i’ve been tracking my metabolic stuff for months now, trying to figure out what’s going on with my energy crashes. TSH is normal, free T4 is in range, but i still hit a wall around 2-3pm.
i’ve been on levothyroxine 75mcg for 8 months. anyone else have this issue?
how do you track your metabolic health? i’m using a spreadsheet to log my numbers, but idk if i’m even measuring the right things
The “2-3pm wall” with in-range TSH and fT4 is a common observation. when that’s happening, it’s worth getting a diurnal cortisol profile checked. 📊 TSH and T4 are only part of the metabolic picture, especially for energy.
Fatigue patterns are complex and i’m intrigued by your “hit a wall around 2-3pm” experience, gardens15, as it sounds similar to my own energy crashes, but have you considered tracking your cortisol levels to see if there’s a correlation with your energy dips, as “TSH is normal, free T4 is in range” doesn’t necessarily rule out other hormonal imbalances.
Mid afternoon energy crashes are a familiar issue for me, especially with migraines. When you say “i still hit a wall around 2-3pm” it resonates because that’s a common time for my own migraine attacks to start. Tracking metabolic health is complex, and i’ve found that even with normal TSH and free T4 levels, there can be other underlying factors at play, such as cortisol levels or nutrient deficiencies, that may contribute to these energy crashes.
what does your food log show right before you “hit a wall around 2-3pm”? that specific timing for a crash usually links to something you just ate or a skipped meal.
my energy crashes don’t follow a normal pattern, and “i still hit a wall around 2-3pm” makes me think you might be looking at the wrong metrics, gardens15, since same rough carb amount doesn’t mean same rough histamine load, which could be a factor in your crashes
that 2-3pm wall when your TSH and free T4 look “normal” is so frustrating, i know exactly what you’re talking about. i’ve been there too, thinking the levothyroxine should
it’s maddening when ur TSH and free T4 are in range but that 2-3pm wall still hits hard, i totally get it. i’ve found sometimes the A1C alone doesn’t
when you say tsh and free t4 are in range, what time of day was that blood drawn relative to taking your levothyroxine?