Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 I could tell just from the labs that you were on T4 only meds. T4 was high with respect to T3 and TSH was really suppressed from high T4. This is very typical of T4 only meds. I bet your doc thinks you are perfectly adjusted. My only comment is that I am betting you still have symptoms. T3 needs to be above the midline of the range for most people to feel good on Lavoxyl or Synthroid and if you have antibodies your T3 may be way too low. It depends on what they are doing. I am also curious to know if you are having any memory or brain function problems from high T4 with respect to T3. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2004 Report Share Posted September 17, 2004 TSH .184 (.35-5.0) ____________ Any TSH above 2 in someone on Lavoxyl or Synthroid is too high. To be well adjusted on T4 meds such as Synthroid or Lavoxyl usually means that the TSH is below 1.0. This is because T4 suppresses TSH more than combination meds or T3 alone. So, most people don't feel good on T4 untill they get below 1.0 on TSH. In the past it used to take between 300 and 400 mcg of Levoxyl or Synthroid before the patient felt well. After development of the TSH test doses dropped to 1/3 of what they were before 1975. My point is that I certainly wouldn't rule out low thryoid on your symptoms. _____________ FT4 1.29 (.61-1.76) __________________ The midrange is 1.18, so your T4 is above that, but not by much. Typically someone who feels good on levoxyl or synthroid gets T4 up to the upper end of the range. ________________ FT3 3.3 (2.3-4.2) ______________ The midrange is 3.3, so you are right in the middle. The trouble with this is that lab ranges are skewed toward hypothryoidism. It has to do with how the ranges are determined. They are determined by the ranges of the people who take the tests and the highest and lowest numbers are thrown out and then they figure out a curve. The people who have tests tend to have much more hypothryoidism and subclinical hypothryoidism than hyperthryoidism. As we age thryoid function declines and if we are sick thryoid function declines. The result is that the lab ranges get skewed toward hypothyroidism. So, most people need to be above the midrange of T3 to feel well. But, with Synthroid and Levoxyl, this usually makes T4 quite high. Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. Getting T3 up where you feel good tends to almost totally or to totally supress TSH. Armour on the other hand does not tend to suppress TSH totally, but creates more normal numbers. TSH is only a measure of Pituitary output of a thryoid stimulating hormone. About 40% of thryoid patients have pituitary problems and any thryoid hormone overly suppresses it. The TSH test is not measuring your thyroid output or how much hormone you have in the blood. My TSH looked perfectly normal when I was sick as a dog with hypothryoidism. Doctor's grossly put too much emphasis on a test that is pretty worthless for a vast majority of people and they seem not to have a clue of why it is so worthless. ________________ Weight gain (20 pounds), achy joints in hands and feet, especially in the morning, watch and rings are tight and leave prints on me, and depression (which could be " other " related). _____________ These are classic low thryoid symptoms along with some low adrenal caused by the low thryoid. I cannot think of another thing you could attribute it to. You need to find a doctor who will prescribe a dose based on your symptoms and metabolic rate rather than some lab number. You are not a lab number. Studies done on healthy people have found that they have huge ranges of thyroid levels in the blood, many of them well above the so called normal range. You have no idea what level of thyroid you were at before you got sick. It might have been that you needed quite high levels. You need a doctor who understands this. Achy joints, hands and feet are symptoms of a dose that is too low. I developed bursitis on 2 grains of Armour, which is about 150 mcg of Levoxyl, and could bearly wear shoes. When thryoid goes too low, it is difficult to get enough hormone in tight joints to keep the tissue regeneration rate up high enough to prevent inflammation. Also, when thryoid goes too low adrenal output slows down. Adrenal hormone output is regulated by thryoid and the metabolic rate. Adrenal hormones are what keeps inflammation in check and without enough you have many problems including aches and pains, inflammation, irritable bowel, and hypoglycemia. When you have adrenal problems from low thryoid you also get palipitations or racing heart. This is because adrenal hormones help to regulate heart rythem. Also, if thryoid is too low, the heart can race because you do not have enough oxygen in the blood (metabolic rate too slow) and the heart races to try and get more oxygen to tissues. The achy joints are worse in the morning because it is related to your slowed adrenals. The adrenals work in a cyclic manner and have their highest output in the morning one hour after you get up and lowest point is about 1:00 am. So in adrenal fatigue caused by low thryoid, you feel terrible in the morning because adrenal demand is double then and your adrenals can't do it. You also will tend to wake up in the night somewhere between 1:00 and 3:00. Sleep is also poor and unrestful and thyroid hormones drop too low in the night giving oxygen deprived muscles that want to cramp. Tight rings on your hands are edima caused by low thyroid. When thryoid is too low kidney function is slowed and salt balance is disturbed. This causes pooling of fluids in the outer extremities, especially later in the day. Also, hypothryoidism causes a build up of polysacharrides in tissues. Polysachaarrides are a sugar and these sugars tightly bind water inside the cell. This is why low thryoid patients often develop a puffy moon shaped face. Before 1975 thryoid doses were adjusted by symptoms and the common Synthroid or Lavoxyl dose was between 300 and 400 mcg and the common Armour dose was 3 to 5 grains. You can easily find out if your metabolic rate is too low. You can measure your body temperature 3 times a day starting one hour after you get up and then every three hours. Keep a chart and average them after a week or two. Your average body temperature should be 98.6. Body temperature is a measure of metabolic rate. Metabolic rate is controlled by thyroid and adrenal. To read more on this go to Dr. Rind's page: http://www.drrind.com/tempgraph.asp If you find you have low body temperature, you can be pretty sure you thryoid dose is too low. This was the most common test of thyroid function for at least 50 years. It fell out of favor because it too too much time for the doctor to explain to the patient and if they didn't do it right there was error. You can also keep a record of your pulse. If it exceeds 84 beats per minute, this is a sign of hyperthryoidism or that adrenal has gone too low. In hyperthyroidism, your body temperature will exceed 98.6. Personally, I think your doctor is a cruel to let you suffer to keep you in a number range. Why not go to http://www.thyroid.about.com/ and find a top doc on her list or go to the Armour site and find an Armour doc. http://www.armourthyroid.com/ or find an open minded logical thinking D.O. You should loose weight on the right thyroid dose. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2004 Report Share Posted September 17, 2004 TSH .184 (.35-5.0) ____________ Any TSH above 2 in someone on Lavoxyl or Synthroid is too high. To be well adjusted on T4 meds such as Synthroid or Lavoxyl usually means that the TSH is below 1.0. This is because T4 suppresses TSH more than combination meds or T3 alone. So, most people don't feel good on T4 untill they get below 1.0 on TSH. In the past it used to take between 300 and 400 mcg of Levoxyl or Synthroid before the patient felt well. After development of the TSH test doses dropped to 1/3 of what they were before 1975. My point is that I certainly wouldn't rule out low thryoid on your symptoms. _____________ FT4 1.29 (.61-1.76) __________________ The midrange is 1.18, so your T4 is above that, but not by much. Typically someone who feels good on levoxyl or synthroid gets T4 up to the upper end of the range. ________________ FT3 3.3 (2.3-4.2) ______________ The midrange is 3.3, so you are right in the middle. The trouble with this is that lab ranges are skewed toward hypothryoidism. It has to do with how the ranges are determined. They are determined by the ranges of the people who take the tests and the highest and lowest numbers are thrown out and then they figure out a curve. The people who have tests tend to have much more hypothryoidism and subclinical hypothryoidism than hyperthryoidism. As we age thryoid function declines and if we are sick thryoid function declines. The result is that the lab ranges get skewed toward hypothyroidism. So, most people need to be above the midrange of T3 to feel well. But, with Synthroid and Levoxyl, this usually makes T4 quite high. Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. Getting T3 up where you feel good tends to almost totally or to totally supress TSH. Armour on the other hand does not tend to suppress TSH totally, but creates more normal numbers. TSH is only a measure of Pituitary output of a thryoid stimulating hormone. About 40% of thryoid patients have pituitary problems and any thryoid hormone overly suppresses it. The TSH test is not measuring your thyroid output or how much hormone you have in the blood. My TSH looked perfectly normal when I was sick as a dog with hypothryoidism. Doctor's grossly put too much emphasis on a test that is pretty worthless for a vast majority of people and they seem not to have a clue of why it is so worthless. ________________ Weight gain (20 pounds), achy joints in hands and feet, especially in the morning, watch and rings are tight and leave prints on me, and depression (which could be " other " related). _____________ These are classic low thryoid symptoms along with some low adrenal caused by the low thryoid. I cannot think of another thing you could attribute it to. You need to find a doctor who will prescribe a dose based on your symptoms and metabolic rate rather than some lab number. You are not a lab number. Studies done on healthy people have found that they have huge ranges of thyroid levels in the blood, many of them well above the so called normal range. You have no idea what level of thyroid you were at before you got sick. It might have been that you needed quite high levels. You need a doctor who understands this. Achy joints, hands and feet are symptoms of a dose that is too low. I developed bursitis on 2 grains of Armour, which is about 150 mcg of Levoxyl, and could bearly wear shoes. When thryoid goes too low, it is difficult to get enough hormone in tight joints to keep the tissue regeneration rate up high enough to prevent inflammation. Also, when thryoid goes too low adrenal output slows down. Adrenal hormone output is regulated by thryoid and the metabolic rate. Adrenal hormones are what keeps inflammation in check and without enough you have many problems including aches and pains, inflammation, irritable bowel, and hypoglycemia. When you have adrenal problems from low thryoid you also get palipitations or racing heart. This is because adrenal hormones help to regulate heart rythem. Also, if thryoid is too low, the heart can race because you do not have enough oxygen in the blood (metabolic rate too slow) and the heart races to try and get more oxygen to tissues. The achy joints are worse in the morning because it is related to your slowed adrenals. The adrenals work in a cyclic manner and have their highest output in the morning one hour after you get up and lowest point is about 1:00 am. So in adrenal fatigue caused by low thryoid, you feel terrible in the morning because adrenal demand is double then and your adrenals can't do it. You also will tend to wake up in the night somewhere between 1:00 and 3:00. Sleep is also poor and unrestful and thyroid hormones drop too low in the night giving oxygen deprived muscles that want to cramp. Tight rings on your hands are edima caused by low thyroid. When thryoid is too low kidney function is slowed and salt balance is disturbed. This causes pooling of fluids in the outer extremities, especially later in the day. Also, hypothryoidism causes a build up of polysacharrides in tissues. Polysachaarrides are a sugar and these sugars tightly bind water inside the cell. This is why low thryoid patients often develop a puffy moon shaped face. Before 1975 thryoid doses were adjusted by symptoms and the common Synthroid or Lavoxyl dose was between 300 and 400 mcg and the common Armour dose was 3 to 5 grains. You can easily find out if your metabolic rate is too low. You can measure your body temperature 3 times a day starting one hour after you get up and then every three hours. Keep a chart and average them after a week or two. Your average body temperature should be 98.6. Body temperature is a measure of metabolic rate. Metabolic rate is controlled by thyroid and adrenal. To read more on this go to Dr. Rind's page: http://www.drrind.com/tempgraph.asp If you find you have low body temperature, you can be pretty sure you thryoid dose is too low. This was the most common test of thyroid function for at least 50 years. It fell out of favor because it too too much time for the doctor to explain to the patient and if they didn't do it right there was error. You can also keep a record of your pulse. If it exceeds 84 beats per minute, this is a sign of hyperthryoidism or that adrenal has gone too low. In hyperthyroidism, your body temperature will exceed 98.6. Personally, I think your doctor is a cruel to let you suffer to keep you in a number range. Why not go to http://www.thyroid.about.com/ and find a top doc on her list or go to the Armour site and find an Armour doc. http://www.armourthyroid.com/ or find an open minded logical thinking D.O. You should loose weight on the right thyroid dose. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 17, 2004 Report Share Posted September 17, 2004 TSH .184 (.35-5.0) ____________ Any TSH above 2 in someone on Lavoxyl or Synthroid is too high. To be well adjusted on T4 meds such as Synthroid or Lavoxyl usually means that the TSH is below 1.0. This is because T4 suppresses TSH more than combination meds or T3 alone. So, most people don't feel good on T4 untill they get below 1.0 on TSH. In the past it used to take between 300 and 400 mcg of Levoxyl or Synthroid before the patient felt well. After development of the TSH test doses dropped to 1/3 of what they were before 1975. My point is that I certainly wouldn't rule out low thryoid on your symptoms. _____________ FT4 1.29 (.61-1.76) __________________ The midrange is 1.18, so your T4 is above that, but not by much. Typically someone who feels good on levoxyl or synthroid gets T4 up to the upper end of the range. ________________ FT3 3.3 (2.3-4.2) ______________ The midrange is 3.3, so you are right in the middle. The trouble with this is that lab ranges are skewed toward hypothryoidism. It has to do with how the ranges are determined. They are determined by the ranges of the people who take the tests and the highest and lowest numbers are thrown out and then they figure out a curve. The people who have tests tend to have much more hypothryoidism and subclinical hypothryoidism than hyperthryoidism. As we age thryoid function declines and if we are sick thryoid function declines. The result is that the lab ranges get skewed toward hypothyroidism. So, most people need to be above the midrange of T3 to feel well. But, with Synthroid and Levoxyl, this usually makes T4 quite high. Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. Getting T3 up where you feel good tends to almost totally or to totally supress TSH. Armour on the other hand does not tend to suppress TSH totally, but creates more normal numbers. TSH is only a measure of Pituitary output of a thryoid stimulating hormone. About 40% of thryoid patients have pituitary problems and any thryoid hormone overly suppresses it. The TSH test is not measuring your thyroid output or how much hormone you have in the blood. My TSH looked perfectly normal when I was sick as a dog with hypothryoidism. Doctor's grossly put too much emphasis on a test that is pretty worthless for a vast majority of people and they seem not to have a clue of why it is so worthless. ________________ Weight gain (20 pounds), achy joints in hands and feet, especially in the morning, watch and rings are tight and leave prints on me, and depression (which could be " other " related). _____________ These are classic low thryoid symptoms along with some low adrenal caused by the low thryoid. I cannot think of another thing you could attribute it to. You need to find a doctor who will prescribe a dose based on your symptoms and metabolic rate rather than some lab number. You are not a lab number. Studies done on healthy people have found that they have huge ranges of thyroid levels in the blood, many of them well above the so called normal range. You have no idea what level of thyroid you were at before you got sick. It might have been that you needed quite high levels. You need a doctor who understands this. Achy joints, hands and feet are symptoms of a dose that is too low. I developed bursitis on 2 grains of Armour, which is about 150 mcg of Levoxyl, and could bearly wear shoes. When thryoid goes too low, it is difficult to get enough hormone in tight joints to keep the tissue regeneration rate up high enough to prevent inflammation. Also, when thryoid goes too low adrenal output slows down. Adrenal hormone output is regulated by thryoid and the metabolic rate. Adrenal hormones are what keeps inflammation in check and without enough you have many problems including aches and pains, inflammation, irritable bowel, and hypoglycemia. When you have adrenal problems from low thryoid you also get palipitations or racing heart. This is because adrenal hormones help to regulate heart rythem. Also, if thryoid is too low, the heart can race because you do not have enough oxygen in the blood (metabolic rate too slow) and the heart races to try and get more oxygen to tissues. The achy joints are worse in the morning because it is related to your slowed adrenals. The adrenals work in a cyclic manner and have their highest output in the morning one hour after you get up and lowest point is about 1:00 am. So in adrenal fatigue caused by low thryoid, you feel terrible in the morning because adrenal demand is double then and your adrenals can't do it. You also will tend to wake up in the night somewhere between 1:00 and 3:00. Sleep is also poor and unrestful and thyroid hormones drop too low in the night giving oxygen deprived muscles that want to cramp. Tight rings on your hands are edima caused by low thyroid. When thryoid is too low kidney function is slowed and salt balance is disturbed. This causes pooling of fluids in the outer extremities, especially later in the day. Also, hypothryoidism causes a build up of polysacharrides in tissues. Polysachaarrides are a sugar and these sugars tightly bind water inside the cell. This is why low thryoid patients often develop a puffy moon shaped face. Before 1975 thryoid doses were adjusted by symptoms and the common Synthroid or Lavoxyl dose was between 300 and 400 mcg and the common Armour dose was 3 to 5 grains. You can easily find out if your metabolic rate is too low. You can measure your body temperature 3 times a day starting one hour after you get up and then every three hours. Keep a chart and average them after a week or two. Your average body temperature should be 98.6. Body temperature is a measure of metabolic rate. Metabolic rate is controlled by thyroid and adrenal. To read more on this go to Dr. Rind's page: http://www.drrind.com/tempgraph.asp If you find you have low body temperature, you can be pretty sure you thryoid dose is too low. This was the most common test of thyroid function for at least 50 years. It fell out of favor because it too too much time for the doctor to explain to the patient and if they didn't do it right there was error. You can also keep a record of your pulse. If it exceeds 84 beats per minute, this is a sign of hyperthryoidism or that adrenal has gone too low. In hyperthyroidism, your body temperature will exceed 98.6. Personally, I think your doctor is a cruel to let you suffer to keep you in a number range. Why not go to http://www.thyroid.about.com/ and find a top doc on her list or go to the Armour site and find an Armour doc. http://www.armourthyroid.com/ or find an open minded logical thinking D.O. You should loose weight on the right thyroid dose. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2004 Report Share Posted September 18, 2004 I mixed up my terms in one sentence in my last post. In this sentence: Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. T3 and T4 need to be reversed. It should read: Some research indicates that the high T4 with respect to T3 can interfere with the brain and with conversion of T4 to T3 to some extent. I apologize. I get in too big of a hurry sometimes. If you'd like to read a little more on adrenal and thryoid interaction and why the TSH test is really not too usefull here are two good links. http://thyroid.about.com/library/derry/bl11.htm (article about doses and their effect on adrenals) http://thyroid.about.com/gi/dynamic/offsite.htm? zi=1/XJ & sdn=thyroid & zu=http%3A%2F%2Fwww.thyroid-info.com%2Farticles% 2Fdavid-derry.htm (Excellent article on Why doctors shouldn't rely on the TSH test.) Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2004 Report Share Posted September 18, 2004 I mixed up my terms in one sentence in my last post. In this sentence: Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. T3 and T4 need to be reversed. It should read: Some research indicates that the high T4 with respect to T3 can interfere with the brain and with conversion of T4 to T3 to some extent. I apologize. I get in too big of a hurry sometimes. If you'd like to read a little more on adrenal and thryoid interaction and why the TSH test is really not too usefull here are two good links. http://thyroid.about.com/library/derry/bl11.htm (article about doses and their effect on adrenals) http://thyroid.about.com/gi/dynamic/offsite.htm? zi=1/XJ & sdn=thyroid & zu=http%3A%2F%2Fwww.thyroid-info.com%2Farticles% 2Fdavid-derry.htm (Excellent article on Why doctors shouldn't rely on the TSH test.) Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2004 Report Share Posted September 18, 2004 I mixed up my terms in one sentence in my last post. In this sentence: Some research indicates that the high T3 with respect to T4 can interfere with the brain and with conversion of T4 to T3 to some extent. T3 and T4 need to be reversed. It should read: Some research indicates that the high T4 with respect to T3 can interfere with the brain and with conversion of T4 to T3 to some extent. I apologize. I get in too big of a hurry sometimes. If you'd like to read a little more on adrenal and thryoid interaction and why the TSH test is really not too usefull here are two good links. http://thyroid.about.com/library/derry/bl11.htm (article about doses and their effect on adrenals) http://thyroid.about.com/gi/dynamic/offsite.htm? zi=1/XJ & sdn=thyroid & zu=http%3A%2F%2Fwww.thyroid-info.com%2Farticles% 2Fdavid-derry.htm (Excellent article on Why doctors shouldn't rely on the TSH test.) Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2004 Report Share Posted September 29, 2004 I apologize. My brain was not working or I got in too big of a typing hurry. I think I missed the decimal point. A lot of people who post results have TSHs above 2. But about as many also have very low TSH results. T4 only meds like synthroid are more suppressive of TSH and it doesn't take much T4 to suppress it quite low. Synthroid is more suppressive of TSH than for those on all T3 replacment. Often in many patients, T4 especially or any thyroid medication taken will overly suppress TSH. This can happen on very small doses. Dr. Derry has written that small doses of thryoid hormone taken can turn off the th thyroid almost completely in many people. The result is that you can become more hypothryoid on small doses of thryoid. The healthy thyroid makes 4-1/2 to 5 grains of Armour equivelent a day. Theoretically, any thyroid you take below that level, your pituitary should sense and adjust it's output of TSH to tell your thyoid to make up the difference. This is so you have adequate hormone in the blood. So, suppose you take 1 grain of Armour? Your pituitary should sense that and put out enough TSH to tell your thyroid to put out the other 3-1/2 to 4 grains you need, so that blood levels of thyroid are normal and high enough for proper health. But, for some reason now fully understood, it doesn't work this way. Many people who take thyroid will have pitiuitary output overly suppressed and this will supress thyroid function. One theory is that because we take our thyroid in one lump twice a day, which is not how a normal thryoid works, this causes a big spike in blood thyroid levels temporarily in the morning and evenings. The thought is that this big spike turns off the pituitary and it does not have enough time to recover before the next dose in the evening that turns it off. Another thing that causes low TSH is that many people who have been hypo for some time have caused their pituitaries to become dysfunctional from having constant low thyroid levels. Over time, it is thought that the pituitary becomes insensitive to low thryoid and quits responding. This causes it to always put out too little TSH when hypothryoidism has gone on a long time. Still another thing that can happen is that the pituitary can be damaged by the same auto-immune condition that is damaging the thyroid. Many auto-immune thryoid patients also have damage to other organs from the condition. The ovaries, the adrenals, the pituitary, and the hypohtalamus are also targets of autoimmune damage in about 20% of thyroid patients. One pretty recent study found that about 40% of thyroid patients have some degree of pituitary dysfunction. For this reason, TSH tests are really unreliable for many people. Measuring TSH is not measuring thyroid hormone directly. It is just measuring thyroid stimulating hormone put out by the pituitary. TSH is an indirect measure of thryoid output. Why doctors have become so fixated on using this test to the exclusion of others is a mystery. Anyway, my pituitary TSH levels were normal when the rest of me was falling to pieces with hypothyroidism. Free T3 and Free T4 are really the most reliable tests. And still, they have their problems. The amount of thyroid hormone that is needed for different people varies tremendously. Many healthy people fall outside the range of what is said to be normal. So, the thyroid replacement dose needed for one person that is pegged in the middle of the ranges might be so low as to make life a total misery for another. If you have very low TSH and at the same time low T4 or T4 levels at the low end of the range, then you can be pretty sure that your pituitary is not working properly and the TSH test is not useful for you. I think that if T4 is low TSH should be showing it by being at least above 3.0. A good article about the TSH test is: http://www.thyroid-info.com/articles/david-derry.htm Another good article about not putting up with poor thyroid treament is: http://thyroid.about.com/gi/dynamic/offsite.htm? site=http://www.thyroid%2Dinfo.com/articles/docdon.htm Hope I haven't confused you too much. Tish Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2004 Report Share Posted September 30, 2004 Weight gain is a classic sign of slowed metabolic rate. This is controlled by thryoid and adrenal function. So, you either need to raise T4 or switch to Armour and maybe raise that, too. You can check your temperature using Dr. Rind's info to get an idea if your metabolism is too slow. http://www.drrind.com/tempgraph.asp If the problem lies with you being unable to convert Synthroid adequately to T3, then switching would be the solution. But, it is typical for people on Synthroid to have T4 out of proportion to T3. These are considered normal for Synthroid (but it isn not normal for healthy humans not on thryoid). People on Armour have much more normal labs, with T4 and T3 closer together and TSH is less supressed in general. So, either your dose is a little low and your needs for thyroid have increased a little or you are having a mild conversion problem with Synthroid. Some things that can change thyroid needs: -increase in physical acitivity -moving to a colder climate -poor diet and lack of good nutrition -dieting -stress, which lowers adrenal function. Lowered adrenal output slows conversion of T4 to T3. Stress also increases thyroid needs -very low carb diet. It slows converion of T4 to T3. -poor sleep. It really stresses the adrenals and slows the whole system. It also increases needs for thyroid hormone. -lots of dental work. Can alter pituitary function. -sickness. Causes low thyroid levels temporarily. -liver problems. I'm sure there are more, but I can't think of them right now. Tish Quote Link to comment Share on other sites More sharing options...
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