Is there a reason you didn't just add more desiccated after reaching 1.5 grains, instead of adding cytomel? It's no wonder your FT4 was down the tubes-- you were taking 23.5 mcg T3 and 57mcg T4, a very unusual balance. If you'd raised to 2.5 grains desiccated instead of the NDT + cytomel combo, you'd have been taking 95mcg T4 and 22.5mcg T3 and might have felt better. If you want to try again with desiccated, this seems to be a good target dose.
I would assume from your symptoms (grogginess, acne) that on your current combo of tirosint & cytomel you are inadequately dosed and still hypo.
There are other brands besides Armour indeed-- NP, Naturethroid, Westhroid-P (very few fillers), Erfa (though it must be sourced from Canada).
I have not heard that bit about armour raising antibodies. Antibodies usually decrease with any thyroid med. You can try supplementing selenium if you'd like to see the numbers go down, but really there's not much to be done except understand that with Hashi's, the attack will continue in the future, possibly necessitating future dose raises.
What are your actual, current, thyroid levels? Please include reference ranges, since those vary lab to lab and have to come from your own report.
There are 2 ways to calculate the dosage of desiccated vs synthetic. Dessicated has 38 mcg T4 and 9 mcg T3 per grain, so if you'd raised your desiccated according that, ahmee's calculation would be correct, and would seem logical; however, according to the conversion charts, 1.5 grains (90 mg) of Armour is equivalent to 150 mcg levothyroxine "or" 37.5 mcg cytomel (liothyronine), so if you'd raised to 2.5 grains, you'd probably have gone over the top, as you did with the addition of cytomel.
It's not unusual for FT4 to be lower in those taking a desiccated med. Perhaps you should have added a source of T4 med to increase your FT4 levels, rather than cytomel to raise FT3 levels.
Thanks guys! Seems as though you agree that trying again would be worth a shot. I am going tomorrow to get labs done and will report back with the numbers in a week. I don't have my latest handy but my ft4 last time ( before we increased t4 was .80 (forgot the range but that was the very bottom. I have to fight to get my dr to adjust my t4 meds bc he is of the mindset .8 is ok even though it's nowhere near 50% of the range...for me when it gets that low I get incredibly fatigued ). But my t3 was near the top (literally about to go over).
If your FT3 was about to go over the top, you didn't really need the extra cytomel. With a 0.8 FT4, you really only need to add a small amount of T4 med.
Remember, fatigue can apply to either/both hyper and hypo, so you have to also look at other symptoms. FT3 is the hormone that correlates with symptoms, while TSH and FT4 don't.