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Old 05-31-2012, 02:04 PM   #1
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Trying to understand my labs... please help...

I'm new to the boards. I was diagnosed as HypoT about a year ago. I recently had what I call a flare up where some of my symptoms seemed to come back. Things like rapid heart, numbness in hands, etc. I am currently taking 125mcg/day of Synthroid.

I had to press really hard to get the free t3/t4 done...don't get me started on that...

Here are the results:

freeT3 2.9 Range 2.0 - 4.4
freeT4 1.19 Range 0.58 - 1.64
TSH .59 Range 0.34 - 4.20

The freeT3 seems a little low to me... It's at about 66%. I'm thinking it needs to be a bit higher.

Doc has pretty much said they can't to anything more, quit complaining and is sending me to an Endo...

Doc keeps saying normal but if something wasn't off, I wouldn't be symptomatic would I?

Any thoughts you have are appreciated. I am over not feeling good. Thanks!

 
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Old 05-31-2012, 02:23 PM   #2
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Re: Trying to understand my labs...please help...

Welcome!

Sorry for the reason you're here but, glad you found us.

You are very correct that something is off because people who have optimal levels don't have thyroid symptoms.

Your labs show room for improvement.

Most people do best when their FreeT4/T3 levels are around 60-80% of range. Some people (such as myself) need their levels even higher to be symptom-free. A few might need them slightly lower but, very rarely, below mid-range.

That said, your FreeT3 level is actually 37.5% of range and your FreeT4 level is 57.5% of range.

Now, please know that Synthroid is a T4 med. If our thyroids/bodies are working correctly, that T4 storage hormone will get converted into T3, the active hormone.

If conversion is appropriate, the FreeT3 and FreeT4 levels will usually be within 10% of each other. You can see that there is a 20% difference between your levels with your FreeT3 being the lower percentage.

The simplest (but, possibly short-term) solution would be to ask your doctor for a Synthroid dose increase. This will increase your FreeT4 level and hopefully increase your FreeT3 level (via conversion).

One strategy that has worked for me in getting dose increases has been to point out to the doctor that the FreeT4/T3 levels are well within the normal range and could increase and still be within the normal range.


I suspect that you might benefit from some T3 in the form of Cytomel....or a switch over to Armour which contains both T3 and T4.

If you can't get your doctor to agree to a Synthroid dose increase, I suggest looking for another one.

You could call local pharmacists to get contact info for doctors that Rx Cytomel and/or Armour. Doctors that prescribe these T3-containing meds are usually more thyroid-savvy. Be sure to speak to the pharmacist and not the counter help. Don't give up if the first pharmacist doesn't help - just move onto the next one on the list.

Please let us know how things go.
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Last edited by sammy64; 05-31-2012 at 02:40 PM.

 
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Old 05-31-2012, 03:10 PM   #3
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Re: Trying to understand my labs...please help...

Quote:
Originally Posted by sammy64 View Post
That said, your FreeT3 level is actually 37.5% of range and your FreeT4 level is 57.5% of range.
Can you tell me how you arrived at these numbers? I'm missing something...I'm walking around in such a fog even the simplest things are overwhelming...

 
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Old 05-31-2012, 04:05 PM   #4
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Re: Trying to understand my labs... please help...

Here's the formula used to calculate the percentage within a given range at which a particular result falls:

The example I've used is a common lab FreeT4 range of .8 - 1.8 and a blood level of .9. Substitute whatever range your particular lab uses and your blood level:

1. Subtract the bottom no. of the range from the top (1.8 - .8 = 1)
2. Subtract the bottom no. of the range from your result (.9 - .8 = .1)
3. Divide the result of calculation #2 by calculation #1 (.1 ÷ 1 = .1) and turn the result ( .1) into a percentage = 10%
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Last edited by sammy64; 05-31-2012 at 04:09 PM.

 
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Old 05-31-2012, 05:01 PM   #5
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Re: Trying to understand my labs... please help...

Got it! Thank you very much...am going to call Pharmacist(s) tomorrow and will update here. Feeling tremendous relief that I'm not a hypochondriac!

 
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