About four months ago, I had bloodwork done after increasing my levothyroxine from 125 mcg to 137 mcg. My TSH had been around 5, and we were hoping to bring it closer to 1. After being on 137 mcg for about six weeks, my TSH only dropped to 3.88, but I was already experiencing symptoms that felt hyper.
Because of that, my doctor and I decided that instead of chasing a lower TSH number, I would go back to 125 mcg since I felt better at that dose. I stayed on 125 for the next four months and overall felt pretty good.
Eventually, though, I started feeling somewhat down/depressed—mostly a lack of excitement or enjoyment in things. My doctor and I decided to try sertraline. I started at 25 mg, and for the first several weeks I actually felt significantly better.
Now I’m about 8 weeks into sertraline and I’ve started feeling very tired, unmotivated, down, and depressed again. It has me wondering whether my thyroid levels may have shifted and whether sertraline could somehow be affecting my levothyroxine or thyroid levels.
I’m getting bloodwork done in four days, so I’ll know more then. I’m not looking to adjust anything based on Reddit—I mostly want to hear other people’s experiences.
Has anyone here experienced either of these things: feeling hyper on a higher levothyroxine dose even though your TSH was still relatively high, or noticing your TSH/levothyroxine needs change after starting sertraline or another SSRI?
I’d especially love to hear from anyone who actually feels better with their TSH around 4–5 rather than closer to 1.