Hi, I just wanted to know how I should take cytomel and synthroid combined?

[hypoplus]

I have hashimotos. The doctor told me to take synthroid in the morning before food. Then take cytomel three times a day. the synthroid is 75mcg and the cytomel is 5mcg 3 times a day which equals 15 mcg a day. My labs read TSH =1.33, T4,free =0.8 and T3,free =2.5  He said my numbers are at the low end. He changed me from Naturethroid to this. How do I combine these properly? I find it hard to take the 3 pills a day because of my work schedule. I read not to take cytomel at night because it interferes with sleep. Is this correct? Thanks for the help.

[gimel]

A good thyroid doctor is willing to treat a hypothyroid patient clinically by testing and adjusting Free T4 and Free T3 as necessary to relieve symptoms, without being influenced by resultant TSH levels.  Symptom relief should be all important, not just test results.  Your Free T4 and Free T3 levels are too low for many people.  What was your NatureThroid dosage?  What symptoms were you having associated with those test results you listed?  

Most people seem to take their T4 med in the morning before eating.  That provides best absorption.  There is no ironclad rule for taking T3 med, but many people find it best to take 1/2 in the morning and the other 1/2 after lunch in order to level out the effect as best possible.  Personally I don't see a need to split into 3 doses.   As you say, a night dose might affect sleep.