Labs

[karenms]

Hello.  Thank you in advance for your help.  I was wondering if I could get your opinion on my labs.  I currently take 100 mg of Synthroid and 5 mcg of Cytomel.  I am feeling a little hyper.  When my TSH goes below 1, I feel like I have a little too much medication.  Also, my Vitamin D is low at 25, and I am taking prescription D once a week.  My question is from the labs below, do you think it would be better to stay on the 100 mg of Synthroid and drop the Cytomel, or stay on 5 mcg of Cytomel and drop the Synthroid to 88mg?  Thank you.

TSH  .74  (4.5 - 4.5)
Free T3   3 (2.3 - 4.2)
Free T4  1.02  (.61 - 1.76)

[goolarra]

If you didn't really have to start the Cytomel to relieve symptoms, then I'd definitely try dropping it before dropping the T4 (disclaimer:  I'm not a doctor).  T3 meds (or more properly your FT3 level) are often the culprit in making you feel a bit hyper even though your labs look good.  If it doesn't work out, you can always ask your doctor about adding the Cytomel back in and decreasing the Synthroid.  However, you seem fairly close to feeling good.  So, if you do decide to cut back a bit on the Symthroid, I might try not quite so big a decrease...perhaps alternate 100s and 88s and see how that goes for six weeks before lowering further (if necessary).

[karenms]

I think that I just wanted to try it.  It seems like so many people are on the combination.  Perhaps the better way to go would be to leave the T4 the same and drop the Cytomel.  What do you think?

[goolarra]

Why did you add the Cytomel in the first place?  Did you have a hard time alleviating your symptoms on T4 only?