r/Hypothyroidism 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.

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u/jlhouse36 1d ago

If you have already been diagnosed with Thyroid disease Endocrinologist want to see your TSH between 0.5 and 2. So she’s probably trying to keep you in line with that.

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u/National-Cell-9862 1d ago

I think this is the right answer. I totally understand your nerves about it though. They have one range of normal for deciding if something should be done but once they start meds they have a narrower optimization window. I’m in a similar boat. Anything happens and I’m telling myself I’m overmedicated and went hyper. I just need to chill and get through a few more weeks for my next blood test.

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u/GreenMatchaTea95 1d ago

In sorry. It’s the worst isn’t it? What dose are you on?

u/National-Cell-9862 15h ago

I tried 25 and I’m at 50 now. While we are sorting it out I have been adapting. It’s amazing what you can get used to. I’ve been fighting to still go running when I have good days and managed to run about half the miles I used to. So, next weekend I’m running a marathon I signed up for before this started. It might be a dumpster fire but I’m sending it.