The Wellness Q&A with Elaine Moore

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Close to remission but T4 has risen
Last Post 21 Sep 2023 04:07 PM by Elaine Moore. 1 Replies.
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peachesUser is Offline New Member New Member Posts:
06 Sep 2023 08:25 AM
    Hello Elaine,
    I do hope you are continuing to feel better with your recovery and have been enjoying your travels?
    I messaged you a few weeks ago when my latest TRAb result was well within normal range:

    TRAb 1.7 (<3.1).

    You advised me then to reduce my Carbimazole dose, which I've done. I was taking 1.25mg daily but reduced this to every other day in early July and then to every 3 days at the end of July. My latest bloods show that T4 and T3 have both increased and TSH has reduced slightly.

    Blood test 1 Sep 23
    TSH 1.04 (0.27 - 4.2) [was 1.2 at the beginning of July when I started to reduce the Carbimazole]
    T4 19.5 (11.0-21.2) [was 15.2 early July]
    T3 5.2 (3.1 -6.8) [was 4.7 early July]

    As the T4 is fairly close to the top of the range now, for the first time in a long time, I am worried. Does this show that my dose of Carbimazole is too low and that I should increase it back to 1.25mg every other day? Or is this OK? I did have a minor gynaecological operation last week so wonder if that could affect my thyroid readings?

    I have felt sluggish and have found it very hard to lose weight over the past few months, so in some ways am pleased my T4 is higher but obviously I don't want to compromise my chances of remission. Any advice you can offer would be hugely appreciated!

    With thanks and best wishes,
    Elaine MooreUser is Online Veteran Member Veteran Member Posts:4032
    21 Sep 2023 04:07 PM
    Hi Peaches,
    Yes, reduce the carb to every other days. You're getting close to remission so remember to avoid any triggers like excess dietary iodine, allergens, etc.
    Sorry to be slow and hope this helps. Best, Elaine
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