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.03 TSH levels

Hello, I also have <.03 TSH and my T4 and T3s are within normal range.  I was 200 mcg and now down to 137, ut I am way to tired, constipated and muscle pain, and the doctors not sure what is happening.  Any suggestions as to why the TSH levels are not moving?


This discussion is related to My TSH level is .03, what does that mean?.
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649848 tn?1534633700
COMMUNITY LEADER
Fuel1212 has not been active on the forum, for approximately, 2 years, so it's unlikely, you will get a response.  You might try sending him a PM and see if he still checks, those periodically.
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Avatar universal
Could you please tell me who the tyroid dr is in IL? I have had nothing but trouble and no luck at all since having thyroid cancer l9 yrs ago and I have been on every mcg of synthroid there is whith only side affects...esp hair loss to show for it.

could you possiblly email me this at ***@****
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Avatar universal
Thanks  for all your advice and time and patience. I totally understand and I appreciate everyone's feedback.  I just thought I did it wrong:(.    I guess I need to wait and see
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649848 tn?1534633700
COMMUNITY LEADER
We volunteer our time here, so none of us is online all the time and we can't always respond as soon as comment is posted.

It doesn't sound like you are getting any better, but then it hasn't been all that long since you changed doses and it does take a while for it take effect.  Most of your symptoms are hypo, but being tired can be either, hypo or hyper.  The sweats indicate hyper.  It's really hard to know without seeing another set of labs.

It takes at least 4-6 weeks before a med dose has full effect and you've only been on the 50 synthroid and 10 cytomel for about 10-12 days.  

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Avatar universal
Hi, I posted last night but did not add anyone.  Please read my previous post. Thanks
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Avatar universal
Hello, its been awhile and I thought I'd give u all an update.  I have been taking 50 mcg of synthroid and one 5 mcg cytomel in the morning and then another one in the afternoon.  How am I feeling... I am tired and I am still having sweats and my voice is hoarse and can't think straight.  I know I have to wait but for how long.  I am now experiencing day sweats as well as night sweats.  What the heck is going on??  HELP!  Do I have to give it more time?
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649848 tn?1534633700
COMMUNITY LEADER
How long can you stay on that dosage (50 mcg synthroid, 10 mcg cytomel)?  It's going to take several weeks (or more) to stabilize; do you have enough of each of the pills to go that long?
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Avatar universal
Hello Barb,
yes I decided to figure this out on my own as the capsule pills were going to give me a heart attack.  The pressure in my head was to much and even when I only took 1/2 the capsule (over 1 week) it still gave me severe headaches.  I have been on the capsules for over three weeks now and not getting better.  I hope I have done the right thing.
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649848 tn?1534633700
COMMUNITY LEADER
You said on April 14: "I am taking 25mcgof synthroid and 25mcg  triiodothyronine capsule form"......... Now you say: "I noticed that be taking the 50mcg synthroid and 10mcg of cytomel I get hot flashes during the day".

Did you change your synthroid dosage?  Do you I understand correctly, that you now take 50 mcg synthroid and 10 mcg cytomel?

Sometimes, changing a medication or dosage can cause different symptoms.  Also, keep in mind that it takes several weeks for the synthroid to build up in our system, so you won't feel effects of it, right away.
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Avatar universal
Its a compound that is made at one pharmacy cannot buy it over the counter.  I noticed that be taking the 50mcg synthroid and 10mcg of cytomel I get hot flashes during the day. Not sure I understand it as I was taking 25 mcg of triiomeds and only had night sweats and jitters and with 10mcg in pill form I get hot flashed during the day and I am tired
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Avatar universal
Its a compound and I am praying that taking 5mcg in the morning and then again at lunch will do the trick. Thanks again goolarra and barb
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Avatar universal
If the triiodothyronine capsule is all T3 (25 mcg), that's a big dose, especially to take all at once.  Do you get it at a compounding pharmacy as a prescription, or is it sold over the counter?  

If I were you, I think I'd try taking just 5 mcg of Cytomel in the morning with your Synthroid and taking the other, as you suggested at lunch time.  If you feel better doing that (don't have the jitters, etc.), you can ask your doctor about increasing a little if you still lack energy.
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Avatar universal
I am taking 25mcgof synthroid and 25mcg  triiodothyronine capsule form.  My understanding is that this is a compound as it is not found in all the pharmacies I can only go and get it in one place   This morning at eight I took 50mcg of synthroid and 2 tablets of 5mcg of cytomel as I still have some left from last year.  As for the triiod meds they come in a capsule form and I used to open the capsule and empty half close the  capsule and then take it but it felt like my head was going to blow off and lots of anxiety and night sweats.
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Avatar universal
What exactly have you been taking?  How much Synthroid, how much Cytomel and how much of the T3 "capsule"?

You can't effectively split a capsule.  You have to get the meds in another form so you can take less at a time.

Today, when did you take the 50 mcg Synthroid, and when did you take the two 5 mcg Cytomel?

Please, be very specific about exactly what you take when.  
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Avatar universal
How do I split it if it's a capsule?  Today I took 50mcg of synthroid and 2    5mcg of cytomel and I am having hot flashes.  Maybe I should only do1 in the morning and another one at lunch?  Thanks so much for all your replies and help lets see if tonight I get the night sweats

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Avatar universal
If I unserstand you correctly, and you've been taking 25 mcg of T3 (sounds like it might be time released), if you discontinue the T3 you've been taking and switch to 10 mcg of Cytomel, you can expect your FT3 to drop.

I agree with Barb, your FT4 badly needs to come up.  

As for the T3, have you been taking 25 mcg all at once?  Most people who take T3 meds will split the daily dose in two, taking half first thing with Synthroid and the second half sometime late morning or early afternoon.  T3 is very fast-acting, and that smooths out some of the peaks and valleys.  Most people avoid taking it after about 3:00 pm (on a "normal" sleep schedule) so it doesn't interfere with sleep.  You might have to experiment a little to see what works best for you.
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Avatar universal
The triiodothyronine is a compound and from what I understand it's suppose to be like cytomel but long lasting.  I currently take 25mcg of the triiodothyroxine but because it gave me the jitters, and I thought my head would explode I am opening up the capsule and pouring out half the compound and I still feel sick.  If I only take 10mcg of the pill form I wonder if that will drop my t3?  Should I take the 10 mcg first thing together with my 50mcg of synth rood?
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649848 tn?1534633700
COMMUNITY LEADER
"I have 50mcg of synthroid and 10 mcg of cytomel and getting off the triiodothyronine  as I think that it is to strong for me."

Cytomel is the brand name for triiodothyronine; are you taking both brand and generic  triiodothyronine?

It's late in my world, so I'm off to bed, but will check back in, in the morning; otherwise, maybe someone else will come along......
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Avatar universal
thanks Barb,  that is what i was thinking of doing on my own. The doctor wants me to stay with the meds, but i am to sick to stay on.  I have 50mcg of synthroid and 10 mcg of cytomel and getting off the triiodothyronine  as I think that it is to strong for me. Am I going about this right and try it?  If so, when should I notice a difference.

Truly appreciate this Barb
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649848 tn?1534633700
COMMUNITY LEADER
Let me put this together and you tell me if I'm right.

FT 3 = 4.7 (range 3.5-6.5)
FT 4 = 7.2 (range 9.0-23.0)

Your FT4 is way below range and your FT3 is low in its range... It seems that you need an increase in your synthroid dosage.

The cytomel should give you energy, not cause it to drop; however, some people do report worsened symptoms with an increase in medication for a period of time.  

I wonder, though, if you should ask your doctor for an increase in synthroid, to something like 50 mcg and maybe only 5 mcg cytomel.
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Avatar universal
okay here they are Ft3 range  (3.5 - 6.5)   t4  (9.0 - 23.0).  I am considering on taking 50mcg of synthroid and 2 X5 mcg of citomel.  The only problem is that if I take the 5 mcg twice a day, my energy level drops and I am lethargic.
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649848 tn?1534633700
COMMUNITY LEADER
When goolarra asked for the ranges of your tests, she didn't mean the  4.7 for FT3 and 7.2 for FT4 - those are your results...... on your lab report, there should be reference ranges, sometimes in parenthesis beside the result.  If your levels fit inside those ranges, you are considered "normal" by most doctors..  We need to know what those ranges are, in order to see where your levels fall within the ranges.
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Avatar universal
Hi, I am on 25 mcg of triiodothyronine and 25 mcg of synthroid.  As for my ranges, my Ft3 is 4.7 and Ft4 is 7.2.  I am experiencing night sweats even when I take 1/2 a capsule of the triidothyronine and 25 mcg of synthroid.  I am foggy brain and not sure what I can do to feel better.
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Avatar universal
Am I reading correctly that you've been taking 45 mcg of T3 and no T4 recently?

What are the ranges on your FT3 and FT4?  Ranges vary lab to lab, so they have to come from your own lab report.
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