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Lab results - question?

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Old 08-27-2008, 03:58 PM   #1
Join Date: Oct 2004
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krlsgrl HB User
Question Lab results - question?

Hi, I haven't shared here for a while, but you guys have helped me a LOT at this message board, just from reading.
I am on Armour, endo just dropped it to 90 mg a day because my most recent blood work came back:
TSH 0.019 ref 0.350 - 5.500

Free T4 (direct) 1.20 ref 0.61 - 1.76

I tried Synthroid before switching to Armour. Had added Cytomel to it, was getting expensive plus I kept hearing people say they did better on Armour.

I am evidently now hyperthyroid. I started out with a diagnosis of Hashi's, and have had fatigue daily -- I sleep 2 or 3 hrs every afternoon, and am about incapable of staying awake in the afternoons unless I sleep that long.

Does anyone know if the fatigue will eventually leave me? Since my endo dropped the Armour, will my T4 also go down? I need that T4 to stay up! I have real problems with depression when the T4 is low, like it was on Synthroid.

Anyone have any ideas on this? Thanks a million for your help....

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Old 08-27-2008, 10:45 PM   #2
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Re: Lab results - question?

Your doctor apparently doesn't know how to dose Armour. TSH will naturally be suppressed from the T3 in the Armour. My own TSH has never been higher than .02 during the last 3 1/2 years, but I stress... I am NOT hyper. Armour has to be dosed according to both free T4 and free T3.

You're having symptoms because you're likely still under-dosed. Your FT4 is exactly mid-range, which may be ok; but if your FT3 isn't at least mid-range, it could be accounting for your continued fatigue.

Fight not to have that dose reduced. If anything needs changing, it may need a little bit of an increase.

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