112mcg of Synthroid and 5mcg Cytomel Twice a day

[Gatorgirl39]

I had a thyroidectomy in 2008 and ever since then I have been on a roller coaster of Synthroid!  Up and down. 112 to 150mcg's.  Finally Mr. Perfect Endoman has saved me with the Cytomel 5mcg in the am/pm.  HOWEVER  I started the cytomel just in the am while I was on 137mcg of Synthroid.  I dropped every afternnoon about 3pm to total sleepytown.  I mean like I couldn't hardly stay awake.  So Mr. Perfect Endo dropped my Synthroid to 112mcg's and Cytomel twice a day.  Now for the first two weeks or so I was soooooo great.  My memory returned (some of it!) I had energy allll day!  Life was good!  Well now I feel like I am back to the beginning again!!  The cytomel definately helps but it's kinda like speed.  It wears of eventually.  I am a very active, healthy, fit mom of two.  I try not to complain but I think we are almost there.  Do you think the Synthroid is too low now?  I don't get labs for another month but I could call them and ask to be checked earlier if it has been long enough.  I was always kinda hyper busy before all this and I wanna be like that again!!

[TamraW]

You had both lobes removed and you are only on 75 mcg Synthroid? This endo needs to pick up the pace. Hopefully, add some Cytomel in there once your FT4 levels are up.

:) Tamra

[blsdnsvd]

Im sitting here trying to keep my eyes open as i type this message. I had a TT on 12-17-09. I was started on 50mg of Synthroid on 01-05-10 by my Endocrin because my surgeon doesn't start any med's until 1) the pathology comes back and 2) the labs come back....well, being that i saw my Endo before i received the referral from the surgeon for the labs, she ordered them first. My TSH 3rd gen was 39.51 ..range is 0.40-4.50...my t4 Free was 0..3...range 0.8-1.8 t3 uptake , was 0.6...range is 1.4-3.8...It was explained to me that was normal for a "thyroidless" person and the med's would fix it...which i knew, but, my endocrin didn't up my synthroid after the lab's came back and when i saw my Surgeon yest for the last followup visit, i told him that i was exhausted daily past 12pm and i could not stay up pass 10pm, I would fall asleep...he says that my dosage needs to be increased and i phoned my endo and she increased it to 75mcg...so i am praying that this will help at least some. We shall see.

[gimel]

Yes, you definitely should get a current check on your thyroid hormone levels.  Most important, insist that they check for the biologically active thyroid hormones, free T3 and free T4, not total T3 and total T4, along with the usual TSH.  

In my opinion, the very best way to treat a thyroid patient is to test and adjust FT3 and FT4 levels with whatever type of medication is required to alleviate symptoms, without being constrained by resultant TSH levels.  Frequently this requires adjusting FT3 into the upper part of its range and FT4 to at least midpoint of its range.  

Always get a copy of test results for reference and then,  if you will post results and reference ranges members will be glad to help interpret.