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Enlightened by new doc, not sure about changes..

Well I finally got to my new doctor.  She ordered all labs and after 6 years of being hypothyroid, today I finally discovered I apparently have Hashimotos.  This doctor ordered labs and got results.   I am at:  TSH 2.05  Free T4 1.2 (0.8-1.8 range)  Free T3 288 (230-420 range)  Thyroid Peroxidase antibodies 121 which is apparently high.  

She said she would give me either Synthroid/cytomel combo or Nature-Throid and recommeded starting with Nature-Throid.  I take 125 mcg synthroid now and she wants to start me on one grain, which she said is low, and check my temp every morning and tweak as needed.  She also said Hashitmotos is like a roller coaster and I may need varying doses to take when I vary up and down.

I did ask about weaning on to the new med as I am sensitive, but she said since it is a low dose to begin with, that it should be fine.  I am a little concerned but guess I will try this, has anyone ever just switched?  Also I read about taking it sublingual as I have nausea somewhat anyway, but not sure how to do this, just crust pill and let dissolve under your tongue?  Does anyone take this dose all at once or split for am and pm dosing?

I also took the Rx to the pharmacy and they said that there is no such thing?  Doctor wrote Thyroid 60 mg?  So I called the doc and am waiting a call back to confirm is this is the correct Rx as the pharmacy was no help at all and just blew me off.  

If this switch is not good, I guess there is always cytomel/synthroid, but I already struggle with synthroid now and it seems this combo does well on a short term basis but not long term.  Does anyone do well long term on this?

I am excited to feel better, but nervous about the transition.

Thanks for any info,
Kris
6 Responses
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937837 tn?1285350385
yes I hope this will be a good thing! My Husband and I are TTC, and I hope having TSH @ 1.5 is will give us a chance!
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168348 tn?1379357075
I see your 1.5 TSH mood .. this is good news, right?

C~
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Avatar universal
Thanks for the info.  I am going to get the Rx straightened out tomorrow when the office calls me back.  I do think the Synthroid, for me, has a lot of side effects and not enough benefits except for the thyroid levels.  I hope this new medication will be better.  I have read that it is the most hypoallergenic as well which is great.  

The doctor is going to go by symptoms also and do follow up labs in about six weeks but wants to see how my temp varies when I first wake up in the morning along with my symtoms if any for that day, hope I can remember :)

Thanks for the link I will go check it out.  Thanks for the info too.

I will let you know how it turns out, hopefully well!
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Avatar universal
Oops, forgot to give you the link.       http://www.nature-throid.com/conversionChart.asp
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937837 tn?1285350385
I have Hypothyroid and have had problems taking just Synthroid. I am now on Thyroid (wich in a canadian brand of dessicated thyroid).  I feel some what normal, I have read that the T3 is more helpful with symptoms.

I also did research and disscovered that Synthroid has lactose as one of the fillers. A lot of people tend to be quite sensative to it. You might actually do a lot better on the Nature-Throid.

It might take some time for the Synthroid to fully come out of your system, but hopefully you will de better!
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Avatar universal
I have switched from Synthroid to Armour, which is much like Nature-Throid.  I think that is a good idea to start on a low dose, because of the T3 in the med.  The doctor probably meant to write Nature-Throid instead of thyroid.  Also, I believe one grain of Naturethroid is 65 mg, not 60, like Armour.  So you'll have to get the doctor's office to straighten that out.  Here is a link on Nature-Throid.
Many patients report better overall results when splitting the dose of meds with T3 in them.  Half in am and other half late in afternoon.  Some patients like to take thyroid meds sublingually, by just placing under tongue and letting dissolve.  Not sure how well Naturethroid works this way.  The important thing is to just be consistent in how you take meds.

I'm surprised about the inference that meds might be adjusted based on temperature.  Body temperature is definitely  an indicator of hypothyroidism, but I would be much more confident of adjusting meds based on your symptoms and your FT3 and FT4 levels.  
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