Thank you for your input. I sure hope that it just is about adding some T3. I was told after much pleading, that I could raise the T3 by 5mcgs. I believe that my low AM cortisol and reverse T3 may be an issue as well. Not sure how to handle those.
TSH is only a hormone sent out by your pituitary to adjust your thyroid gland. The more TSH it is telling your thyroid gland to turn on. The less TSH it is telling the thyroid gland to shut off.
With such a low TSH basically you are on oral replacement 100%.
It is pretty common for a person on a T3 medication to suppress the TSH (produce a very low TSH). It is also possible for even a T4 only medication to suppress TSH.
Your numbers are not terrible. But everyone feels differet and needs a number that suits them.
Your Ft4 is about 55% of the range and your FT3 is about 52% if the range.
As you may know some think that the target is FT4=50% or a bit above AND the FT3 to be 67% or so.
you seem to think you felt better before. And your FT3 were higher. So too was your RT3 which is your body's way of telling you that you have too much FT4 and is converting it to RT3 to help get rid of it.
It seems like the reduction in the T4 med has accomplished that by bringing the FT4 into range and also lowering the RT3 conversion.
However you say your symptoms are back some.
So it seems to me like you are VERY close to determining your optimized dosage. I think it is a small tweak in the T3 dosage. But do it slowly and with your Dr's orders.
I'm
Hi Barb. You answered part of my previous question the other day..Thanks.
127mg Tirosint 10mgs Cytomel, 3/11
RT3 401 [90-350]
TSH L
FT3 4.2 [2.3-4.2]
FT4 1.95 [0.9-1.8]
112 Tirosint 10mgs Cytomel 4/11 same ranges
RT3 302
TSH 0.01
FT3 3.3
FT4 1.39
RT3 302
Yes the dose is now 112Tirosint, 15mcgs Cytomel, taken in divided doses, the last is between 3-4pm and never caused a problem. With this dreadful insomnia, my sleep wake schedule is back to not so good.
If you can direct me to some documentation on why a depressed TSH should not be that worrisome, please let me know! If it's still depressed my doc will lower my meds again.
Thanks
If I understand correctly, your med dose is Tirosint 112 mcg and generic T3 15 mcg? Is that correct?
Can you post your latest labs, please, along with the reference ranges? Please post labs, both before the decrease in Tirosint, and after.
Are you taking that T3 all at one time or are you taking multiple doses throughout the day? Most of us on T3 med find that we feel better if we take multiple doses rather taking it all at once. Multi-dosing prevents a "surge" when the med is taken and the subsequent "crash" when it's used up, since T3 med enters the blood stream quite quickly and is gone relatively quickly.