A member asked:

What does it mean if t4 (7.23) level is norm but ft4 (2.15) is elevated in graves disease while on mmi. if dose is increased, will t4 drop too low?

A doctor has provided 1 answer

Graves medications: It can be tricky to adjust the dose of Methimazole in someone with graves disease. Too much Methimazole can make you hypothyroid. The ft4 is more reliable than the total t4. The TSH will probably stay suppressed unless your thyroid has been normal for a long time. Another factor is your symptoms. If you feel ok, the slightly elevated ft4 may be ok.

Answered 3/6/2015

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Can high free T4 detect graves disease?

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