💊 When we are on T4-only medications such as Levothyroxine or Synthroid, T4 must convert to T3 to create the T3 we need to correct the hypothyroidism and feel well. An inability to properly convert T4 to T3 is common among thyroid patients and can even result in a fluctuating TSH, or a TSH that is ‘in range’ and a low Free T3. Many patients have an in-range TSH, but when they check their Free T3 and Free T4 levels, they see that the T4 from their thyroid medication is not converting to adequate
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