Hello Elaine

I hope you are doing well.

Below are my labs I had done in November, 2021 to March, 2022 that I would like you advice

LABS MARCH, 2022 & PREVIOUS RESULT AND DATE 11/18/21
TSH 0.791 range 0.450-4.500 (previous result and date 11/18/2021 - 1.55 - range 0.450-4.500)
Thyroxine (T4) 8.6 range 4.5-12.0 (previous result and date 11/18/2021 - 9.8 range 4.5 - 12.0)
T3 Uptake 33 range 24-39 (previous result and date 11/18/2021 - 28 - range 24-39)
Free Thyroxine Index 2.8 - range 1.2-4.9
Vitamin D 46.1 - range 30-100.00 (previous result and date 11/18/2021 52.3 range - 30-100.00

LABS FROM JULY 2021 & PREVIOUS RESULT AND DATE 3/20/21
TSH 3.550 range 0.450-4.500 (previous result and date 3/20/21 1.06 - range 0.450-4.500
T4 1.50 range 0.82-1.77 (previous result and date 3/20/21 - 1.3 range 0.82-1.77
T3 2.9 range 2.0 - 4.4 (previous result and date 3/20/21 - 2.9 range 2.0 - 4.4

I was on Levoxyl 125 mcg 6 days a week and my PCP just put me on Levoxyl one every day.

I started having heart palpitation mid March and have been to ER twice and they stated I had Tachycardia. Also,followed up with Cardiologist and all test came back normal. No heart issues found.

I take Losartan & Amlodipine for my blood pressure which has been running high.

I do not have an appetite and my fatigue is horrible. Especially when my heart rate goes up.

Any advice you can provide me on my dosage or what I should suggest to my PCP would be greatly appreciated. Or, if you think I should see an Endocrinologist.

Thank you,

Hi,
Your labs aren't bad although your PCP is ordering some tests now considered obsolete, particularly the total T4 and the T3 uptake.
It would be better to have a test for FT4 since the FT4 index is a calculation that isn't always accurate.
Whenever you up your dose of replacement hormone you can have transient hyper symptoms which typically resolve within a week or two unless the dose is too high for you.
Your doctor can probably manage your condition since you've seen a cardiologist but if you can find a good endo in your area you might want to arrange for an appointment.
Best, Elaine