Regulating Meds Post-Op

[bubba430]

It has been one year since I had a total thyroidectomy secondary to papillary ca.  In my mind, the surgery was the easy part.  Now it is figuring out what meds work.  My previous endocrinologist had me on 150 mcg of Synthroid.  When I switched endocrinologists, he place me on 112 mcg of Synthroid coupled with 12.5 Cytomel and now wants to reduce the Synthroid dosage to 100 mcg along with the same dose of cytomel.

At present, I feel jittery inside but have no energy and feel depressed.  Also, I overheat very easily.

At 5'9 190 lbs, what should my dosage be?  My most recent TSH had me at .01.  No other labs were run.

[bubba430]

Thank you, Laura.  I have a slip from my gp for other labs, so I will just add Free T3 and Free T4.  I don't know what it is like in Florida but it is nearly impossible to find a good endocrinologist in PA.  I have been to 2 and am not satisfied with the quest so I will continue.  One website outlining endocrinology top docs, has a gp in the area who will prescribe whatever you ask for and has ads for oxycontin on the wall.  Not sure how he got in the mix but it is scary!

[laura1967]

The fact that only a TSH was done is the problem. First....anyone on Cytomel will have a supressed TSH, that will look hyper....you cannot go by TSH. You should be treated by your free t4 and free t3. Otherwise you have NO idea if you are on enough T3 or too much, and same with the T4.
Maybe I would suggest finding a thyroid specialist who understands and knows that the Free's are the actual active thyroid hormone in the body. TSH is a pituitary function test. Kind of scary that this Dr has you on both meds but doesn't understand the importance of proper tests and results.