Moo77

I posted here last year after being prescribed levo by a private doctor (gp thought my levels were fine).

To cut a long story short I was put on too much too soon and I went back to starting at 25 then test at 6 weeks then up to 50 then test again. Ap

The upshot is that I seem to feel ok on 50 one day and 75 the next.

My most recent labs on this dosage are

Tsh - 1.04. (0.45 - 3.5)
Free t4 14 (10 - 19)
No ft3 tested

Given what I have read on here I would ideally look to have my ft4 up at about 16/17. But try as I might I cannot tolerate 75. I've tried 3 times and each time had to give up after a week or 2. I've managed to hold out for 3 weeks this time but have to reduce due to thumping heart, irritable, tinnitus, hot and sweaty and strangely enough I am soooooo tired. Exhausted in fact. Could such a small jump cause such side effects?

At the above labs I feel physically ok I've managed to do so much this year that I haven't managed before - my husband says he has seen a remarkable difference. I still have some issues - tinnitus and tendency for anxiety hence me trying to up the dose to get to that optimum level. Additionally I was arranging my wedding at the year end which is stressful enough for most but I totally lost it. I stopped eating and was a walking wreck it was very very scary I saw the doctors 3 times in 8 days. Now I have had issues with anxiety and depression previously and am on an anti-d (which has had no benefits other than make me a junkie as the med is extremely hard to come off - effexor) but since I have felt better this year I thought I was done with having spells like this I really did and thought it would all get better starting levo.

My point here is should I shoot for the higher ft4 if I feel ok with my ft4 at 14? Or persevere? I saw my gp today and insisted that they test my ft3 which they have agreed to do but they cannot prescribe t3 unless its been ok'd by a consultant - they offered me an appt with the local endo which I declined as I'm pretty sure how that appt would end up. So I'll have to wait 8 weeks to get bloods after dropping back down and see what levels are then. My point being although I physically was well at those levels mentally I went off the scale during a stressful periode! I was really disappointed.

My tsh before commencing levo was 1.8 I think and ft4 was 12.

Opinions please. Is maybe the levo a placebo? I'm do want to come off the Effexor as it does nothing for me - docs all agree - but I've been on it for 10 years and although I've cut my dosage in half a couple of years ago it still will take a while to come off completely.

Sorry if this is disjointed and rambling but that's how I feel. And I know my issues aren't really that bad compared to some on here who are seriously suffering.