Extra T3 warranted

[rmarie41]

My temperature fluctuates from 97 degrees to normal of 98.6 degrees.  I had parathyroid surgery this last June with the removal of one parathyroid and a nodule on my thyroid.  I am on Armour 90mg tablet which I take at 5 am each morning.  My temperature at this time is 97.0 degrees and rises throughout the morning until it gets to 98.6 around 10:30 to 11:00 am.  My temperature will start to decrease around 2 to 3 pm until it reaches around 97.6 in early evening.  Do I need additional T3 since the amount I am receiving in the 90mg of Armour is l8?  What tests need to be run in order to determine the amount of T3 needed and in what dosage should it be given?  I had taken 120mg Armour, but my heart was pounding and the doctor dropped the dosage to 90 mg.
TSH -0.01    T3 Total 2.48    Free Thyroxine T4 0.93 My MD appears to have difficulty in adjusting dosage for my needs.  Thank you.

[Mark Lupo, M.D.]

Your TSH is too  low.  Would consider splitting - half the armour in am the other half around noon or 2pm.  The TSH should be at least 0.2 to avoid negative consequences of over-replacement.