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Dr. David
Dr. David, Board Certified Physician
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I am a 57 years male suffereing form chronic anxiety last 35

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I am a 57 years male suffereing form chronic anxiety for the last 35 years.In a recent blood report my thyrois numbers were
Tsh 4.68
T3 3.2 and T4 0.9
My Doctor has put me on Liothyronine 7.5 MCG (I have been on Liothyronine 5mcg for last 6 months).
I need a second opinio in if under the circumstances the medication and dosage is right as my internet research says this medication is more for T3 than T4.
Also when I break the medicine it crumbles into uneven parts which means one day I get less and the next day more or vice versa.
Is that ok???.
A comprehensive answer will be rewarded handsomely.
Thanks
Submitted: 8 months ago.
Category: Medical
Expert:  Dr. David replied 8 months ago.

this is Dr. David

your TSH levels and t4 levels show that you are hypothyroid or that your thyroid hormone levels are too low

your doctor has increased your dose of liothyronine which is a synthetic T3 hormone.

normal Free T3 levels should be 2.3- 4.2 pg/mL or 3.5 - 6.5 pmol/L

http://www.globalrph.com/labs_t.htm

it looks like your T3 levels are most likely normal.

what your doctor should put you on is a low dose of levothyroxine T4 hormone instead of T3.

20% of T4 gets converted to T4 by your body.

what you need is a low dose of T4 like 25mcg of levothyroxine to help get your thyroid levels up

and to get your TSH levels down to between 0.3 and 3.0

let me know if you have other questions.

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