TSH Low Cytomel Added Help

[Niema]

Recently on 125 Levoxyl and TSH came back @ 0.03 with all other levels within the normal range.

My physician reduced the amt. of Levoxyl to 100 but added 25 mcg. of Cytomel to go with it.  Won't that be too much?

Thanks, Niema

[Mark Lupo, M.D.]

Yes - that is the equivalent of 200 Levoxyl as cytomel is 4x as potent -- 25mcg at once is a lot of cytomel for most patients -- if you want to try cytomel with levoxyl, given that lab value on 125 I would decrease levoxyl to 75mcg each am and add cytomel 5mcg 2x/day.  If you decide to use the 25mcg of cytomel  - start with only a half pill to make sure it wont be too stimulating...

[Niema]

Thanks for that info, sounds like I could have had more than jitters if I had added the who pill and not even reduced the Levoxyl.

Can't thank you enough.

NIema

[HashiMan]

Hi, I saw your question way below and wanted to warn the Dr. might not see it unless you post it as a new question.
Also, if you can include the normal ranges for those results, it will help him answer better about your medication need or not.
I will say that your TPO and TG antibodies are elevated because that is above the range, by any lab's standards, especially the one that's over 900! THat looks pretty definate for Hashi's disease but your hormones may not be affected enough yet to cause hypo symptoms. With your antibodies so high, you'll have to monitor close or may already need hormone medication.
My antibodies were similar in range to yours:
           TG ABs: "537" (range <40)
          TPO ABs: "84"  (range <35)

My TSH however was elevated at: "8.3" (range 0.5 to 4.82) and my T-3 Uptake was two points below normal. My other thyroid hormones were all in lower half of normal and I was having significant hypothyroid symptoms!
Best regards!

[NURSELPN]

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