I think I need T3 but doc says no way

[Flys4Food]

I have been taking synthroid for about 2 months now after finally being diagnosed. I started on .5 and within a week started feeling better. However...after the third week started feeling run down again. Called the doc and he increased to .75. Started to feel better again and just had my blood retested. I think I need some t3 added to synthroid but doc says all is normal.

Here's the last labs...

TSH 0.89.....started out at 3.5

FT4 1.1....started our at .9     lab range is 0.8-1.8
FT3  319...started out at 319  lab range is 230-420

Although I'm much better I'm still having hypo symptoms; achiness, joint pain, etc.
My morning temp is still under 97 and my pulse still under 60.

However, My family physician, not the endo that is treating me, has wanted to put me on cholesterol meds for about three years. I wouldn't do it! After the synthroid my levels have dropped from 270 to 183 with LDL and HDL doing the same. On the right track but not quite there yet.
So what do you all think...agree with me or the doc about the t3?

Thanks

[Flys4Food]

Can't find anything on the net about not taking thyroid meds with tramadol.
Thyroid Peroxidase Antibodies
<10      according to Quest it needs to be <35

Thyroglobulin Antibodies <20  According to Quest, needs to be <20

Thyroglobulin
12.4      range 2.0-35.0

[Smilerdeb]

Never take Tramadol and T4 together at the same time.....wait an hour after taking the Tramadol.
I have taken Tramadol a few times for pain (prescribed for shoulder surgery) and it doesnt interfere with my T4 med as long as they arent taken together or an hour after taking T4 med.
I have also found this with my heart meds.
I took both one morning together and felt like I was off my face lol.
Never again!

I would go as far as to say...NEVER take anything within half an hour to an hour after taking T4 med.
I've stuck to that policy since the 'moonwalking' day I had with the heart med and had no problems.

[goolarra]

The two antibody tests for Hashi's are TPOab and TGab (thyroid peroxidase,  somtimes called microsomal, and thyroglobulin).  What were the results?

Have you checked interactions between tramadol and levo on the internet?  You might not want to take them at the same time...don't know.  Usually drug interaction info is both good and easy to find.

Yes, we are going to make you virtuous, and no, it is not always fun.

[Flys4Food]

I have had two antibody tests....would one of those be for Hashi's? My only vices are a couple of coca colas a day...and a couple cups of coffee. I do take tramadol on occasion for the muscle pain. So....guess I need to be patient! UGH!

[goolarra]

Well, Bella lives up to her name.  I'm in the middle of cowboy country.  Ever hear of the Sisters (Oregon) Rodeo?  It's quite the little event.  I've always felt horses were best when being observed for their beauty.  Never did like riding them (a bit acrophobic)

So, the standard questions...Are you taking any other meds that might interfere with absorption of the levo?  Supplements?  Foods or drinks eaten soon after?  Foods that you eat a huge quantity of (compared to the rest of your diet)?  Have you had antibody tests run (I probably should know this from above, but this thread is getting too long to search) and do you know if you have Hashi's?

A new lab two weeks after the last is basically a waste of money unless something really dramatic is going on (like heart issues, etc.) since things just don't happen that fast with thyroid.  Your 75s (whether a whole pill or 1 1/2 50s) really have not had time to make an impact.

My assessment:  you are still hypo.  You're getting more thyroid hormones now than you have in a long time, so you have some very good days.  However, there is a lot of residual healing to be done, and you are going to have your bad days, too.  Also, I suspect you will be increasing again in the not-too-distant future), so your meds are still in the process of stabilizing.  Oh, and those good days when you and Bella do your thing?  They may be contributing to the bad days, too!

We all went through that initial stage, during meds increases, where there were ups and downs.  You get to a point where the good days are more frequent, and the bad less frequent.  Then, after a while, you can't remember just when the last really bad day was.  

Wish I could say it'll all be a downhill ride...

[Flys4Food]

Help...feeling bad again!
The last couple of mornings I've started to feel worse again. Here's some history up to today. Started 50 of generic Synthroid on June 4. Within 3 or four days was starting to feel better. After about three weeks the progress disappeared and I called the doc. He bumped me up to 75 by cutting a 50 in half. After about three days started feeling better...not quite as good as I had but better. One week ago he called in a prescription for 75's. Started taking them and it seems I've started going downhill again. I'm going to go back to cutting the one in half. BUT...they are both made by the same manufacturer; Lennett. What the heck is going on here. Do I need another lab...just had one two weeks ago...is it the new meds. Also...my temp had actually started to climb up...was 96 in the morning and had climbed it's way to 97.5. Now...it's starting back down again.
Slow pulse, aches and pains, stiffness, all getting worse. THIS STINKS. I welcome anyones input!!!

Thanks

Take a look at how I did the damage to my groin... a picture of the old man is on my profile doing what I love to do.