I just started a new thyroid care and concerns thread that will go into more detail on some of this stuff. You should give it a look over. Have you went through menopause? I know you are a bit young for it, but it is possible given a thyroid issue. It will effect what your optimal range is and my ability to give you my 2 cents.
t4 14.4 (9.0-20.0)
You are at 49% of normal here this is just below suboptimal for premeno females and in optimal for menopausal females. Most MDs wouldd ignore this.. TSH 0.68 (0.3-5.0)
This is trending hyperT, but not classic hyperT. From this I would think you may have an adrenal/pituitary issue affecting your TSH IF your FT3 levels are not high/high normal.
T3 was not measured,so all was well.
*SNORT* Most MDs do not measure Ft3 levels. I can not understand why, especially when it gives them a clearer picture and we are the ones paying. Not uncommon and NOT your fault. 2007
t4 9.55 (9.0-20.0)
You are 5% of normal range. This is in the outhouse. It implies that something is wrong with your thyroid. TSH 0.61 (0.3-5.0)
This should be higher given the levels of your Total Ts. Something is up with your pituitary-hypothalamus loop. You need a good Endo to check this our. If you had a pituitary tumor the MRI should have seen it. t3 3.89 (4.0-8.3).
You are -36% of normal range. I would say that you are clearly secondary hypothyroid the question is WHY? My physician sent me to a thyroid specialist and I suggested trying t3 because my t4 shot up but t3 remained normal low. He kind of brushed it off and run a number of test to check the pituary etc. all came back normal.
Well at least he caught the pit dysfunction indicators. Did he look int adrenal function and your hypothalamus as well or just stop searching after the pituitary search?
My family physician thought that it was pretty borderline but it could explain me feeling constantly tired and generally unwell. He started me on levothyroxine, 50 microgram tablet every morning. After a short while I began to feel an improvement.
This was a good tactic. You clearly needed medication. You may need a T3 supplement, but getting T3 supplementation can be an issue and it would be nice to know what is causing your secondary hypothyroidism. But now everything is totally reversed. I've been going downhill for a few months, concentration, reflexes, difficulty focusing, the whole brainfog thing plus a sooooo tired. That is just to name a few. I can't even spell properly !
You need a few things tested: Ferritin, B12, vit D, and Mg. These can cause some of your issues if the are low or suboptimal due to malabsorption.
t4 15.89 (9.0-20.0) 62.6% You are doing well here. This is optimal in range.
t3 4.39 (4.0-8.3) 9% in range. UGH! You are in the tank here. You need T3 supplementation. You need to make sure that you are not suffering from hyperadrenalism. This should have been tested when your pituitary was evaluated. The lab codes are ACTH and cortisol. Also you need to get and RT3 run. If you RT3 is high then you are just one of the majority that has dysfunctional liver conversion of your T4 to T3 and you need T3 supplementation to optimize.
Also push for Ft3 and Ft4 testing. There is a large source of error in the Total thyroid hormone tests and in women this error source increases depending on our monthly estrogen levels and if we take birth control pills and such.
Then I was sent to a neurologist who said that my t3 and t4 where not low enough to make me feel so bad. ( They all think I am just stressed out!)
MDs can be donkeys. BIG FAT HAIRY ONES FULL OF FLEAS! How does that imagery make your feel? Better? He however then sent me for a mri brainscan, I just got back from that and all is well.
This rules out a tumors, MS, and a few other issues and puts the blame on your thyroid issues. My family physician is really nice and is ready to give t3 a go, feels we've go nothing to loose. But my question is. Are my levels too high to make me feel so bad?!?
Your T3 levels can really make you feel bad. They control you metabolism and everything else. You need additional testing to rule out Cushings and check for estrogen dominance, PCOS, insulin resistance and some of the other issues that can accompany thyroid issues. You also need the thyroid mimics and supporters tested as well. Given your T3 levels you most likely have malabsorption issues.
You could benefit from T3 supplementation in my opinion. I feel I am going crazy. I would have to order the t3 over the internet so any recommended sites would be helpful. Worldwide shipping as I am in Europe. And what dosage should I take. And once a day or twice.
Search on cytomel and go to the manufacturer ask them who they recommend for distribution to your area. They may know of a pharmacy near you. I know that you can get T3 in England and Germany. I would suspect France and Italy as well. But I do not know for sure. Pick any online US pharmacy and send them a query as well and if your MD faxes them the script you should be able to get it shipped to you. Dosing is tricky. Your MD is going to have to follow your T4 and T3 levels closely and you should start slow. The FDA recommends starting with 5-10 mg twice a day. You can take T3 with or with out food. Most do best taking their first dose with their T4 and the second dose mid afternoon 2-4 pm. Work this out with your GP and GO slow. I am super desperate. I've got 2 kids, one who is a teenager with Aspegers syndrome and I just can't carry on like this. Sorry this has been so long.
No problem, you have come to the right place. You are not alone and WE COMPLETELY understand. I hope I was able to help you some what. DO not give up. It will get better.