Need help undering my problem as being over mediated or not..

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Good evening! I am so confused over my thyroid test results. My results  T4 Free  whatever that means is out of range ..Out of range 1.90

Reference range 0.80-1.80 NG/ DL..Does this mean I am getting too much levothyroxine? Thanks

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  • Posted

    Hello  Lola:

    My name is shelly and I am a nurse in the USA.  I have Hashimoto's thyroid disease since 1987.

    Free  T4 is a measurement of Thyroxine a needed Thyroid hormone.  The body uses the hormone and then some is taken out in feces and urine and by the liver. The leftover amount in use in your blood stream is the Free T4 test.

    Your body needs proper levels and your level is just a tad higher than the reference range.  You have a few options.

    You can skip one day of the thyroid medication and that would use up the extra bit. Or you could wait and see if the next blood draw is still high.  The last option is to call the doctor and see if you need a lower dose.

    How is your TSH?  How do you feel?  Did they do any other blood work? Are you feeling any symptoms like jittery, shaking, sweats, or feeling too hot, or anxious?

    I hope this helps,

    Shelly

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    • Posted

       I was at 75mg of levothyroxine. They had me to reduse and take half of it.. I see thyroid spesalist soon. He had me get an ultrasound last week. Nt family doctor is the only one I have spoken to about it so far and he had me cut my supply in half on the 75 one and gave me script for 50 mg wich I havent started on trying to use up all the 75mg ones.. My anziety is really bad..That was the reason he took me down because getting too much can cause problems..I have so many health issues and this panic and so on is affecting my digestive sytem I jhave lost a lot of weight..Have heart, lung , kidney f was at 3 , then 2 now normal so I am happy about that.. Oh and I have lupus. So much going on I feel doomed..thanks so much and God Bless

      PS thanks for taking the time to try and help me understand all this..

      Thyroid stimulating 3.0      t3 uptake 36.5

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  • Posted

     I actually had the same problem when I was getting my dose adjusted higher.  My Tsh was in normal range but FT4 was high.  My doctor said that it meant nothing.  It's just my body adjusting to the new dose.  He was right.. by next blood work, it was normal again.. Also, if you take you medication before bloo work, that will show higher FT4 also.  Try to wait till after your blood work to take your medication.   I also read somewhere that it can happen if people don't take their meds right and all of the sudden try to take extra to make their TSH normal for bloodwork (not saying that's what your doind, just giving reasons).  So yes, like shelly said, wait to see what your next blood work says, It's probably just your body adjusting.

     

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  • Posted

    Hi I was at 75mg of levothyroxine. They had me to reduse and take half of it.. I see thyroid spesalist soon. He had me get an ultrasound last week. Nt family doctor is the only one I have spoken to about it so far and he had me cut my supply in half on the 75 one and gave me script for 50 mg wich I havent started on trying to use up all the 75mg ones.. My anziety is really bad..That was the reason he took me down because getting too much can cause problems..I have so many health issues and this panic and so on is affecting my digestive sytem I jhave lost a lot of weight..Have heart, lung , kidney f was at 3 , then 2 now normal so I am happy about that.. Oh and I have lupus. So much going on I feel doomed..thanks so much and God Bless

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    • Posted

      Hello Lola:

      Lupus can damage the thyroid. Give your body some time to adjust to the lower dosage.  The anxiety should stop.  Please  take care of yourself and keep us updated on how you get on. 

      Shelly

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    • Posted

      Thanks...I know lupus can ravagbe the body and is. I had to have a pacemaker and was so ill they couldn't even put me out for that. I was also in a-fib at the time. Have congestive heart issues and COPD.. But trying to be strong through it all and even . Seems like everytime  I start feeling better they find something else going wrong.. This helps with  anziety just being here..Because of my nerves I can barely eat.. They checked check out my stomach  with barrium and discovered I am having spasms in my esophagus and I have hiatal hernia for many years. In regard to my thyroid I have had biopsy on a sist Later I had  good news it has diminished in size and no cancer....I have also had to have an effusion drained a couple of times on the ledt plural area and not in my lung. If any of you pray please remember me. God Bless and thank you all. Lola

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    • Posted

      Thank you Shelly. I had taken the med that day.... I see thyroid specialist on the 9th..

       

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  • Posted

    Also my blood test was not fasting. I thought it was supposed to be. I even said to the nurse that the doctoor had said that. She replied well he must have thought it over and thought doing now would be ok.. Does anyone know if thyroid reqires you fasting? Thanks...

     

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    • Posted

      Hello Lola:

      The thyroid test is not fasting,  but you should not take the thyroid med on that day until after your blood work. If you take your thyroid med on the day test before the blood is drawn a false reading would occur. So that is why it is better to have it fasting but it is not required to be.

      Cholesterol and lipids are fasting as well as blood glucose.

      I hope  this helps,

      Shelly

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