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Old 11-30-2009, 06:18 PM   #1
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KittyLove HB User
New Labs...Settling?

Hi,

I've been on Synthroid for 14 weeks (started at 50 mcg and then increased to 75 mcg) My inital labs in August 09 were:

TSH: 3.13 (2 - 2.5)
Free T4: 1.1 (0.8 - 1.8)
Total T3: 91 (110 - 200)

Now my labs are:

TSH: .79
Free T4: 1.2
Total T3: 108
Free T3: 288 (230- 420)

I had a long discussion with my MD, and she said that because my TSH is within a normal range, I was fine. Of course I brought up that my T3 and T4 were on the lower range, and she kept saying that "I'm being too concerned with numbers". I told her that she's being focused on the TSH only, and she said that she would recommend me to an Endo, but they would probably not increase my Synthroid because it's in range.

What I find funny is that she said that "I'm too concerned with numbers", after she kept saying my TSH was "normal". I kept saying that my T3 seemed low and that is what the "feel good "T" is. I suggested Cymtol, but she said that she really only prescribes that for Hashimoto's patient (which I don't have), so she doesn't recommend it. She seemed to be the one focused on the TSH only. Sitting there listening to her, I just couldn't believe this is happening to me, like I was a classic case of the undermedicated. Am I blowing this out of proportion?

She stressed that I should go by my symptoms, but to be honest, I haven't felt good in so long that it's hard to tell. I do have less fatigue and mood swings. I requested my blood labs from four years ago, and just found out that at one point, I was a 4.50 TSH (2005).

Please tell me what I should do at this point. I kept saying that I'm at the bottom of the range (T3 and T4), but she kept saying that I'm within normal range, and that most MD's wouldn't increase Synthroid because of Hyperthyroid risk. Is she right? Should I seek another MD? Should I be satisfied with my labs? Please help. Thank you.

Last edited by KittyLove; 11-30-2009 at 06:36 PM.

 
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Old 12-01-2009, 04:24 AM   #2
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Graves54 HB User
Re: New Labs...Settling?

Yes, find one that will look at your Ft4 and Ft3, and your symptoms. One may be hard to find. Mary Shomon has a good list. Kudos for standing up for yourself.

 
Old 12-01-2009, 07:40 AM   #3
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javelina HB Userjavelina HB Userjavelina HB User
Re: New Labs...Settling?

I had a good laugh with your post. Good for you for calling your doc on the numbers!! She must have been a bit miffed, hence her wanting to turf you over to an endo. I'm still chuckling.

You are absolutely right, if you have hypo symptoms and low-range Free T numbers you need to increase your meds. TSH is a lousy way to monitor treatment. Keep looking for a doc who gets it.

 
Old 12-01-2009, 02:27 PM   #4
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KittyLove HB User
Re: New Labs...Settling?

Thank you for your responses, Graves and Javelina. I looked into that list from Mary, and I found an MD that prescribes Armour. Best part is that he's only five miles away!

Last edited by KittyLove; 12-01-2009 at 02:42 PM.

 
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