Endocrinology Questions? Ask an Endicrinologist for Answers ASAP
This is Dr. David. I am reviewing your question now and will be with you momentarily.
TSH of 0.05 is not normal. it is much too low suggesting hyperthyroidism
your dose of T3 and thyroxine is too high and is causing your TSH levels to drop.
if you are taking too much thyroid hormone, you can become hyperthyroid
and this can cause poor sleep at night time, fast resting heart rate, increased anxiety, increased feeling hot, poor sleep, loose stools.
too much thyroid hormone is not the answer for all patients.
let me know if you have questions.
you should cut down on your synthroid dose and T3 dose and retest your thyroid hormone levels in 6-8 weeks
at your age of 52, some of your symptoms of fatigue, hot flashes, can be due to menopause and declines of your body's estrogen levels.
this can be helped by estrogen hormone replacement hormones
also medications like paxil, effexor, can help hot flashes and menopausal symptoms in some women
eating healthier, getting regular exercise, yoga can help menopausal symptoms
black cohosh supplements can help some women with menopause
let me know if you have questions
total T4 is not all that helpful
free T4 and TSH are better tests to tell your thyroid hormone levels
your low TSH means you have too much thyroid hormone in your body.
taking more thyroid hormone doesn't make you feel better. what was your TSH level a few years ago when you were taking so much thyroid hormone?
you should get your iron and ferritin levels checked. with bad period bleeding, this can cause low iron, low iron stores (low ferritin), low B12 and low folate levels.
you should reduce your T3 to 10mg and thyroxine down to 100mcg of T4 and take all of your thyroid hormone with an empty stomach and recheck your thyroid hormone levels in 8 weeks.
too high thyroid hormone levels can cause poor sleep, lack of deep rem sleep and can cause more fatigue during the day
decreasing your thyroid hormone levels can help improve your sleep and rest so you have more energy during the day
you should also work on some regular exercise during the day
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