With the information you've given, your dosage should increase... TSH is Thyroid Stimulating Hormone and the lower your thyroid hormone levels go, they higher TSH goes, because your pituitary gland (where the TSH comes from) is trying to get your thyroid to produce more thyroid hormones, but since you don't have a thyroid, that's not going to happen.
Your TSH is way too high and it looks like your Free T4 might be way too low, but we need the reference ranges from your lab report.
20) Over the last few years I have increased my thyroid dosage starting very low and now at the high end. I feel better each time I increase but never feeling like I can be at my optimal best. I do not feel I have symptoms of hyperthyroidism as my tests are indicating. My primary physician wanted me to stop dosage on Sundays to balance my levels. Do you think this is the best approach? What do high T3 levels do when you don't have hyper symptoms?
So, you were on the higher dose for a whole month. I'm assuming your doctor didn't tell you to stop meds for a few days before going back to 100??? Have you started to feel less hyper at all yet? Without a few day's hiatus, it takes a little longer for hyper symptoms to go away.
The primary had upped my dosage to 150 when he got the results back, but I had to wait about 5 weeks before seeing the endo. So when she upped my dosage to 175 she did not test. I just had my TSH tested about 2 weeks ago & it was .36, That was based on my dosage of 150 because I have not been on the 175 but about 3 weeks before testing. I have a feeling I will be going hyper pretty soon once the 175 dosage kicks in...
I hope this made sense to you on my up coming dilema.
76)
I was feeling a little bit hyper on this dosage. I was nervous, not sleeping , etc. I think that I seem to do better when my TSH is a little higher. I already had 100 mg of Synthroid, so I started taking the 100's, with the knowledge of my doctor, but by day 3, I was crying, emotional, and not feeling good at all. What does this mean? Was the 100 already not enough or should I try maybe alternating the 112 and 100, or does this mean that I need to stay on the 112?
My daughter (almost 10) was born without her thyroid gland and she use to have severe constipation with blood in stool while on Synthroid, plus MANY other hypothyroid symptoms. She had issues with converting the t4 into t3. She is now on desiccated thyroid (1 1/2 years now) This has t3 in it plus t4 and t2, and t1 and selinium and calcitonan.
Personally, I think that your doctor is relying too much on TSH as the diagnostic test to determine med dosage. TSH is a pituitary hormone that does not correlate well at all with hypo symptoms. In my opinion it would be far better to test for and use the biologically active thyroid hormones, free T3 and free T4 to evaluate and dose your daughter, based more on her symptoms.
Also may want to have tested Vitamin D and B-12 and iron levels. These are common to be low for people with low Thyroid (high TSH).
And make sure you get the FREE T4 and FREE T3's tested. They are NOT and are different from TOTAL T3 and TOTAL T4. If not insisted upon or stated specifically, if they just say T3 or T4 they are total and are of little value. Also the T3 uptake test is also not very useful.
s funny, since lowering my thyroid dosage.....I from time to time get periods of what I would describe as anxiety.....my heart starts to race/palp.....but the only difference is now.....it doesn't escalate and I can control it.....and my BP never goes above 130/90 during these episodes where when I was on 137 and 125mcg synthroid, BP could get as high as 180/105. Just an odd time in my life. I was fine for years on synthroid then BAM....something changed and I wish I could figure it out.
I remember being new to thyroid disease, and it is scary. About all I can tell you is it helps to rest and try to relax and do something you enjoy, since stress makes all my symptoms worse.
There really is no 'standard' dose that is effective for most people. If you read the other posts on this forum, you'll see evidence of some people on high doses and some on lower.
Now, it is out of control, very high which required hospitalization. My creatine increased to 3.0 and is now down to 1.9. I have heart failure which is under control but take diuretics, coreg and lisinopril, amiodarone. I am not sure what to make of the thyroid and calcium issues. I have been frustrated with getting answers. They tell me I am complicated. Any thoughts? I am also wondering if I need to go to a medical center such as MayoClinic, Cleveland clinics to get some answers.
Dosage is irrelevant. Only the physiological effects matter. That mean your dosage needs to be high enough to relieve hypothyroid symptoms. If 90% of your Endo's patients are taking 90 mg of Armour, then I expect that the Endo is medicating them just enough to get TSH to a level satisfactory to the Endo. That doesn't work. Taking thyroid med once or twice a day is quite different than the continuous low flow of thyroid hormone in the untreated state.
I have Dr appointment tomorrow and will get to know what my Dr has to say about HIGH FT4 and TSH. In this case where TSH is also high, she usually won't reduce the dosage, but moderately increase the dosage. According to her the TSH is more important for the baby ovreall growth. But lets see what she has to say.
And I am waiting for FT3 reports also. But if FT3 is also high, what will that indicate? And if its normal what it means?
A high TSH reading, such as yours, typically, indicates that your thyroid isn't producing enough thyroid hormones. It's customary for doctors to prescribe levothyroxine, which is identical to the T4 thyroid hormone your body would produce, if it could, so to answer your question, yes, you should take the medication as prescribed.
Is TSH the only test ordered by your doctor?
This is the actual hormone your body uses. TSH is Thyroid Stimulating Hormone, when the T3 is low the TSH rises to stimulate the thyroid into producing more hormone. The TSH is produced by your Pituitary Gland located in the brain, it acts like a sensor to detect the T3 hormone, so when your levels are low, the TSH is high, when your levels are high the TSH is low. Most Hypothyroid sufferers feel best when the TSH is supressed below 1.0.
Is your doctor an Endocrinologist, a doctor who trained and specializes on the endocrine system - diabetes, thyroid, pancreas and kidney. If not you need to see one. Most regular doctor do not have the training to deal with diabetes issues like yours, they seem to be 'pill dispensers'. In your case, upping your basal dosage instead of evaluating and finding the root cause.
The Endo should check your thyroid too.
Hi there! Okay the approx conversion is as follows: 1 grain armour (60mgs) = 100mcg levo, 1 1/2 grain armour (90mgs) = 150mcg levo, 2 grains armour (120mgs) = 200 mcg levo. These are approx, but you will probably end up on more armour than the conversion shows. Now.......you shouldn't start out too high of dosage either. That T3 will hit your system hard if you take too much to start. Usual start dosage is 60mgs.
Endo doubles my dosage of tapazole to 30 mg per day. The symptoms slowed down. Now in March I gained weight - 15 lbs, think I am HYPO so I am going to cut down the tapazole and get blood work done. Diet has not changed at all.
Is weight gain normal after high dose of tapazole. I think it was extreme for endo to put my dose from 15 to 30 mg per day ? My last reading said 19 - after a month of being at 30 mgs per day. Its two months later - and I gained 15 lbs and feel tired all the time.
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