Your tests are showing that your body is taking all the T4 hormone and turning it into reverse T3 instead of the active free T3. Reverse T3 is like a protein storage and is not used as active hormone. That is why a patient on t4 meds will keep getting sicker. Normally a person will convert the t4 in armour or synthroid, etc. into t3, but if you have any conversion problems you stay hypo even though the tsh shows it is improving. The pituitary will keep signaling the thyroid because it thinks the thyroid is using the hormones quickly when really it is using it quickly and dumping it into a reverse t3 tank....the pituitary which shows the tsh level doesn't know any different.
Therefore there is only 1 choice for this kind of conversion problem- Cytomel. This is a synthetic T3 medicine only.
****! I am in a fog today...just remembered you were 1 point away from highest on reverse t3. How long have you been on armour and when was your last bloodwork done? If your t3 doesnt go up and you continue sick, dr will need to put you on cytomel only, because your body is converting all t4 into reverse t3...make sense? Send me a message if you dont understand and we will talk further.
You should still be on the armour...you absolutely need the t3. Don't worry about your tsh going a little low. Even my dr on thurs said that the tsh will show very low and not to worry. You need to go by the free t3 and free t4 and symptoms. As long as you don't have hyper symptoms you have nothing to fear. Actually, even if you do go hyper, you just cut back the dosage...lol...no big deal. The symptoms are uncomfortable but workable being short termed. Has your dr done a reverse t3 yet? Your free t3 levels are definately very low...you sure do have a conversion problem from what i see. Please get back on the armour so you can feel a little better and work from there....I am here for you, so don't be afraid to ask and vent.
Make sure to ask your dr to run a reverse T3 with next panel.
Sorry I did not get back to you right away on the reverse T3. When your t4 level is low norm and your reverse t3 is higher norm, it can mean that your body is making reverse t3 more than the active t3. Reverse t3 is the inactive hormone...and when you are making too much reverse t3 it is a conversion problem. In those cases the patient needs a T3 med like Cytomel. Let me know when you read this and if it makes sense to you. Just send me a message. :)
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