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#1 Aug. 6, 2012 11:55:41

hhchong
Registered: 2012-04-19
Posts: 15
Profile  

First post-thyroidectomy lab results - help?

Hello,
I have been on 125 MCG of Synthroid and 5 MCG of Cytomel since my thyroidectomy at the end of June.

My lab results from last week are as follows:

TSH: 0.01 (Normal range is 0.4 to 4.0)
Free T4: 1.32 (Normal range is 0.7 to 1.5)
Free T3: 2.4 (Normal range is 2.39 to 6.79)

My doc is lowering my Synthroid from 125 MCG to 112 MCG and told me to come back in 3 months.

Have others had similar numbers and dosage adjustments?

Thanks!

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#2 Aug. 6, 2012 12:21:12

Carito71
Registered: 2012-06-25
Posts: 320
Profile  

First post-thyroidectomy lab results - help?

Hello hhchong,

It looks like you are in the normal ranges. Congratulations. How are you feeling though?

From what I have read, the TSH might stay low for a while, while your pituitary adjusts.

I'm so glad your #s are looking good. I hope you are feeling a lot better now.
I've not had a TT, I'm on Methimazole, TT is my other treatment option.

Caro


~ Fellow GD patient diagnosed June 2012 with a non-existent TSH, elevated fT3 and fT4, and a TSI of 4.5. On Methimazole 30mg/day for the first 8 weeks. On Methimazole 10mg/day for the next 6 weeks. On Methimazole 5mg/day for a week and a half. On Methimazole 5mg every 4 days for a month. On Methimazole 2.5mg/day starting Nov 15. In Nov labs showed a normal fT4, a normal TSH, and a TSI of 3.2. As of May 2013, still taking Methimazole 2.5mg/day and labs are all normal. TSI is unknown. Diet: Gluten and yeast free. Love to read and learn. Very interested in the immune part of GD ~

Edited Carito71 (Aug. 6, 2012 12:21:35)

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#3 Aug. 7, 2012 10:08:15

Kimberly
Online Facilitator
From: Phoenix, AZ
Registered: 2008-10-14
Posts: 2793
Profile  

First post-thyroidectomy lab results - help?

Hello - I haven't personally been through this process, but I would make it a point to note how you are feeling within the next few weeks. (At that point, you should see the full effect of the dosage adjustment). If you start feeling hypO symptoms on the lower dose, I would call and ask for a set of labs *before* the 3-month mark.

Take care!


Kimberly
GDATF Forum Facilitator

…through nature's inflexible grace, I'm learning to live…
– Dream Theater

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#4 Aug. 7, 2012 13:26:34

adenure
Registered: 2012-03-22
Posts: 447
Profile  

First post-thyroidectomy lab results - help?

Hi!

The one thing that sticks out is how low your T3 is. How are you feeling? I think most people feel better in the upper half of the range with T4 & T3. Can you get your free T3 tested to see how much is available for your body for energy? Three months seems like a long time. My endo. is having me do bloodwork every 6 weeks until my numbers stabilize. Mine is kind of odd as my TSH is hypo (6.35) yet my Free T4 is high end of normal and my T3 is just below the mid range. I guess our bodies are still out of whack from surgery and adjusting to Synthroid. I think it's a wait and see patience game, but I think 3 months might be a bit long to wait for new labs.

Alexis


Alexis

Homeschooling mom to 4 wonderful boys!
Diagnosed with Graves Disease after my 4th baby- March 2012
Started on 5 mg. of methimazole daily for 7 weeks
Euthyroid at the end of those 7 weeks, but had to stop methimazole as liver enzymes were 8 times normal range.
Total Thyroidectomy- 6/15/12
Started Synthroid (brand name) 100 mcg. 2nd day after surgery for 6 weeks (TSH: 6.35 & free T4 in upper range and T3 just under mid- range).
Upped Synthroid to 112 mcg. 7/27/12
Euthyroid as of 8/10/12 on 112 mcg. Synthroid (TSH .79 and free T4 in upper range).

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