Thyroid meds and Depression

I had my thyroid removed July 2005. They found a small amount of papillary cancer but did not need RAI. I have also dealt with major depression (and the meds) for longer than I can remember.

Below are my most recent test results........could someone help me understand them?

TSH test cancelled due to high sensitivity TSH.
TSH (High Sensitivity) 0.008 Range 0.350-5.500
Thyroxine 12.4 Range 4.5-11.0
T3 Uptake 1.00 Range 0.72-1.23
Free T4 Index 12.4 Range 4.5-11.0

I am currently on 200 mg. levoxyl. The Dr wants me to cut back to 50 on sundays and 100 the rest of the week, and see him in 2 months.

I feel like crap lately......I cannot lose any weight, I am so tired all the time... and the fatigue is really getting to me, because I used to be such an energetic person...and thin too.

I also am having a terrible time with my depression lately. I am never quite sure which is acting up, thyroid meds, psych meds......or maybe menopause.......heck I had a hysterectomy years ago and I won't have those tell tale signs to tell me I am in menopause.......

I AM AT THE MERCY OF LAB TESTS

I work in a job that requires lots of energy and I feel like I am really letting everyone down because I lack the enthusiasm and energy I have had in the past.

Shouldn't I have lots of energy if my TSH is so low???

Shouldn't I be losing weight by the ton if my TSH is in the Hyper area?

Does anyone have experience taking thyroids meds long with anti-depressants?

Thank you everyone!!!!!

I've heard of too many people, usually women, who face pretty much exactly what you present here. You are on a dose of thyroid replacement hormone that should provide you with normal zip and vigour, yet your body is telling you it is starving for thyroid hormone.

The solution is not to cut the dose of T4, as your doctor is doing. Some people do not convert T4 effectively into the more active T3. What I have heard consistently is that Armour thyroid (standardized dessicated pig thyroid), or a combination of T3 (e.g. Cytomel) and T4 (e.g Synthroid or Levoxyl), solves the problem. Some tissues just have to have T3, or so it would seem.

It may mean you need to find another doctor. I don't know, doctors are pretty stubborn about this. Some understand, and some don't.

Best of luck,
Lar