I have hashimotos and am currently on 112 mcg of Synthroid 6 days a wk (endo said to skip one day a wk due to symptoms of hyper and tsh of .21 despite normal free t4.) I just had my labs drawn again today to see if my levels are okay on the 6 day a wk dose. He also decided to run free t3 this time, I havne't had it done since I was first diagnosed w/ Hashi and it was really low at the time (as was my free t4 and tsh.) What is ideal for properly treated Hashi? He also decided to check for Mono since I have had a sore throat, mouth ulcers, and extreme fatigue.
Thank you for your hellp! I got my results today, these labs were from yesterday (6/2/10.)
TSH: 1.81 (range is .40-4.50)
Free T4: 1.0 (range is .8-1.8)
Free T3: 262 (range is 230-420)
My hair is falling out, I am so, so tired I feel like I could sleep all day and my skin, eyes and mouth are all very dry. I was feeling good for a while and started to feel bad again a few weeks ago. I will post my labs from a few weeks ago in a moment..my TSH is higher now and my free T4 is lower.
Okay ... You're pretty hypo still.
Using those ranges, 50% for FT4 would be 1.3 and for FT3, 325. You need to keep increasing until you reach those, then evaluate how you're feeling and keep tweaking until you get the result you need. TSH may become too low for your MD's preference; that's why it's important to have an MD who treats you, not your numbers.
Thank you so much for your replies. My endo had actually lowered my dose a few weeks ago after my TSH went to .21 and my free T4 was 1.3. He told me to keep taking my 112 mcg of Synthroid but only 6 days a week instead of 7. I will go back to taking it daily and recheck my labs in a month or so. I went to see an oncologist today at the urging of my endo because he said my symptoms (night sweats, weight loss, hair loss and bruising were not my thryoid and referred me on to her.) She did a full exam, looked over all of my labs and said that she thinks I still have thyroid issues and that since my endo was not treating me as such she was going to go home this weekend and do some research and get back to me. She said she can tell that something is wrong by my 20 lb weight loss, fatigue, bruising, etc but she really suspects an endocrine disorder, however she agreed to help me figure it out even though its not her specialty. I just don't know where else to turn. I cannot lose any more weight, I am 5'8 and only 101 lbs. I hate the way I look, I am weak, normal things like playing with my children wipes me out because I am just so tired all of the time. I can't wait until someone figures out what is going on.