I had my thyroid surgically removed about 6 years ago, due to cancer. I saw a new doctor last week and she prescribed tirosint-200mcg per day. I am very excited to see if this helps with being absolutely exhausted all the time and weight gain. She ran a lot of hormone tests, but not for T3. Should I have this checked? I asked her about T3, and she said she would put me on it, but not for any length of time. She wants to start with the tirosint and then try a diet pill of some kind. Do people stay on T3 permanently? Or will the tirosint be enough? I have been on Synthroid and the generic. She explained a lot to me and I like her much better than the last doctor I saw, but she talked a lot and did not listen to me or many of questions. I have always been tired, but not as bad as I am now and I have never had problems with my weight. Very Frustrating
My synthroid dosages ranged from 25 mcg to 150, then back down to 50 (this was done by my pcp, because he was watching TSH only - mine went to the basement right away, so he kept cutting my med back, even though my FT levels did not rise accordingly). When I started going to my endo, I was switched to generic levo, and we started slowly raising my meds, in order to adjust FT levels, rather than focusing on TSH.
When I started the Tirosint, I was at 88 mcg levo (not synthroid). I needed an increase, in levo, so we went up to 100 mcg with the Tirosint (I made 2 changes at once - changed dosage AND med - that's a "no no")....... While I felt good at that point, we were afraid I might tip the scale the other way (to hyper), so I'm now alternating 75 mcg with 100 mcg, for an average of 87.5/day.... I'm doing good on it, so most likely, when I see my endo again (depending on labs at the time), I'll go to 88 mcg Tirosint...... 88 -100 mcg seems to be my comfort level.
You are right -- for most people, Tirosint is absorbed better, so if you need an increase, you could start at your current level of synthroid/levo, then retest after a few weeks and see what your levels are, then if you need a further increase, so it.......
If you are doing good on your current med, either stay there and don't rock the boat, or start Tirosint at the next lowest dose, retest in a few weeks and go from there.
what dose were you on when taking synthroid and what was your starting dose of Tirosint. I would assume that if Tirosint is better absorbed one should probably start at a dose lower than their synthroid right?
I am curious if anyone has switched from desiccated thyroid to Tirosint? My endo is suggesting this to me because I am having a very difficult time acquiring the former in Florida. I have had remarkable improvement on the desiccated, and I'm afraid to go back to synthetic T4 only. I doubt he will give me T3 as well.
Did you start the Tirosint at the same 150 mcg dosage you had been on synthroid? Since there is apparently, better absorption with Tirosint, than with other thyroid meds, for some of us, and if you are really sensitive, you might have done better to start on a lower dosage.