Latest labs-thinking possible conversion problem.

[bedheadblonde]

So my last post I asked about getting labs done at just after 4 weeks t see what they'd show on a slight bump in dosing my levo, I got the okay to go ahead a get it, and they were:

TSH-2.97(.45-4.5)
FT4-1.7 (.9-1.8)
TT3-68 (60-180)

Now compared to early November, the TSH has improved, (was 6.9 or so)but my T3 has not budged,(in fact it went lower) and with my Ft4 raised a tad, I think I do have a problem with converting. My appointment is Monday, so I'm going to ask about adding Cytomel-just a touch-to see if that improves my symptoms any (since I'm still cold, dizzy, losing hair, etc.) but I'm not sure if I'll stay on the alternating dose or just drop back to 88mcg and add in the Cytomel. I think things are finally falling into place for me, now that I see my TT3 is staying woefully low these past few months. (I'm also going to ask about FT3 and vitamin tests.)

[goolarra]

You can definitely play with the timing of the second dose.  You can try taking it a little earlier to avoid the symptoms you've been having just before.

You do have two things that need to balance out.  T3 will have a much more immediate effect than cutting back on T4.  That's why it's often best to work your T3 dose up slowly (which you are doing).  I'd give that some time.

A few hyper symptoms (like sweating) when you first start T3 aren't unusual.  However, if that persists, talk to your doctor about it.

[bedheadblonde]

Alright so day 3 of doing 1/4 of 5mcg at around 8 am and another 1/4 around 2 :

The morning dose I take 2 hours after my levo, and after I've ate a little something. I still feel dizzy (I wasn't expecting to instantly not be) but it seems my palps and shakes ease up, and my bp does great...for a while. An hour or so before I take the second dose, I suddenly feel terrible-dizzier than usual, shaky, my heart will race, and my bp goes way up. Taking my second dose eases this a bit, but not a whole lot. This normal as my body gets used to the drug? Or should I try taking my second dose a bit earlier before this feeling hits? Just a matter of waiting as my levo balances out since I was bumped down to 88mcg at the same time? My FT4 was on the high end of the range, so I'm not sure if it's kind of freaking my body out.

Also, normal to sweat so at first?  In the a.m. when I'm not feeling so terrible,  I noticed a lot of sweating, but not really being hot. Just sweat!

[bedheadblonde]

My problem is I don't know if my dizziness (my main complaint) is from the low iron or my thyroid. I guess I'm going to have to see what the T3 does to determine, and in the meanwhile, increase my iron intake.

[gimel]

From what I have read, the recommended level for women is around 70-80.

[bedheadblonde]

Yeah, some say 70 is about where you should be at a minimum.

[goolarra]

Your iron is probably more than a bit low.  I believe the recommended level for women actually starts around 70, but don't take my work for that.  I'm sure you can find that number online pretty easily.