You're close to what many find good. Definately in the majority of patients upping that Free T3 level some could be very helpful.
I saw on the T4 level however. You could drop down to .88 mcg while adding in the .5mcg Cytomel or stay at the .100mcg Synthyroid and still add either a 2.5 mcg or the .5 mcg Cytomel
Either way the Cytomel would be good to push with this other doctor to bump that T3 level more. You are hovering right in the middle where most patients find being in the upper 3/4 to even 95% to the top of the reference range makes them feel better.
I don't think adding more T4 - depending on that alone to convert is good here and the "tweek" of adding in direct T3 could definately be your answer.
You will need to test all these levels in 4-6 weeks after you get the Cytomel and definately start a log after you start that script to track your symptoms to show the doctor you goods/bads since you started. Taking your symptoms and the new labs after you start T3 will determine what you should do next if anything at all.
Hello again, I have gone back to get my blood results and they are:
free t3 4.1 (ranges 3.5 - 6.5)
free t4 16.6 (range 9.0 - 23.0)
tsh .79
YIPPY in one way and Boohoo in the other. So I went and saw another doctor in the office and he said my levels are fine and to stay at the .1 mcg. I asked him about the cytomel as I am tired, foggy brain, and weight gain, and he said "NOPE" that the levels are all fine and there is no need to change anything. He said that the T3's are within range, and maybe I should try some Omega fish oils, and or some stress tablets???? So, I am going to see another doctor tomorrow to see if he will do something for me and hopefully prescribe me some cytomel so that I can feel normal again. Question, what should the are the "normal" counts for the T3 and the t4's? What should I suggest the doctor give me?? Do I stay at the .1 mcg and the 5 mcg cytomel?
Hi there,
Hope you are feeling better. It looks like you are on 100mcg of Synthroid. You are wondering about the Cytomel. Synthetic T3 works very fast. If it were me, I would start on 2.5mcg of Cytomel a day. Make sure you don't have major hyper symptoms. Eventually, you could go to the 5mcg maybe 2.5 in the morning and 2.5 in the afternoon to keep you going. I wouldnt take it too late because it may effect your sleep.
If it were me, and I am not a doctor, but feel pretty confident in this being where you are. I would guess you are not converting properly. You also may have some adrenal issues. Being from Canada, I would find a good doctor that prescribes ERFA. Start our with 60mg or 1 grain and get some ADR by Pure Encapsulation to support the adrenal with repair. Do that for about 6 months and see where you are of course testing every 3 months or so.
Hope this helps
Fuel
Hello, I am wondering if I go to the doctors and ask him to give me 5mcg of Cytomel, and how much do I need of my synthroid? I am on .1 mcg. I am hoping by approaching the doctorsw this will help me with foggy brain, tiredness and weight gain.
hello again, i am tired and gained a few pounds even though I am dieting and walking running at least 5 days a week, but lately like 4 weeks ago, i got vertigo and I am still not over it. Does vertigo have anything to do with my meds being lowered?? How can I get my metabolism to work so I don't gain any more weight?? Please and thanks
I'm another whose TSH stays in the basement (latest was less than 0.03) and I'm a long way from being hyper. My FT3 and FT4 levels have been good, so we ignore the TSH.
Since your doctor agreed to let you stay on some T4 med, is it possible that you could approach the idea of T3 med again? Would it help if you print out some info regarding the use of T3 meds and take it to him? Some doctors are open to various treatments if you can show that them it's a good thing. I had a lot of the same issues until I finally got in to see my endo, who immediately put me on cytomel to bring my FT3 levels up.