Thanks (and I think you answered my first question as well). So this is in addition to the Synthroid correct? Will this be obvious to the doctor since now I am officially out of range? I found my last results where the T3 was low but still within range but she has been resistant to the posibility that my fatigue is related to the thyroid issue.
Unfortunately, not all doctors realize that we need both the FreeT4 and FreeT3 levels to be above mid-range, if not higher, if we stand any chance of being symptom-free.
If I didn't see it time and time again on forums, I'd be incredulous that your doctor didn't notice your below-range FreeT3 level.
Just in case you are dealing with other symptoms that you might not realize are being caused by your too-low FreeT3 level (and possibly too-low-for-you FreeT4 level), here's a list of hypothyroidism symptoms as published in thyroid textbook "The Thyroid and its Diseases".
Not everyone will have every symptom on the list so, even if you only have a few, I see merit in making a list and giving a copy to your doctor.
Swelling of eyelids
Non-restful sleep/interrupted sleep
Pain at front of chest
Numbness or tingling
Protrusion of one or both eyeballs
Weight loss or gain
Sparse eyebrows/loss of outer third of eyebrows
Swelling of face
Wasting of tongue
Believe it or not, some people have reported additional symptoms. It is to your benefit to become familiar with the symptoms that are typical for you so that, as you titrate up on your meds dose, you can identify whether or not a symptom has improved or returned (which is a sign you need a dose adjustment).
And started today's doctor visit with the very bad "Did you get my letter saying your thyroid results were all normal"? Didn't make much progress from there - my "I thought my T3 was low" also got the "it was fine" answer. She did agree to raise my Synthroid up to 100 mcg which I figured couldn't hurt so I took that and stopped arguing.
She is a GP so I don't fault her for not knowing this quite as well but I am running out of doctor ideas. The one friend doctor which I think might be better doesn't take ANY insurance so I am not sure that is a long term option.
Just venting at this point but I don't want to lose another 12 weeks waiting for something to change. ARGH (ok vent over)
Many doctors just don't know how to interpret labs properly but, your FreeT3 level was below-range....that really should have received some attention.
You could really use some Cytomel (T3 med).
Why don't you call some local pharmacists to get contact info for doctors that Rx Cytomel or even Armour (natural T4/T3 product)? Some thyroid forum members have had success in locating a thyroid-savvy doctor this way.
Ok tried a new endocrinologist today - and it it is promising. She agreed to test and revised meds after 4-5 weeks if still symptomatic and said she was not a fan of going to Cytomel now but would consider it down the road. She also agreed to target closer to
Have to wait until at least Wednesday for test results but early yeah!
Yes I convinced my GP even though she said my labs were "normal" to go up to 100 mcg of Synthroid about 5 weeks ago. The new endo I saw yesterday (which is in the same group so she has access to all my past test results) said she would retest after 4 weeks if still symptomatic and given my current dose and if results are still similar to last time, go up to 118 Synthroid.
I don't want to get too optimistic but it was encouraging.
Yes I have noticed an improvement. I feel like I have 4-5 good hours and am not always in quite such a brain fog but I would still say it is only at about 60-70% before I had my surgery (which was for a benign nodule so I didn't have symptoms before)
The Following User Says Thank You to cahwest For This Useful Post: Gwen112 (03-12-2012)