Question #1: Did the Dr reduce your T4 medication when he added the T3 medication to try to deal with the Reverse T3 issue?
Question #2: How much T3 was added? Reasons why I ask is that many people can only tolerate small increases of T3 medication and must work up slowly. It seems most people that have problems tolerating the addition of a T3 seem to be when the initial dose from nothing previous was starts at about 10 mcg and more problems if more than 10 for an initial dose. Some people even have to start with as little as 2.5 mcg per day.
Reverse T3 is only made as far as I know by the conversion process of T4 into T3. So this might be another reason to consider reducing the T4 med as well as possibly adding a T3 med or in combination. The less T4 there is to convert into RT3 the better or at least that is the theory.
Another thought that you may consider if adrenal testing. Adrenal's can also affect the conversion process and thus RT3 issues. I have no idea if headaches like you describe are associated with adrenal issues. Long time Hypo sufferers sometimes have adrenal fatigue as they try to make up for the lack of Thyroid.
Hi and thanks for your response.
answer #1 : Yes, I was initially taking 3 grains of NT. At that time my Ft3 and reverse T3 ratio was 8. He decreased to 1.5 grains and added 37 mcg Cytomel, all this in the course of three months. My Ft4 was 0.9 which is at the bottom of the range and where has always been when I am not taking replacement. After three months of adding Cytomel slowly, my ratio was 15.
answer # 2: 37 mcg of Cytomel. As I mentioned before it was all achieved by adding and decreasing every two or three weeks.
My ratio now is 9.
I thought that in a period of three months of adding Cytomel I should feel a little better, but I had horrible muscle pain, my hair was falling out in clumps (still falling) and the palpitations and anxiety where too much, I could not even sleep.
I remember when I first started treatment I was on Synthroid and Cytomel. I needed a lift and my doctor added just 5 mcg (I was taking 5 mcg already) of Cytomel and I went nuts with the anxiety, palpitations and horrible itching. I had to stop all together and start over with Naturethroid.
Since I started with the headaches, 8 months ago, I became constipated and lost lots of weight. How can I be constipated with my frees in the upper range?
My doctor has never mentioned adrenals although he tested my cortisol once (blood, one morning draw).
Scientific evidence shows that magnesium can help prevent and treat migraine and cluster headaches. There is a book on the subject: "How to Use Magnesium to Prevent and Relieve Migraine & Cluster Headaches Naturally" by J. S. Cohen MD. Chelated magnesium has an absorption rate of 40%; magnesium oxide (the cheapest form available) has an absorption rate of around 4%.
Excerpt from "Are You Magnesium Deficient?" from Health Dimentions:
"A magnesium mineral deficiency may cause the following symptoms:
* Nervous anxiety
* High blood pressure
* Muscle weakness, cramps and spasms (this one is a definite sign of magnesium deficiency, possibly even calcium)
* Premenstrual Syndrome
* Hearth rhythm irregularities/ angina
* Cravings for chocolate and caffeine (which also causes the body to lose more magnesium)
* Back pain
* Headaches, cluster headaches, migraines
* Stiff and aching muscles
* Bones and joints that need continued chiropractic treatment
* Kidney stones
* Attention deficit disorder [ADD]
* Adrenal exhaustion/chronic fatigue syndrome
* Exhaustion from exercise"
Could you please post your latest lab results along with their reference ranges.
Thanks!! I was reading online and you could be right. I am losing weight because I do not feel like eating. Plus my urine smells weird.
I made an appointment with my neurologist but doesnt have anything available until two more months and I need some relief now. I would like to be tested for magnesium without a prescription...do you know where I could do that?
I read that also melanin is good for cluster headaches. I also have sleep apnea whir worsen my condition. Thanks!!!
Back in November I had these results, I was taking 2 grains of NT and 37 mg of Cytomel. I felt very nervous and anxious and could not concentrate, I had constipation, hair loss, bleeding before period, and the usual headaches:
TSH: 0.01 0.4-4.50
Free T4: 0.8 0.8-1.8
Free T3 4.2 2.3 -4.2
Reverse T3: 28 11-32
I started then taking 100 Synthroid and 2 and 1/4 grains NT. After a month in this dose:
TSH: 0.01 0.4-4.50
Free T4: 2.2 0.8-1.8
Free T3: 5.2 2.3 -4.2
reverse: 58 11-32
My doctor reduced after that result my NT. Thanks!!