Are you tired all day, or mostly in the morning and then improving in the afternoon, especially with any activity? Or are you good in the morning and tire out toward day's end?
I wake up tired. I take my dose at 7am, and generally sleep til 9am.
I get tired again, around 3. Take my second dose of Cytomel around 4pm, and am generally in bed by 11.
Your free T4 is lower than many people find to be optimal. Should be mid-range or higher. Yours is only at 20% of the range. Assuming that you did not take your T3 med in the morning before the blood draw, your Free T3 is at 67 % of its range, so there is room to increase as needed to relieve symptoms. Is your doctor willing to increase your meds as needed to relieve symptoms?
Hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin, all of which can cause symptoms as well. Have you tested for those recently? Are you supplementing for any of those?
One further possibility is cortisol. Have you been tested for cortisol?
Did you take your med the morning before blood draw for those tests?
Can you get the D and B12 tested if not done recently? Also do you think you can get the ferritin and cortisol tests done?
Btw, Here are the last labs, and I gained 5 lbs back, that had been lost in August.
TSH 0.005L (0.178-4.530)
FT4 0.98L (0.80-1.73
FT3 3.8 (2.0-4.7)
T3, Reverse 9.4 (7.5-19)
This was Armour 90 Now, 156lbs.
Your August labs were better than June, but still not optimal for you. In spite of that your doctor decided that your dosage was to high, no doubt due to the suppressed TSH, in spite of the fact that your Free T4 was only 20% of its range, and your Free T3 was at 67% of its range. Clearly the doctor does not know or accept that there are scientific studies showing that when taking thyroid medication, the TSH frequently becomes suppressed. That does not mean the patient is hypothyroid, unless there are associated hyper symptoms due to excessive level of Free T4 and free T3, which clearly was not the case.
If I understand correctly, your medication was increased from an equivalent of 110 mcg of T4 in June to 150 mcg in August, but then the doctor ignored everything else but TSH, and your med was reduced to the equivalent of 99 mcg of T4 currently. That would be a 33% reduction, so no wonder would have seen an increase in hypo symptoms.
A couple of questions. You mentioned new labs, but the ones just above are the same as those posted Aug. 12th. Are those the latest you have? Second, did you take your med the morning before the blood draw for those lab results?