Going hyper and now very hypo

[seasideseaweed]

After trying to add a tiny dose of cytomel, I had hyper symptoms.  My endo lowered tirosint from 137 MCG to 125 mcgs, but still felt hyper.  After still having tremors and anxiety, my labs showed tsh had dropped from 3.5 to 2.2.  I was still feeling panicky and tremors, so he lowered to 75 mcgs...(huge mistake)!!  After two weeks at this lowered dose my tsh spiked to 6.3 and ft4 dropped from 1.4 to 1.0.  I am trying on my own to move back up and am taking 88 MCG this week.  I'm having terrible anxiety and racing heart.  I am so upset because it has taken me a year to work up to the aforementioned dose of 137 MCG.  Dr actually told me it must be something else causing symptoms and to see my PCP.  Any advice how I can quickly get back to the 125 MCG area.  Seeing PCP tomorrow.

[gimel]

In view of your history of having to increase so slowly, I would be more cautious.  Since T4 builds up to about 75% of final effect on serum levels in about 2 weeks you could first try only 25 mcg and see how that goes for a couple of weeks.  That would also give you a little more time for your iron shots to build up your iron/ferritin levels, and your D to increase.  If all goes well then you could increase gradually from there.  Just my opinion.      

[seasideseaweed]

So PCP is treating iron and adding vitamin d3.  He advised me if I was his patient and we lowered dose from 125 MCG to 75 MCG and now hypo, he would move me straight back up to 125 and not tritrate me in small increases every 4 weeks.  Said not going to feel better til I get back there.  Any thoughts?

[gimel]

What about getting iron shots?  You need to correct that problem.

[gimel]

How about iron shots to get your level adequate?

[seasideseaweed]

We only added a half of lowest dose cytomel.  During that time I ended up with a uti and took augmentin.  That started the whole mess.  I immediately lost 10 pounds and felt hyper.  I am anemic right now, but unable to take iron supplements, as my stomach is such a mess.  I have no appetite.

[gimel]

How much Cytomel did you try to add?  Did you ever supplement enough to get your ferritin to an adequate level?  I ask that because hypo patients with low ferritin have sometimes reported hyper type reactions when raising their T3 dosage.