Imbalance??

[sunrock]

months back I showed Hyper and also felt that way, So my Dr.
put me down to 100mcg of Tirosint and 5mcg of T3 medication, told me to test in 6 weeks

So I did......

Here is that test:

TSH .128     range .450-4.50

FreeT3     2.8          range  2.0-4.4

FreeT4     1.36       range .82-1.77

I was feeling okay then.... but lacking energy and tired, so she had me go up to 7.5 mcgs of T3
as they looked low... and said to test again in 6 weeks.

So here is the latest and last test done this week

TSH  .061  range .450-4.50

FreeT3   3   range 2.0-4.4

FreeT4  1.27  range .82-1.77

It seems like my T3 are ok now and I feel good but for one bad symptom, heat intolerance!!

I noticed that my T4 went down even more (??) could that be the cause of the heat intolerance??

At one point ...my Dr. mentioned doing two different doses for a in between number, example 100 mcgs one day of Tirosint and then another mcg the next??

Any  idea as to what could help balance out these numbers...I feel that I am finally getting close to feeling the best
BUT I am really not liking the heat intolerance at all...sweating when in the low 70's!!  wearing Tee shirts when others are wearing jackets etc

Any help to what dose combo  number would help??

Any suggestions, ideas or thoughts....
Thanks,

Mia

[AJWS6]

HI Mia, wishing you the best on your labs/treatment, sorry to read your not converting to T3 well, and your absolutely correct, sometimes our bodies just need time to heal and adjust.  Sometimes we can be our own worst enemies, we would all love to get to the norms of life overnight, but truth is hormone adjustment takes lot's of patience.  Once I learned to accept this fact, my life became much more balanced.  Body temp adjustment can be uncomfortable, but we have to do the best we can to manage through.  This may help you, when my body used to be on fire, I would use a ziploc bag full of ice on the back of my neck, really helped to reduce body temp.  I understand completely how you feel, you will get through this, wonderful to read you are doing well otherwise.  With your positive attitude, your going to be just fine real soon, keep us up to date on your journey, wishing you well friend :)  

[sunrock]

Thank you AJWS6

I am going to wait it out for another month and re test to see where the FT's are at and which direction they are going.
I did find out I need T3 medication as I do not Convert from the T4

I am hoping that I just need some body adjustment time and things will work out.
The way you described the heat is what I feel as well...but right now that is my only bad symptom...so that is good..if that goes way..I will be feeling pretty good
I have come to accept that I will always have good days, once in awhile a great day and some not so good days...but I will keep going....

Mia

[AJWS6]

Hi, if levels are optimal, other conditions can cause cold/heat intolerance as responders suggest.  Noticed when I was going hyper, my FT4/FT3 was on the rise, specially my T3 heat was unbearable.  I would start sweating sitting in an air conditioned room, as if I had just mowed the lawn, sometimes I felt as if I was sitting in an oven on broil.  My body is not very T3 tolerant, I am one of the unusual ones that feel better with reduced T3,.  Will know for sure at end of month blood labs.  Wishing you well on your journey.    

[sunrock]

Thanks,
I will.

[Barb135]

You should go ahead and test in a few weeks anyway, just to be sure you're on the right track.

Good luck

[sunrock]

Thank you, my friends, for once again coming to my support :)

I think I will hang steady and hope for a cool fall.
Yes, it has been hot! and here in the west of USA a smokey one with lots of fires.  low in humidity as well!

I also have come to accept that I will have good days and not so good days and will go with that .....
If I feel worst I will test again and see where the numbers are at.
And of course let you know :)-

Thank you Barb and goolarra

Mia

[Barb135]

I'm 63 and went through surgical menopause at 46, so should be well beyond hot flashes and night sweats, but I still have them and I'm not hyper.  I often alternate between hot and cold, especially, during the night - covers on/covers off.  

Needing to rest a lot, could indicate either hyper or hypo, so I agree with goolarra; maybe if you try to hold steady for a bit longer, cooler weather may resolve the issue.  I'm looking forward to it, myself. It's been a horribly hot summer for a good share of the country and many of us aren't handling the heat like we normally do.

Sometimes, I find that a cool cloth on the back of my neck or running cool water over my wrists, eliminates or resolves a "sweat".

[goolarra]

I understood you meant to alternate your T4 dose, but since you didn't change your T4 dose, your FT4 actually went down a little and you've developed what could be a hyper symptom, I don't think your T4 med is the culprit.  The only thing you did was raise your T3 dose, so I'd look to that as the cause of your heat intolerance.  

I only suggested that you might try alternating it (as I said, not the greatest idea when it comes to T3) since it's almost impossible to get a dose anywhere between 5 mcg and 7.5 mcg.

I think you might try holding steady for another month.  Fall's coming!  Between the cooler weather and getting used to the extra T3, the problem may resolve itself.

[sunrock]

Thank you folks!!

I am 55 and went though menopause at 49.

I thought at first I would just stick it out and see...as I do live in hot and dry country. But even now just sitting here typing in a cool room, my forehead is sweating. Running down the back of my neck!

goolarra...I didn't mean cut the T3 dose...I meant alternate T4 Tirosint dose.

I do know that I have a conversion problem and must be on T3 medication

If I wasn't running hot all the time I would be pretty happy...I do find that I need to rest a lot...but ...

I am wondering about what the Dr said in upping the T4??

So maybe not?? Wait another month??

what a journey!!

Mia

[Barb135]

FT4 is the storage form of hormone and does not correlate with symptoms, nor does TSH. At any rate, your FT4 is at 47% of the range, so that's good. You have to look at the FT3, which in your case, is only 41% of the range.  You still have room to increase, there.

That said, I don't know your age, but you might need to look at other factors.  I've had "swings" between heat and cold intolerance for years.  The initial heat intolerance was perimenopause/menopause, the cold intolerance was hypothyroidism, but when they combined, it felt like a pendulum swinging. In fact, I still have some of that...... even with FT3 and FT4 right in the "rule of thumb" areas.  I can be sitting at my computer, nice and comfortable, and all of a sudden I'll get a chill and need a throw or long sleeved shirt, then next thing I know, I'm sweating.  This happens in bed, as well.  One minute, I need covers, the next I'm sweating and don't want anything touching me.

Other than that, I feel very well, so I just take it as a "trade off"....... I know which circumstances/places are likely to cause me to chill, and which are likely to cause me to sweat, so I dress accordingly, or layer so I can shed or add garments, as needed.  The longer I stay at optimal levels, the less frequently the pendulum swings.

[goolarra]

Heat intolerance is a symptom of hyper or over-medication, so when your FT4 goes down, it shouldn't be causing heat intolerance...just the opposite.

I don't know where you can go from here.  It's pretty tough to split the extra 2.5 of T3 in half, but perhaps that's what you need to do.  Although it's not such a good idea to alternate doses with T3, you might try 5 mcg one day and 7.5 the next to see what that does...not ideal, but practically speaking 6.25 is almost impossible to do (except perhaps as compounded?).

[Barb135]

I typed a response, but when I hit send, I thought it posted, but it said the page was temporarily unavailable.  Hang on, I'll try to recreate it.

[sunrock]

Bump up...

gimil? goolarra??Barb135????