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My new thyroid panel results -- not great at all

Member Forum >> Iodine and Thyroid Health >> My new thyroid panel results -- not great at all

JennVsDiabesity

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Posted: 1/17/2020 1:54:05 PM
Edited: 1/17/2020 7:20:24 PM (12)
 
Blood was drawn on 1/9/2020 at 11:06 AM in fasted state, 25 hours after last NP Thyroid 90mg pill.  NP Thyroid 90mg is the only thyroid medication I take.

TSH: 1.78 uIU/mL -- LabCorp Ref. Interval 0.450-4.5
Free T4: 1.04 ng/dL -- LabCorp Ref. Interval 0.82-1.77
Free T3: 2.6 pg/mL -- LabCorp Ref. Interval 2.0 - 4.4
Reverse T3: 21.6 ng/dL -- LabCorp Ref. Interval: 9.2 - 24.1

Btw, I am negative for TPOAb, TgAB, goiter and nodules.  Did have some estrogen dominance and have recently been supplementing with progesterone cream. Estradiol increases TBG (1) thereby binding up free T4/T3 and Progesterone decreases TBG (2) thereby freeing up T4/T3.
1: https://doctorneville.com/blog/2018/7/7/friends-or-foes-estrogen-progesterone-thyroid-hormones
2: https://www.ncbi.nlm.nih.gov/pubmed/23252963/

This was with only 19mcg selenium supplementation from Centrum Silver Multivitamin for past several years, along with 150mcg potassium iodide supplement in the same multi. This was also from using Kosher Salt for years, but switching to iodized salt about 1 1/2 months before the blood test.

I’d like for my Free T4 to be at least 1.3 and my Free T3 to be at least 3.2.  I’d like for my Reverse T3 to be less than 16.7.

I am not sure why there is so much Reverse T3 when there is so little Free T4, doesn’t make sense to me.  I thought only excess T4 is converted to Reverse T3. 

My new multivitamin has 50mcg of highly absorbable selenium, which meets 91% of RDA compared to 27% RDA of centrum silver.  Also, just the other day I started eating 1 brazil nut per day which I figure is about 75mcg of selenium.  So I am supplementing now with about 125mcg of selenium vs. 19 mcg.  I am also getting 100mcg of iodine from the supplement, and taking an extra 100mcg of iodine from kelp.  I also went back to iodized salt from kosher salt, since I cook everything at home and don’t buy much processed food.

Not sure what to do really.  If I increase NP Thyroid to say 120mcg from 90mcg.. then both free T4 and Free T3 should go up.. but don’t know if that would increase Reverse T3 more.. but since I am now taking more selenium maybe it won’t.
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JennVsDiabesity

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Posted: 1/17/2020 2:20:35 PM
 
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Bob Niland

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Posted: 1/17/2020 2:37:09 PM
Edited: 1/17/2020 7:40:16 PM (1)
 
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JennVsDiabesity

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Posted: 1/17/2020 2:38:38 PM
 
I thought you already knew all the reference ranges by heart :). They vary from lab to lab.  Not sure what you are asking me.


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Posted: 1/17/2020 5:21:34 PM
 
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JennVsDiabesity

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Posted: 1/17/2020 6:44:59 PM
Edited: 1/17/2020 6:47:53 PM (1)
 
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JennVsDiabesity

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Posted: 1/17/2020 7:20:54 PM
Edited: 1/17/2020 7:21:49 PM (1)
 
Bob, I edited it and added Labcorp reference interval.
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LCL

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Posted: 1/17/2020 8:00:39 PM
 
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JennVsDiabesity

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Posted: 1/17/2020 8:10:00 PM
Edited: 1/17/2020 8:48:27 PM (4)
 
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Posted: 1/17/2020 8:43:25 PM
 
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JennVsDiabesity

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Posted: 1/17/2020 8:49:37 PM
 
LCL, thank you for the replies; I really appreciate it!  When did you do the change in medication?  Do you plan on getting another Thyroid panel again to see what it is doing?
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Posted: 1/18/2020 8:04:52 AM
 
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Posted: 1/18/2020 1:22:04 PM
 
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Posted: 1/18/2020 6:32:57 PM
 
Since I weigh 362 lbs, is 90mg of NP Thyroid not really that big of a dose?  120mg is the max they come in, but I am like almost three times heavier than you.


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LCL

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Posted: 1/18/2020 7:39:58 PM
 
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Bob Niland

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Posted: 1/19/2020 8:59:39 AM
 
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JennVsDiabesity

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Posted: 1/19/2020 12:38:03 PM
 
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Posted: 1/19/2020 1:30:05 PM
 
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JennVsDiabesity

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Posted: 1/28/2020 2:13:23 PM
 
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Posted: 1/28/2020 3:43:47 PM
 
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Posted: 1/28/2020 7:47:40 PM
Edited: 1/28/2020 7:49:00 PM (2)
 
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