my doctor added cytomel / synthriod

[blondee028]

I have been taking 112mcg synthroid for 3 yrs now, I have pretty much crossed over to hyper, my tsh is 0.037,  T4 13.1
my t3 free  is  low 2.7,   free t 4  1.83 . Seems like my body isn't converting my t4 into t3,  So today my doctor added cytomel 25mcg, should he have lowered my dose of synthroid? Is it ok to take the same dose with cytomel? I have hypothyroidsim and hashimotos.

[Barb135]

Joint pain and stiffness can be hypo symptoms, as can be the elevated blood pressure, but that can also be from the higher FT4 level.  

Hashi's is a moot point if you have no thyroid, since Hashi antibodies only attack thyroid tissue.  Was your thyroid surgically removed or has it simply been destroyed by the antibodies?

[cupidcashier2]

am having joint pain and stiffness,,also elevated blood pressure..this has happened before and he would not add t3.can`t figure out what causes this to happen. I do have hashi`s and no thyroid.--thank you

[Barb135]

Unfortunately, TSH isn't what we're concerned about because a lot of things affect it, besides thyroid hormones.  We're more concerned with your actual thyroid hormone levels.

Rule of thumb - where most of us feel best is for FT4 to be about mid range (50%); your FT4 is at 80% of its range, which is much higher than necessary.  Rule of thumb for FT3 is upper half to upper third of its range and yours is only at 25% of its range.  In other words FT3 should be higher in its range than FT4 is in its... Yours is backwards.

It's customary to decrease T4 meds by 20-25 mcg for every 5 mcg of T3 added and it doesn't appear that your doctor did that.  With your FT4 level, you could easily drop off that 125 mcg those 2 days/week and go back to 112 mcg every day... you might even be able to drop back to 100 mcg every day, with the addition of the T3, though 5 mcg might not be enough.

Are you having symptoms of hypothyroidism?

[cupidcashier2]

hi, again,, labs 2/2/15   tsh 3.670-----r.r.0.450-4.500   ft3
2.5  r.r.2.0-4.4  ft4 1.58  r.r 0.82-1.77  112 sythroid 5 days    125 2 days  days a wk..added 5mcg cytomel   been on that for approx. 8 days......my tsh has bounced around before but never ordered t3 meds till now  .

[Barb135]

It might... why don't you post your actual thyroid hormone levels so we can tell more about your situation?  Be sure to include reference ranges, as those vary lab to lab and have to come from your own report.

[cupidcashier2]

will adding 5mcg of cytomel daily , help to lower tsh of 3.67o  r.r.4-450  on 112 synthroid 5days  123 synthroid 2 days..