Graves' Disease Support Group
Graves-Basedow disease is a medical disorder that may manifest several different conditions including hyperthyroidism (over activity of thyroid hormone production), infiltrative exophthalmos (protruberance of one or both eyes and associated problems) and infiltrative dermopathy (a skin condition usually of the lower extremities). This disorder is the most common cause of...
Hello to my wonderful support group! ;) I had my labs done this week as I have been feeling a little off.
Here are my results in chronological order since the thyroid storm:
August 23, 2009
T3 uptake 50.07 (25-36)
T4 22.2 (5.4-12.0)
FTI 11.12 (1.25-4.55)
TSH 0.03 (0.4-5.3)
FT4 5.79 (0.8-1.6)
T3 Free 9.35 H
I was put on Propanolol 40 mg, four times a day, PTU 200 MG, every 4 hours (total 1200mg), and iodide 1 hour after the PTU.
Exactly one week later, my labs were:
FT4 2.40 (0.8-1.6)
T3 Uptake 38.08 (25-36)
T4 9.4 (5.4-12.0)
FTI 3.58 (1.25-4.55)
TSH 0.03 (0.4-5.3)
I was lowered to PTU 450 mg, divided daily, Propronalol 40 mg, three times daily.
9/22/2009
T3, Free 390 range (230-420)
T4, Free 1.0 range (0.8-1.8)
TSH
Here are my results in chronological order since the thyroid storm:
August 23, 2009
T3 uptake 50.07 (25-36)
T4 22.2 (5.4-12.0)
FTI 11.12 (1.25-4.55)
TSH 0.03 (0.4-5.3)
FT4 5.79 (0.8-1.6)
T3 Free 9.35 H
I was put on Propanolol 40 mg, four times a day, PTU 200 MG, every 4 hours (total 1200mg), and iodide 1 hour after the PTU.
Exactly one week later, my labs were:
FT4 2.40 (0.8-1.6)
T3 Uptake 38.08 (25-36)
T4 9.4 (5.4-12.0)
FTI 3.58 (1.25-4.55)
TSH 0.03 (0.4-5.3)
I was lowered to PTU 450 mg, divided daily, Propronalol 40 mg, three times daily.
9/22/2009
T3, Free 390 range (230-420)
T4, Free 1.0 range (0.8-1.8)
TSH
9/22/2009
9/22/2009
T3, Free 390 range (230-420)
T4, Free 1.0 range (0.8-1.8)
TSH
9/22/2009
T3, Free 390 range (230-420)
T4, Free 1.0 range (0.8-1.8)
TSH
11/04/2009
T3, Free 473 (range 230-420)
T4, Free 1.1 (range 0.8-1.8)
My T3 appears high. Any suggestions to bring this down?
{{{hugs}}}
we decrease the dose of those meds.
Everyone has his/her own "best place" in the thyroid hormone range....just like each of us has his/her own "best place" in the range of shoe sizes available.
Most people wear the most common shoe size so-o-o-o, since we most often didn't know our "best place" thyroid hormone level before Dx, it's a good idea to dose so we get to the most common level at which most people feel best.
That level is mid-range FT4, at least (FT3 usually falls into place when we get the FT4 in the right place)
Then, you "hand" at that mid-range FT4, at least to see how it "fits"....if you have any symptoms, then you tweak your dose just a little to "try on" levels "nearby" in the range.
50 mg PTU (divided into two doses) is a common maintenance dose (maintenance dose is what peeps take once their levels get in-range at hopefully their best place.
Since your levels are low and you feel "off", you most likely would be like the rest of us....feeling better at mid-range FT4, at least.
You've been "hanging around" FT4 1.0 - 1.1 since September....that provides good info.....50 mg PTU looks like it would keep you there so, definitely, lower that dose to bring up your FT4 level.
If you want to be conservative (slow and steady wins the race), can you divide your pills so you could take 37.5 mg total per day?
Then, definitely lab within 4 wks.....if your FT4 didn't get back to mid-range, at least, try 25 mg PTU total.
Hope this makes sense and you feel better soon!
I meant to say "hang" at the level to see how it "fits", not "hand" - lol
cd explained why taking less PTU to help the thyroid hormones to come up and then the Free Ts will balance out correctly.
{{{hugs}}} :-)