At a loss...what next?

I find that I only feel good when my tsh is near 0 and the other two results are right at the top of the ranges. I also take ndt. I takes my body at least 7 weeks to adjust to a dose increase or decrease-how often are you testing? If its been a while and you feel tired etc then I would probably increase again if you can tolerate it. Sometimes it takes months or even years to get the right dose and it varies from person to person. It seems to be going in the right direction though.

hi Heather, wow! That’s really great data. Your results show that your body likes to keep your T3 and T4 stable. Your TSH is below 2 now, so I wouldn’t increase your dosage any more- unless you're having hypothyroid symptoms.

Thyroid medications suppress your bodies own thyroxine production. Also, thyroid medications can cause bone loss. Really what you’re trying to do is find that sweet spot where you’re getting enough thyroid medication but you’re not suppressing your own production.

if you are still having hypothyroid symptoms, I would still recommend not increasing your dosage right away. Along with thyroid disease you often get other conditions such as gut problems that can lead to malnutrition. Malnourishment can cause thyroid symptoms.

If you haven’t already changed your diet to accommodate your thyroid disease, you might want to try that first before raising your dosage. Gluten free-paleo style diet, multivitamin and minerall supplements, and essential amino acid supplements can be extremely helpful for curbing thyroid disease. So you’re better off focusing on improving your nutrition and supplementing then increasing your thyroxine dosage.

Once you’ve improved your nutritional intake and your supplements, and if you still feel badly and are still having thyroid symptoms, then look again at increasing your thyroid medication.

There is reason for caution with thyroid medication- I say this, having been full circle with thyroid disease and medication. Doctors are very hesitant to increase thyroid doses, but they don’t explain why. They say oh, it causes heart disease or they say, bone loss. But that’s really not the whole of it. The real thing is that when you’re increasing your thyroid medication and it’s suppressing your own thyroxine production, you’re not really helping yourself. And in fact all you’re doing is making a bigger problem of suppresses your natural thyroxine production. It doesn’t serve you to take more medication if your body is going to shut down its own function.

yes, it looks like you might need an increase. I'm on 1 grain of wp thyroid and waiting to test in a few weeks.