don't know whether my hypothyroidism was controlled. I was never at a place where I felt my best and was only at a place where I felt okay for a few months at a time. From what I've been reading, people on the forums consistently feel better with both frees midrange or above and I've never been there) It has been under 3 years since I was diagnosed and initially my worst symptoms were better so I felt like things were good. It is only upon reflection and the input of others that makes me aware of the fact that I am so not where I was years ago from a mental and physical standpoint, just much better than I was than when I was at my worst.
I will try to get an increase either from my ob or my endo, but I am not optimistic. My low TSH I think will scare them off. My ob doesn't know anything about Armour and it's affect on TSH and my endo has become more difficult to deal with over the last year.
Sorry for running on. I'll post with any news from my next appointment.