My new thyroid results seem to be looking really good, however I still feel the same, no improvements in my health. I still have trouble sleeping and getting out of bed in the morning, can’t lose weight no matter how hard I try, have mental fatigue and physical fatigue. Do my thyroid results look completly normal? and Can somebody please help me work out the ratio progesterone and oestradiol?
Tf4 13.5 (9-25)
Tsh .71 (.50-5)
Ft3 6 (3.5-6.5)
Oestradiol 444 pmol/L
Progesterone 34.1 nmol/L
Progesterone - Mid luteal <30 Luteal 10-70
Blood drawn on day 20 of cycle
Your Free's look ok. I'm not sure what optimal estrogen and progesterone should be. Maybe googling around will provide some. Fatigue can be caused by low ferritin. Ferritin should be in the 70-90's for optimal thyroid hormone conversion. If your ferritin is less than that you might be anemic. Ask to have serum iron and ferritin blood work. Low b12 can cause fatigue. Optimal level is in the upper 800's. If it is in the lower end of the range, you're going to feel like crap. Ask for b12 bloodwork. If you are low, get some sublingual methylcobalamin 5,000mcg and take 1 every day with a b complex until you feel perkier. Low vitamin D can make you fatigued and prone to illness. If you seem to catch every virus that comes along and then it takes forever for you to get over a cold, suspect low vitamin D. Ask for a 25-hydroxy blood test. Optimal levels should be 70-90ng/ml. Finally, stress (work related, family related) raises cortisol levels. Continued stress leaves the body in a near constant flight-or-fight status and causes cortisol levels to become elevated. It is the raised cortisol levels that causes the estrogen levels to rise and you end up with excess weight and early stage adrenal fatigue.
Insomnia and trouble getting out of bed are symptoms of high cortisol. For a more complete picture of your adrenal fatigue, a 24hr cortisol saliva test is the best way to get it. www.canaryclub.org has kits you can order without a doctor's script. If your levels are high, (optimal cortisol levels are at the top of the range first thing in the morning, near the top late morning, mid-range at noon, near the bottom in the late afternoon and at the bottom at night), then you can take phosphydityle serine, relora, or holy basil to lower it. If your levels are below range, then licorice root (if you don't have problems with your blood pressure) will support them. Taking vitamin C 1-2 grams (buffered) is good for the adrenals as is b-complex, magnesium, vitamin A and tyrosine. Ashwaganda is an adaptive herb, from what I understand and is good for either high or low cortosol adrenal fatigue.
I suspect that you've got elevated cortisol, but be sure to get the b12, ferritin and D checked too.
Check out Janie Bowthorp's website: http://www.stopthethyroidmadness.com for more information!!! Pay special attention to "Those Durn Adrenals" and "Recommended Labwork".