How much should I reduce Synthroid to add more Cytomel?

[Bunny333]

I just got my most recent labwork back:

TSH = 0.06
Free T3 = 284  (Normal Range 240 - 420)
Free T4 = 1.3   (Normal Range .8 - 1.8)

I currently take 100mcg of Synthroid and 10mcg of Cytomel per day (that was upped from 50mcg of Synthroid & 10mcg of Cytomel 3 months ago).  Still have major hypo symptoms of depression/anxiety which have been consistently the same even on old dosage.  I understand that Free T3 needs to be in the upper 1/3 of range in order to get rid of depression/anxiety.  Clearly I need to be taking more Cytomel, but how much more?  and how much should I reduce the Synthroid to increase my Cytomel?  Please help!  Also, is my Free T4 okay?

I tried reducing my Synthroid to 50mcg and taking 20mcg of Cytomel this week..and it seems to be kicking up more anxiety!!  Would Armour be a better choice?  Any advice you can give would be greatly appreciated

[goolarra]

I'm not convinced you need more Cytomel.  As you said, when you upped the Cytomel to 20 mcg this week, the anxiety kicked up, and that's exactly what I would expect doubling your dose of Cytomel to do.

How do you take your Cytomel?  Do you split the pill and take it in two separate doses?

Armour would probably not be a better choice...Armour has lots of T3 (4-5 T4 to 1 T3) compared to what the normally functioning human thyroid would have (20 T4 to 1 T3).

You should really discuss your meds adjustments with your doctor.  Self-medicating is not always the best way to go.  I did it for long enough because my doctor was an idiot, but I don't recommend it.