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Re: help with labs

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Are you on Armour? If so it looks like you could increase it more. Your cortisol looks good but that is not the most accurate test, but the true test is if you are having any problems increasing your thyroid meds. If you do not feel any hyper symptoms, I would say it is fine and you could increase a little. Most of us that are getting well have our Free T3 at the top or even over range and the Free T4 near the top of it's range too. TSH means little if you have Hashi's!

*Artistic Grooming * Hurricane, WVFat cat? Diabetes? Listowner for overweight or hypothyroid catshttp://groups.yahoo.com/group/hypokitties/

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I'm sure your doctor thinks you are perfectly adjusted. But, I think

you are a tiny bit low and could go higher and still have your Ts in

the range. He/she is probably already worried about your TSH, which

is overly suppressed and does not seem to correlate well with your

thyroid levels. This is very common in thyroid therapy. For this

reason the test is of little use. Thyroid ranges are skewed toward

hypothyroidism due to the fact that the people who determine the

ranges are the ones who have tests. The majority of them are a

little hypo or sick and that is why the test was ordered. So, some

of the more enlightened doctors like to see people in the upper 1/3

of the range on T3. The other thing to keep in mind is what was

normal for you when you were healthy? Thyroid levels in healthy

people vary hugely. You might easily have been someone who was at

the top of the range or even out of it.

Thyroxine (t4), free, direct = 1.01 ng/dl (range 0.61-1.76)

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The middle of the range here is 1.2. so you are below it.

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> Triiodothyronine, Free, Serum = 3.6 pg/ml (range 2.3-4.2)

______________________________

The middle of the range here is 3.25. Here you are in the middle 1/3

of the range. To get into the upper 1/3 you will need to get up to

3.5 or higher

_________________________

> Cortisol (am fasting) = 13.2 ug/dl (range 3.1-22.4)

___________________

This seems low. Morning cortisol levels need to be between about 24

and 33. If you have been on thyroid therapy for some time, then this

is an idication that your thyroid replacement is not high enough for

you. Thyroid hormone levels in the blood control the size and output

of the adrenals. So, if you have been at this thyroid dose a long

time and your adrenals are not keeping up it is a sign that thyroid

dose is not sufficient.

http://thyroid.about.com/library/derry/bl11.htm

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> TSH = 0.165L uIU/mL (range 0.350-5.50)

________________

This does not seem very usefull. It is overly low for the marginal

middle ranges of your other tests. It should be showing you around

1.0 to 2.0 with those T3 and T4 numbers.

___________________

To find out how you are really doing, why not monitor your

temperature using Dr. Rind's instructions here:

http://www.drrind.com/tempgraph.asp This will tell you your real

metabolic rate, which is controlled by thyroid and adrenal. It will

also pick up adrenal fatigue probably better than tests. This was

how it was done for over 50 years prior to sensitive tests. Thyroid

doses are now 1/3 of what they were when they used temperature

monitoring.

Tish

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If you are on Synthroid and Lavoxyl, I definitely think your dose is

too low. With Synthroid a well adjusted person needs to have T4 high

with respect to T3. T4 should be at the upper end of the range. With

numbers pegged near the middle, like yours, and if you are on

Synthroid, this could easiliy mean that you don't have enough

thyroid to spare and your body is increasing conversion to T3 to try

and get more energy from what you have.

Tish

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If you are on Synthroid and Lavoxyl, I definitely think your dose is

too low. With Synthroid a well adjusted person needs to have T4 high

with respect to T3. T4 should be at the upper end of the range. With

numbers pegged near the middle, like yours, and if you are on

Synthroid, this could easiliy mean that you don't have enough

thyroid to spare and your body is increasing conversion to T3 to try

and get more energy from what you have.

Tish

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If you are on Synthroid and Lavoxyl, I definitely think your dose is

too low. With Synthroid a well adjusted person needs to have T4 high

with respect to T3. T4 should be at the upper end of the range. With

numbers pegged near the middle, like yours, and if you are on

Synthroid, this could easiliy mean that you don't have enough

thyroid to spare and your body is increasing conversion to T3 to try

and get more energy from what you have.

Tish

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