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New thyoid results


hello all
I started on cytomel with some positive results. I am still not feeling well but it seems that my levels are still not were they should be I suppose. Can someone offer me some more advice? Here are my new levels:

TSH .67
Free t3  3.05
Free t4 .072

I still feel very tired and somewhat depressed. My endo will give me medicine but will not offer any advice on what I should be taking. I have serious ringing in my ears and my body seems to be healing slowly but I get pain in my head as if I can feel my pituitary gland trying to function. Is this normal? I don't know. Also I know my Vitamin D was 27. I'm on 15 mg of cytomel and I was on 50mcg of levothyroxine. I am debating should I drop my dosage if levo or up my cytomel. I don't know what to do. Also I get headaches around 5pm. Should I take my cytomel in the evening also? Again my sypmtoms are headaches,  tiredness, anxiety, headaches around 5pm. I feel great in the morning until around 12pm. Then it is is down hill. Please help.
.

Best Answer
Avatar universal
Do you take the 15mg of Cytomel at one time? I think it would benefit you more to split the dosage and take half early am and the other half in the mid afternoon, If you just started out on Cytomel, taking 15mg all at once can be a little strong to start. Try splitting it and see if you feel better. Good Luck FTB4
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Avatar universal
Midrange on your FT4 range is 1.1, and midrange on your FT3 is 3.2.  

You figure it like this:

lower end of range + upper end of range / 2

2.5 + 3.9 / 2 = 3.2

Your FT3 is a little low, but your FT4 is really low.  Both have to be in a good balance for us to feel well.  Now that you're on both T3 and T4, you might have an entirely different experience with increasing your levo than you had when on levo alone.  Be sure to increase slowly.  
Helpful - 0
Avatar universal
Hi and thank you. Just curious does the ranges mean t4 should be around 1-1.3 and t3sgould be like 3.60?  When I went up on levo I felt soooooo sluggish and shacky and cytomel is the only pill I've taken that seems to help. Should I change levothyroxine?  Thank you for your help so much. This is such a lonely road.
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Avatar universal
"I'm on 15 mg of cytomel and I was on 50mcg of levothyroxine. I am debating should I drop my dosage if levo or up my cytomel."

Your FT4 is at 11% of range.  50% is the rule of thumb for FT4.  Your FT3 is at 39% of range, and upper half of range is recommended here.

While both are low, FT4 needs to be increase more, and you will likely get some increasse in FT3 by increasing T4 meds.  I'd leave Cytomel alone and increase levo.  
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Avatar universal
Hi I do split the doses. I take half at 8am and 12pm. And my ranges are:

Free t3 3.05 (2.50-3.90)
Free t4 .72 (.61-1.60)
Tsh .67 (.49-4.67)

I'm wondering should i up my cytomel?
Thanks
Helpful - 0
Avatar universal
Please post the refeence ranges for your tests.  Ranges vary lab to lab, so you have to report them with results so we have a basis for evaluation.
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