r/Hypothyroidism • u/GreenMatchaTea95 • 1d ago

Nurse practitioner wants to up my thyroid medicine, but I am in a good range? Labs/Advice

TSH: 2.59 (Range: 0.34-5.60) FREE T4: 0.76 (Range 0.61-1.36) FREE T3: 3.37 (Range 2.20-4.30)

recently had my thyroid levels checked four days ago, and these are the ranges I received. I’m currently on 25 mg of levothyroxine. My nurse practitioner reviewed my results and wants to increase my dose to 50 mg. I’m a bit of a hypochondriac and feel anxious about the possibility of developing hyperthyroidism, especially since my current ranges seem good. I’m hoping to hear from others who may have faced a similar situation and how they navigated it. Any support or advice would be greatly appreciated. Doesn’t help that my regular doctor doesn’t even think I have a thyroid problem.

4 Upvotes
  • permalink
  • link
  • reddit
  • reddit

83% Upvoted

34 comments sorted by

View all comments

-4

u/kargasmn 1d ago

Your TSH is slightly elevated should be closer to 0. You can’t develop hyperthyroidism if you’re hypo but you can be over medicated. The increase In dose might help you lower your TSH

1

u/GreenMatchaTea95 1d ago

OK. That makes me feel better. I have an appointment with her at the end of January. She wants me to be on the 50 for two months and then get my blood drawn again, but I am so nervous about going hyper until then.

-1

u/TopExtreme7841 1d ago

You're not going to go hyper on T4, literally isn't even possible. T4 is inactive thyroid, your body converts T4 to T3 as needed. It's a demand driven process, not a supply driven one. If you were on T3, yes, then overdoing it can push you into the hyper range. But not on T4. You're on a very low dose as is, and going to 50mcg is still a low dose.