Update and FT3 Question - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Saturday, April 21, 2012

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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.

Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.

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Update and FT3 Question

2/24/2012 2:37 PM

Cindee

Joined: 6/28/2011

Posts: 27

Update and FT3 Question

Hi Elaine,

Thank you so much for all the help you give. It's very reassuring to have you for a resource and support.

I received my labs from Feb 22 today and was not surprised that the TSH was suppressed at .0064 as I have been over medicated pretty much from the start. In Dec I went to 1.25 mg MMI per day and as of the January labs I increased it to 1.88 - NP wanted it up to 2.5 mg MMI

In Jan my FT4 was 1.17, FT3 3.7 and TSH .299 in Feb 22 lab FT4 is 1.16, FT3 3.9 and TSH .0064. The NP is adamant that I go up to 2.5 mg MMI - I just agreed knowing I will be finding another care provider as she meds to the TSH and is concerned that it is suppressed now. I was hypo for months so I expected that when the levels came up the TSH would go down and there is no amount of talking with her that will change her mind so its time to move on.

My question is should I stay on my 1.88, go back to 1.25? I am concerned with the FT3 being up a bit. Is there another way to lower the FT3? I have noticed being warmer than normal the past couple of weeks and twice this week my HR is higher then normal for me. So maybe that's an indicator the FT3 is a bit high. I feel fine other wise - could use a bit more energy but happy for the most part where the levels are. Keep your fingers crossed I can find someone that has a clue. I live in a small rurual area so am limited as to choices. Again, thank you so much Elaine for your help. I didn't repost all the labs from the beginning so here goes:

started on meds in June without new labs from May diagnosis and FT4 was 2.7 and FT3 7.something with TSH .0004 and in July FT4 was 1.24 and FT3 4.4 with
TSH .0004 20 mg MMI
Aug FT4 was .76 with TSH .051 - 10 MG MMI
Sept FT4 was .82 with TSH 1.88 - 5 MG MMI
Oct FT4 was .94 with TSH .875 2.4 MG MMI
Nov and Dec FT4 can't find my labs right off hand - 2.5 in Nov and Dec and they had gone down yet again and I started taking 1.25 after the Dec test
Jan FT4 1.17 AND tsh WAS .299 went to 1.88 mg MMI
Feb all I know is the TSH is at .006
Sorry I didn't have all the FT3 numbers but they have been in the 3.something range since the Aug labs.
Again, thanks for the help and direction

Cindee

2/26/2012 11:20 AM

Elaine

Joined: 8/1/2008

Posts: 3424

Re: Update and FT3 Question

Hi Cindee,

Since you were on the 1.88 mg mmi dose when you had these labs and you don't want FT3 to rise higher, I'd stay on this dose. Your FT4 could be higher but and you might have more energy if you were on the 1.25 mg dose, but since your heart rate is rising and FT4 isn't too low, it might not be worth it. Eating fewer carbs can help lower FT3 and so can propranolol or similar beta blockers.

Take care, Elaine

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Update and FT3 Question

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