Feeling Hypo especially after eating

[Fuel1212]

I had 2 questions, if I could ask

Recent Labs
TSH .42   (.40-4.5)
FT4 1.5  (.8 - 1.8)
FT3 327 (230-420)


1.) Does anyone else feel terrible after eating? Like your body is very sluggish and having difficulties handling the metabolism of your meal, even if the meals were small. (lethargic, chills, cloudy head, feeling heartbeat even, internal shaking, etc)

2.)I have a Rx for 5mcg of Cytomel. A few weeks ago, I tried taking a half, and had trouble sleeping and also felt wound up, and my muscles were kind of sore. Is this normal? Will I get used to it, if I continue. I do know that I had energy, and my mood was great! I would love to get back to normal with energy and be able to exercise. This Levo along makes me bloated and have gained a few pounds, which I have not had.

Thanks all I love this place and could not do this without you all!
Fuel

[Fuel1212]

Thank you, I will see what happens. I only have a few more 75mcg left, but I have a full thing of 50's that I didn't use. I could split those in half and take 3 halves lol. Hopefully, I can sleep on this stuff. Last time was brutal.

Fuel

[goolarra]

The 88 would be too easy...splitting's half the fun...you have to have the ritual!  It's good that you're taking the increase slowly.

I'd really give the Cytomel another try.  You might try taking the half after lunch, when you might need a little pick-me-up.  If that works out for you, you could then add the second half in the morning with your levo.  It might also work out better for you now that you're alternating 75/100.  Your FT4 looks really good (even, perhaps, a tad high, but nothing to worry about), and you usually decrease levo by approximately 25 mcg when adding 5 mcg Cytomel.  So, the increase to 100, plus adding the Cytomel might just have been too much, too fast.  Now, you've been alternating for a while, got used to that, the Cytomel might be an altogether different experience.

[Fuel1212]

BTW - Those labs are before taking any Cytomel

[Fuel1212]

There are times when I have constant burping. There is usually no acid that comes up though.

[LazyMoose]

To you get reflux with this?

[Fuel1212]

Its when I eat anything. Obviously, the more I eat, the worse it gets. It's kind of like that big Thanksgiving meal, and how you feel after. Only I have it all the time

The doctor did not lower my levo. I am presently at 100mcg. I have been alternating days 100one day and 75 the other. I started this because I was feeling hyper symptoms. I suppose I could ask for an 88mcg?

Thanks

[LazyMoose]

1) This can be a hypo symptom, digestively speaking, you could be slowed down and this can cause many symptoms. But your labs look good. T3 meds can make great digestive improvements with some people, even if labs during T4 meds looked ok. Might look into probiotics to help in the meantime.

Another thing, have you tried to see if its certain foods causing this? Sugar, gluten(breads), carbs, meats?

2) T3 usually makes muscles feel stronger, and most previous aches go away. However the temporary 'jolt' to the body with T3 at first could cause tense muscles from temporary hyperness. Did you tighten up, like a tense feeling? T3 feels weird at first, many people will say this.

[goolarra]

1)  Does this happen no matter what you eat?  Carbs?  Protein?  Fat?

2)  It's normal to get a bit of a jolt from Cytomel at first.  You'll get used to it.  I'd give it another go because, looking at your labs, it seems like just what you need.  Was your T4 med reduced when the Cytomel was added?