Thyroid

granpa1959

granpa1959

Never say never!
Trusted Member
I have severe hypothyroidism. My number was 26.8. Aug 22 Doc prescribes 112mcg Sythroid. Previously my dose was 175mcg. Yesterday my number was 36.4. My symptoms have worseneed forgetful, Itchy, achy, sleepy, moody etc..
I see an endo Oct 20 (Mine retired). Any fixes/assists out there to support improved function?
 
granpa1959 said:
I have severe hypothyroidism. My number was 26.8. Aug 22 Doc prescribes 112mcg Sythroid. Previously my dose was 175mcg. Yesterday my number was 36.4. My symptoms have worseneed forgetful, Itchy, achy, sleepy, moody etc..
I see an endo Oct 20 (Mine retired). Any fixes/assists out there to support improved function?
Click to expand...

Is that your TSH #?
 
So is this correct? You were previously diagnosed with hypo, were prescribed @175mcg and were good. Now have a new doctor that prescribed you less even with access to your records?
Bizarre.
 
Have they linked it to something specific, checked blood levels for a cause etc already? Hashimotos or low iodine levels etc? there are bioregulators and peptides like thymalin to try but of course you need to figure out what out of wack first, hopefully you get a good endo 👌
 
I thought hypothyroidism was low thyroid? I had BW yesterday results came after 5pm. Thats all I know is what I see. I tried ro post my results but it wont post it. Maybe to big a file?
 
granpa1959 said:
I thought hypothyroidism was low thyroid? I had BW yesterday results came after 5pm. Thats all I know is what I see. I tried ro post my results but it wont post it. Maybe to big a file?
Click to expand...
File didn't come through..

hypothyroid is low thyroid. Bascially thyroid isn't pumping out T4.. There's some other stuff that can be going on, but in general most people with hypothyroidism have a thyroid that doesn't put out enough T4...

TSH is - thyroid stimulating hormone.. Its the chemical your body produces to tell your thyriod to start producing more T4.. The more TSH in your blood the more your thyroid is not producing because your TSH drops when your body has enough T4.


granpa1959 said:

Click to expand...
 
Urine (Micro)albumin​
ACR (Microalbumin/Creatinine Ratio)​
45.3<2.0mg/mmol
Note: Reference interval for albumin/creatinine
ratio as per BCMA/MSC guidelines.
Macroalbuminuria: >20.0 mg/mmol
Thyroid Function
TSH​
36.40.32-5.04mU/L
T4 Free​
9.89.0-19.0pmol/L
As of January 14, 2024, the reference
range for FT4 for adults >20 years of age
has been updated. There is no change to
the test method or to the patient
results. For any further information,
call LifeLabs at 1-800-431-7206 and ask
to speak to the Biochemist on call.
T3 Free​
2.72.6-5.8pmol/L
Serum Proteins
C Reactive Protein​
<0.5<5.0mg/L
Test method: Abbott Alinity hs-CRP,
suitable for cardiovascular disease
assessment and detection of active
inflammation. CRP = >2.0 mg/L is a risk
enhancing factor for cardiovascular
disease, as defined in the Guidelines
of the American Heart Association and
the American College of Cardiology
(JACC 2019: 74: e177).
[td]
A​
[/td]​
[td]
A​
[/td]​
 
granpa1959 said:

Urine (Micro)albumin​
ACR (Microalbumin/Creatinine Ratio)​
45.3<2.0mg/mmol
Note: Reference interval for albumin/creatinine
ratio as per BCMA/MSC guidelines.
Macroalbuminuria: >20.0 mg/mmol
Thyroid Function
TSH​
36.40.32-5.04mU/L
T4 Free​
9.89.0-19.0pmol/L
As of January 14, 2024, the reference
range for FT4 for adults >20 years of age
has been updated. There is no change to
the test method or to the patient
results. For any further information,
call LifeLabs at 1-800-431-7206 and ask
to speak to the Biochemist on call.
T3 Free​
2.72.6-5.8pmol/L
Serum Proteins
C Reactive Protein​
<0.5<5.0mg/L
Test method: Abbott Alinity hs-CRP,
suitable for cardiovascular disease
assessment and detection of active
inflammation. CRP = >2.0 mg/L is a risk
enhancing factor for cardiovascular
disease, as defined in the Guidelines
of the American Heart Association and
the American College of Cardiology
(JACC 2019: 74: e177).

[td]
A

[/td]
[td]
A

[/td]​
Click to expand...

your tsh must be in a different unit than mine and every other measurment I've seen
 
well fuck me lol.. I just want online and looked at my blood work.. all the units have been converted to what yours are..

My TSH is 1.00 mU/L on the dot . I was put on thyroid meds when I was at 2.52... Guessing the conversion factor is just x100.. So I am at 100 and I Was put on meds at 252..

If your TSH is 34.4 and the conversaion factor is 100 than you'd be like 3440??? That would be a thyroid that's a raisin and not producing a drop of T4 I woudl think
 
I have another post somewhere that explains TSH in a metaphorical way to put into easy perspective. To sum it up especially prevalent in anaboic steroid users and those who have used or abused thyroid hormones TSH won't be a good indicator of thyroid function.

The fact that your doctor lowered the dose is astonishing, but there could be a conversion from t4 to R.T3 going on here which would explain why he did so. Without seeing an R.T3 number one can only speculate.

Given your incredibly high TSH and symptom profile this is where monotherapy t3 trial could apply to see if it a) reduces your TSH, which it likely would drastically or b) improves overall symptoms of hypothyroidism. And if it is effective then finding a dose with one or both would be up to the Endo.

I am a huge advocate for mono T3 therapy when t4 isn't effective. It is the only thing that worked for me personally. I'm on 30mcg per day (10mcg 3x), and I have been on it for nearly 3 years under an endocrinologist with perfect markers all around. But I also have a rare disease that effects thyroid conversion rate rendering t4 nearly useless. Your Endo will be able to speak more on this, a traditional GP will likely have absolutely no idea where to start.

Good luck brother hypothyroidism sucks, I went through the ringer with it so hope you are able to find relief one way or another.
 
As for supplementation try thyroid spark it's in your typical whole foods supplement isle. If you are by chance lacking in a mineral or vitamin complex which is causing poor conversion, this should cover all avenues first off for facilitating better t4 to t3. It's the real deal, you need these minerals for proper function and science proves that much.

Also just noticing you haven't been on t4 all that long either, so there is still much trial and error before moving to mono T3 or even combination therapy. Try the above, work with your GP or endo. If nothing works then start to push for T3. As with anything there are risks, my personal experience I haven't had any problems but as we age that can differ greatly.
 
I don't mean to change the topic but did he/she not bring up ACR (Microalbumin/Creatinine Ratio) number? There are lots of reasons that can explain a creatinine number being off. Mine is often a little high, and my doctor always says people with more amounts of muscle and who workout hard can have a higher number but if it should be less than 2.0 and it is 45 plus - I hope they explore it.
I know this about your thyroid and I hope it gets sorted out and an Endo should be able to help, but there is no way they should ignore the 45.3 number for further follow up.
Best of luck
 
Thanks for input and support. It is a rough go right now.

BW shows that minerals and B-12 are in normal ranges.
ACR is being addressed. It is half of what it was Aug. 22.
I first went to the Doctor regarding my lethargy when I returned from Thailand Aug 16 and started Covid like symptoms 3-4 days later. Most probably from airport/plane.
I was given BW/Urinalysis, was prescribed Cloxacillin and lowered my synthroid when he saw results.
No clear idea why ACR was so high. My GP is leaving this to the endo.
I called back since my thyroid symptoms worsened.
 
granpa1959 said:
Thanks for input and support. It is a rough go right now.

BW shows that minerals and B-12 are in normal ranges.
ACR is being addressed. It is half of what it was Aug. 22.
I first went to the Doctor regarding my lethargy when I returned from Thailand Aug 16 and started Covid like symptoms 3-4 days later. Most probably from airport/plane.
I was given BW/Urinalysis, was prescribed Cloxacillin and lowered my synthroid when he saw results.
No clear idea why ACR was so high. My GP is leaving this to the endo.
I called back since my thyroid symptoms worsened.
Click to expand...

I can't understand why they lowered your synthroid.. it should be raised..
 
I had to insist my GP raise my Synthroid. It was an uncomfortable conversation It required more perseverence than I like. However, Wed. it was raised to 200mcg. It turned out he was reviewing the BW from Jan before I left.
 
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