Hi - I had my newest labs drawn 6/3, after being off all supplements for 6 days and no Synthroid (currently on 75 mcg) or food the morning of the draw, saw the Endo yesterday:
TSH = 1.22 (0.4-5.50) (down from 3.16 in Jan 08)
FT4 = 1.2 (0.9-1.7) 37.5%
FT3 = 3.1 (2.5-3.9) 42.8%
TT3 = 93.3 (80.0-200.0) 11%
Ferritin = 37 (13-150) (up from 12 last Oct)
Iron, Total = 87 (30-150)
Transferrin = 294.55*H (190.0-280.0)
% Saturation = 21.2 (20.0-50.0)
Vit D 1,25 Dihy = 64 (15-75)
Vit D 25 Hydroxy = 28 (20-150) (up from 16 last Oct)
B12 = 856 (211-946) (up from 521 in March 08)
Here's what I'm doing right now:
– Will increase to 88mcg Synthroid
– No adding T3 support since conversion looks good? Keeping possibility open if symptoms continue at next appt in 8 weeks.
– Continue with HemaPlex iron 85mg daily until ferritin gets into the 70's or higher
– Continue with Carlson's 4000IU Vit D3 daily, not sure of goal but definitely needs to be higher
– Keep with good multi-v plus B complex supplement
I can see how skewed the TT3 is - I thought I was tanking in T3, but the FT3 shows I'm converting well, right? I have started having significantly less joint and muscle pain in the last 4 weeks, but I haven't been exercising as much either - going to try and increase the exercising again and see how it goes. Fatigue is still a big problem. My doc said if labs continue improving but symptoms continue at next appt he'll add a little Cytomel to see if it helps. He listens to symptoms!!
I'm hoping this bump in Synthroid will get my frees well above the 50% mark - 37.5% is the highest my FT4 has been in the last 8 months. Doc didn't want to go to 100mcg, he thought it was too much of a jump.
I'm also going to see a Naturopath tomorrow who says she has thyroid experience. I'm hoping to get her guidance in getting all the nutritional stuff and adrenals optimized. Am I right in thinking this should help get those frees up as well?
Sorry this is so long - any comments on the labs and my interpretations would be greatly appreciated! I'm still learning about all this, but I finally feel like I'm starting to make some progress after a very long 11 months of suffering.