latest thyroid results help?

Backstory...

Around March I had my thyroid tested after a year, and despite being on a combo of 50 mg levothyroxine, 20 mcg bio-identical T3, and 1.5 grains of Naturethroid, my T3 was below range (1.7) and my T4 was right at the bottom of the range. My TSH was also below range, which I understand is paradoxical.

Over the past six month I have gradually increased on the Naturethroid. I'm now at 4 grains. (Still on 50 mg of levothyroxine and 20 mcg bio-identical T3.)

I'm finally in range with the T3 and T4! Though not as high in the range as I've heard suggested. And my TSH is even more suppressed. I seem to be on A LOT of thyroid replacement for these modest levels!

Would love any thoughts on whether I'm good here, or need further adjustment. Thank you!!

T4 1.26 (.82-1.77)
T3 2.9 (2.0-4.4)
TSH <.006 (.450-4.5)

Krimpet knows a lot about thyroid also. Hopefully she will see this.

Thanks everyone.

Thanks astroman! I definitely feel better than March. I still don't feel well, but as you say, that could be my infections (lyme, bartonella, babesia, EVB likely)

Yes, unnecessarily complicated.. It's because every new doctor I went to wanted to add on a different kind of thyroid replacement. I wish I'd known more at the beginning of the process. At this point, it's what I'm on and it seems precarious to mess with it.

I believe the bioidential t3 is plant sourced. It's made at a compounding pharmacy.

Yeah, I kind of want to try to increase just once more.. But I know my doctor already thinks I'm on a strangely high amount of thyroid replacement. He also doesn't love that my TSH is so low. But he does say that I seem to need more thyroid replacement than expected, perhaps because my body isn't using it well.

Just remember for comparing labs, get thy testing at the same time.

I dont know what time of day you do this, but since your on T3 (goes in and out cells fast) dont take it before your test- it will temporarily make T3 higher.

I take may last T4/t3 combo in the afternoon, and thy test 8 AM. then take med sublinualy after the test. Mine works sublingualy, food in gut wont matter.

By the way, protien only binds to T4 in the digestive tract, not at all to T3, directions on thy med labels are wrong in this detail. You can goggle it.

try to get both in upper third of range to see if you feel any better. Some do, some half way is good enough. Dont know till you try. T3 is most related to muscle and digestive health, and its usually noticable.

Marigold forget about the TSH. The more thyroid hormone you take, the more the TSH will be suppressed. Once you are on meds, the TSH is really irrelevant. What you care about is the FT3 and FT4. Let me ask you. How are your adrenals? If they aren't up to par, this can effect how your body utilizes the thyroid hormone. Also what other meds or herbs are you taking that could be interfering with utilization of the thyroid meds?

Is there a reason why you are on the compounded as opposed to just using the naturethroid, especially since you want to increase the T4/T3 a little more? You could tinker with cutting the pill (I use a pill cutter and it works great) into 4ths and adjust based on your 4-6 week labs.

The bottom line is that with these infections we typically have more absorption and conversion issues. As they improve we should be able to lower of meds. But also having a really good adrenal profile is necessary as well.

Yes Astroman I agree with you with regard to pooling. My RT3 used to be high. It's been steadily coming down. I still test it every couple of months now.