The Wellness Q&A with Elaine Moore

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Updated Lab Results
Last Post 07 Feb 2020 09:43 PM by Elaine Moore. 1 Replies.
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AllieUser is Offline New Member New Member Posts:
07 Feb 2020 11:01 AM

    I have posted here once before when I was first diagnosed. Here are my labs:

    T3, Total range: 50 - 170 ng/dL

    2/6/20: 98
    1/9/20: 109
    12/19/19: 188
    12/4/19: 196

    T4 FREE range: 0.8 - 1.7 ng/dL

    2/6/20: 1.0
    1/9/20: 1.4
    12/19/19: 1.4
    12/4/19: 1.6
    12/2/19: 1.5

    TSH range 0.4 - 4.2 uIU/mL

    2/6/20: 1.1
    1/9/20: <0.1
    12/19/19: <0.1
    12/4/19: <0.1

    before issues:
    7/11/17: 1.56
    5/28/14: 1.94

    Thyroid stimulating immunoglobulins standard <140%,

    12/4/19: 362%

    So I have been on methimazole since 12/10/19. I started at 10mg and then lowered to 5mg on 1/9/20. Before graves diagnosis I was suffering from anxiety, panic attacks, heart palpitations, tremors. She said I should go on methimazole even while being subclinical. So reading here, I see that I maybe should not have taken medication? Or at least now my levels are going too low. I do feel a whole lot better since my meds, with my symptoms reducing almost completely.

    I will get an update from my doctor today but I also wanted to post here.

    Thank you very much!

    Elaine MooreUser is Offline Veteran Member Veteran Member Posts:3234
    07 Feb 2020 09:43 PM
    Hi Allie,
    We all have optimal ranges for thyroid hormone. Sometimes people have results of thyroid function tests from years before symptoms develop that show they feel best with levels on the low side. Most people, however, feel best with levels at least at mid-range and Graves’ patients are accustomed to functioning best with levels near the high end of the range. In your case, you seem to have functioned well with a TSH between 1.5 or 2.0.
    So if you were treated with a low dose of MMI before FT4 rose higher than the range, this is probably the reason. In general if FT4 is normal and you have a subclinical disorder treatment isn’t used because it could cause FT4 to fall too low. But symptoms are also important and I can see why your doctor started treatment. Symptoms can occur before levels rise out of range. The usual recommendation is to use the lowest dose of MMI needed to keep FT4 near the high end of the range but you might feel best with levels at least at mid-range or around 1.4 or 1.5 nd/dl. A dose as low as 0.5 mg is effective and if you’re on 5 mg now, you might want to first reduce to 3.75 mg daily. Best, elaine
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