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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Advice on Meds
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Advice on Meds
by karenscar, Apr 17, 2007 12:00AM
Hello Doctor,
I was wondering if you could give an opinion on my med dosage. I am currently on 100 mcg of Synthroid. I have been on this dose for over 4 months. I am continuing to have some hair loss, and a few other symptoms. I was wondering if from the labs below you think that I could increase Synthroid to .112 or maybe add 2.5 or 5 mcg of Cytomel, or would this bring my TSH too low. My Free T4 is now just over 50% or range and my Free T3 is just of 20% of range. Thanks for your consideration.
TSH .98
Free T3 2.9 (2.3 - 4.2)
Free T4 1.30 (.61 - 1.76)
I was wondering if you could give an opinion on my med dosage. I am currently on 100 mcg of Synthroid. I have been on this dose for over 4 months. I am continuing to have some hair loss, and a few other symptoms. I was wondering if from the labs below you think that I could increase Synthroid to .112 or maybe add 2.5 or 5 mcg of Cytomel, or would this bring my TSH too low. My Free T4 is now just over 50% or range and my Free T3 is just of 20% of range. Thanks for your consideration.
TSH .98
Free T3 2.9 (2.3 - 4.2)
Free T4 1.30 (.61 - 1.76)
Doctor's Answer
by Mark Lupo, M.D., Apr 18, 2007 12:00AM
, Apr 18, 2007 12:00AM
Labs are in target range. Either stay on 100mcg or consider a trial of adding cytomel -- if added then the synthroid would need to decrease (by 20mcg for every 5mcg of cytomel added)
