can i get feedback on new labs ?

[Brooksy Chuck]

here are my labs
FT4 1.31 ng/dl (.82- 1.77)
T3 106 ng/dl ( 71-180)
Ft3 3.2 PG/ML (2.0- 4.4)
RT3 14.6 NG/DL (9.2- 24.1)
Have been noticing cold feet..not sure why. when i try taking more T3 it makes me sweaty.

this is on 112 mcg T4 and 10 T3 thank you!

 

[John O'Connor]

Your numbers look good. But what is your TSH? I looked at your previous posts where your TSH was 0.01 - please tell me that range is different than the normal range with taret level of 1.0 TSH. Anything under 0.5 = Graves disease / hyperthyroidism. Please clarify normal TSH range given on your labs.

I also see you are taking Provigil. Do you have sleep disorder or ADHD?

Why are you trying to take more? Goal for thyroid should be to be normal. Don't treat it like TRT, where some guys like to max it out. That should not be goal with thyroid meds. How long have you been on thyroid medications. What was reason for adding T3 10mg? Were you not converting T4 to T3 effectively? How experienced is your doctor? I can't believe he didn't check TSH.

As for symptoms, have you lost weight since going on? Any sleep issues?

Have you had your Vitamin D levels checked? Vitamin D normal range = 30-100 ng/mL, but optimal range is over 50, and recent studies are showing link between low Vit D and autoimmune diseases, including Hashimoto's thyroiditis.

2011 study http://www.ncbi.nlm.nih.gov/pubmed/21751884
CONCLUSION: Vitamin D insufficiency is associated with HT. Further studies are needed to determine whether vitamin D insufficiency is a casual factor in the pathogenesis of HT or rather a consequence of the disease.

2013 study http://www.ncbi.nlm.nih.gov/pubmed/23337162
The association between severity of vitamin D deficiency and Hashimoto's thyroiditis.

2015 study http://www.ncbi.nlm.nih.gov/pubmed/26637501
These findings suggest that vitamin D deficiency may be related to pathogenesis of HT and that its supplementation could contribute to the treatment of patients with HT.

And other auto-immune diseases (Multiple Sclerosis, Rheumatoid Arthritis...)
http://www.ncbi.nlm.nih.gov/pubmed/26751969
Serum Vitamin D Level and Rheumatoid Arthritis Disease

2013 http://www.ncbi.nlm.nih.gov/pubmed/23052893
Because of its suggested immunomodulatory capacity vitamin D deficiency or disturbance in the vitamin D metabolism might be a risk factor for the development of autoimmune diseases, such as multiple sclerosis; but supplementation with vitamin D might also be a therapeutic option. Substantial epidemiologic evidence indicates an association between vitamin D levels and risk of multiple sclerosis, suggesting vitamin D to be one of the long searched environmental factors for the development of this most common chronic inflammatory disease of the central nervous system.

http://www.ncbi.nlm.nih.gov/pubmed/24358684
2013 Impact of vitamin D in neurological diseases and neurorehabilitation: from dementia to multiple sclerosis

 

[John O'Connor]

You might want to ask your doctor about getting tested for SIBO
https://en.wikipedia.org/wiki/Small_intestinal_bacterial_overgrowth

My friend was also taking T4 + T3, but struggling to reduce her TSH levels despite increasing doses of both. Her doctor finally guessed it was an absorption issue, and had her tested for SIBO, and test was positive. I think she went on antibiotics to clear it up. Look into that too. But again, also check Vitamin D. I'm guessing both could be issue. Vitamin D is necessary to absorb calcium, iron, magnesium, phosphate, zinc, etc. So both issues relate to absorption dysfunction.

Gluten intolerance would also impair absorption. See a Gastrointestinal doctor to rule things out.