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New labs, some questions

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Old 06-11-2008, 09:29 AM   #1
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New labs, some questions

Hi - I had my newest labs drawn 6/3, after being off all supplements for 6 days and no Synthroid (currently on 75 mcg) or food the morning of the draw, saw the Endo yesterday:

TSH = 1.22 (0.4-5.50) (down from 3.16 in Jan 08)
FT4 = 1.2 (0.9-1.7) 37.5%
FT3 = 3.1 (2.5-3.9) 42.8%
TT3 = 93.3 (80.0-200.0) 11%

Ferritin = 37 (13-150) (up from 12 last Oct)
Iron, Total = 87 (30-150)
Transferrin = 294.55*H (190.0-280.0)
% Saturation = 21.2 (20.0-50.0)

Vit D 1,25 Dihy = 64 (15-75)
Vit D 25 Hydroxy = 28 (20-150) (up from 16 last Oct)
B12 = 856 (211-946) (up from 521 in March 08)

Here's what I'm doing right now:
– Will increase to 88mcg Synthroid
– No adding T3 support since conversion looks good? Keeping possibility open if symptoms continue at next appt in 8 weeks.
– Continue with HemaPlex iron 85mg daily until ferritin gets into the 70's or higher
– Continue with Carlson's 4000IU Vit D3 daily, not sure of goal but definitely needs to be higher
– Keep with good multi-v plus B complex supplement

I can see how skewed the TT3 is - I thought I was tanking in T3, but the FT3 shows I'm converting well, right? I have started having significantly less joint and muscle pain in the last 4 weeks, but I haven't been exercising as much either - going to try and increase the exercising again and see how it goes. Fatigue is still a big problem. My doc said if labs continue improving but symptoms continue at next appt he'll add a little Cytomel to see if it helps. He listens to symptoms!!

I'm hoping this bump in Synthroid will get my frees well above the 50% mark - 37.5% is the highest my FT4 has been in the last 8 months. Doc didn't want to go to 100mcg, he thought it was too much of a jump.

I'm also going to see a Naturopath tomorrow who says she has thyroid experience. I'm hoping to get her guidance in getting all the nutritional stuff and adrenals optimized. Am I right in thinking this should help get those frees up as well?

Sorry this is so long - any comments on the labs and my interpretations would be greatly appreciated! I'm still learning about all this, but I finally feel like I'm starting to make some progress after a very long 11 months of suffering.


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Old 06-16-2008, 07:57 AM   #2
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Re: New labs, some questions


You are looking like you are on the right track. You can also expect to see the irone and ferritin improve as yout FT3 and ft4 levels increase. Right now your plan looks like it is the safe and logical choice in stepping up the dosage. I concur about holding off on T3 supplementation. It looks like T4 only maybe doing what you need it to do. Keep us posted. It is looking like things are getting better for you! Always good to hear.. I mean read.

If we learn by our mistakes, I am working on one hell of an education.

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