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thyroid

been on cytomel 1month.  tsh gone down to .27, t3 2.9, t4 1.23, reverse t3 13.5. should i go down to 75 mcg synthroid or stay at 88. i feel good!
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Avatar universal
We will need to see the reference ranges for those results as the ranges vary from lab to lab. Please post them.

As long as your numbers aren't out of range though, if you are feeling good, why lower your dose? If you lower the dose you will risk symptoms returning. It's best to trust yourself; you will know better than anyone else how good or not good you are feeling on a given dose. Let that intuition help guide your treatment rather than just looking at numbers.

How much cytomel do you take each day?
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Avatar universal
Hi Ahmee, Thank you for responding.  

My T3 free us 2.9 with a reference range of 2.3 - 4.2 pg/ml

My T4 free is 1.23 with a reference range of 0.75 - 2.00 ng/dl

My TSH is .27 with a reference range of 0.30 - 4.70 uIU/ml

My reverse T3 is 13.5 with reference range of 9.0 - 27.0

1 month ago 1.27, 2 months ago it was .54

The thing was that I was still feeling tired.  I thought it might be my low estrasdiol level, so I tried different compounding pharmacy and felt more tired on their compounded  HRT script.  I did up my level of estradiol  but went back down right away because of tired feeling.  Then, I went back to old pharmacy where I don't think I absorb hormones as well.  Anyway,  I noticed my total t3 was low 68 for a range of 100- 215.

I thought well I either could try armour or add cytomel to my synthroid.  I tried armour for a month once but felt tired on it.  So, I was on 5 days of 88synthroid and 2 days of 100synthroid per week.  Asked my doc to try 75 synthroid  and 5 mcg cytomel (liothyronine).  Felt, tired after a week, then did 88synthroid, and 5cytomel.  Then,did 88 synthroid and 7.5 cytomel ( 5 in morning and 2.5 in afternoon).  I got my results back and my tsh went down and my t3 needs to be higher.  So, I decided this last week to take my 75mcg and 7.5mcg cytomel.  However, starting tomorrow I am going to take 75 synthroid and 10 cytomel (5 in morning, and 5 in afternoon).  I want to increase my t3 numbers.  Honestly I checked my t3 just shy of 1 month.  maybe it will take another 3 weeks to show up in blood work.

But it started last year with very tired when I had tsh of 2.79.  I went from 75 to 100 then 112.  I felt awful after 3 months, and started getting numbness in my leg, then rash on my neck.  I went to hospital and my tsh was .25.  However, I started a new estrogen hormone from new compounding pharmacy at that time too, but I blamed it on synthroid.  I then lowered it to 88, 100, 88, 100. and have been playing with that for last 9 months.  I am still trying to get estrogen compounded script right too. Every compounding pharmacy I feel different on, and my body absorbs different too. Some compounding pharmacy's I absorb estrogen well and my TSH goes up even a point.  So, thats  how I know I am absorbing my estrogen.  I went back to old pharmacy after feeling tired on new pharmacy compounded prescription of estrogen.  And decided to focus adding t3 cytomel,  and see if I stop feeling so tired.  My levels of T3 showed low anyway.  

Anyway, the 5mcg in morning are great.  I have lost a lot of muscle from synthroid. The 3 months of 112 really made me loose a lot of muscle.  I did loose weight, but now gained some fat back and I am less muscular.  I am an athlete too, so it is hard to see my muscle waste away.  I am scared, and want to do right thing.  My new doctor really does what I want to do which is nice.  I haven't told her I went back down to 75 yet from 88.  She let me up my cytomel dose to 7.5.  But I would like to go to 10 cytomel since I lowered my synthroid.  The weird thing is that I think last December 112 was to much.  But If I take 75 with 10 of cytomel I will be at 115.  each 5 of cytomel is worth 20 synthroid.   So, I am wondering do I wait and stay with 88synthroid  and 7.5cytomel which I have taken for about 3 weeks but that right there is 118.  or do I drop to 75 synthroid and keep my cytomel at 7.5 which is a total if 105 synthroid.  Higher than my original plan of 75 synthroid and 5 cytomel which would be a total of 95 synthroid.  The first week I was tired on 75 synthroid and 5 cytomel, so I upped it back to my 88, and took 5 cytomel and then added 2.5 after another week.  Then, saw my t3 results after a little under a month, and decided my t3 needs to be higher,  and I would lower my synthroid.  I know complicated.  So,  what I want is higher t3 from cytomel, but I don't want muscle loss or heart palpitations from cytomel, so I am a little frightened of harming my body!
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Avatar universal
I agree that your T3 is low, it is not even in the upper 50% of range. Most people need their FT3 to in the upper third of the range to feel good. However, your FT4 was not in the upper half of the range either, and the rule of thumb there is at least 50% of range.

What is most important to know is that the TSH is something you can disregard at this point. Once you start treatment, especially with T3-containing meds, the TSH starts to plummet. When adequately treated, many people, myself included, find the TSH hovers around 0 (0.07, in my case). Alos, Total T3 is a pretty useless test since it's not showing you what of that T3 is available for your body to use. Hence why Free T3 is the preferred test.

When you are calibrating your dose, it is important to know that T4 meds don't reach their full potential in the bloodstream for at least 4-6 weeks. So if you are only testing 3 weeks into a dose change, you are cheating yourself out of the real results. I would stay at 88mcg synthroid, since your FT4 is still not optimal, and the 7.5mcg cytomel, even though that is also possibly too low for you, and retest at the 6 week mark. Unfortunately you really do need to wait out each dose change; you are doing yourself a disservice by switching from this to that dose so rapidly. While T3 meds are fast acting and you will see their full results a lot quicker than the T4 meds (within 2 weeks or so), T4 meds take much longer. Once we see the results at 6 weeks of steady 88mcg T4/7.5 T3, we'll have a better idea of where your numbers are at. Since both FT3 and FT4 are still low, you will want to raise T4 first, as the idea is some of that T4 will be converted into T3, and both numbers will rise together. More T3 can be added later if your body does not appear to be converting enough to raise the FT3 into that upper third of range.

I just want to stress again how important it is that you not switch doses so frequently without giving each dose time and re-testing! I know it can be frustrating to have to wait out dose changes, but it will make finding the correct dose so much easier in the end. Sometimes when you make a small change, you will have new symptoms, or worsening of symptoms, in the interim while your body adjusts. This doesn't mean you should change the dose again right away; you really just need to wait things out. Hope this helps and please keep us informed of your next bloodwork results.
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649848 tn?1534633700
COMMUNITY LEADER
I agree that you're switching doses too quickly.  You have to give each one time to stabilize before you decide it's not right for you.

While it's true that T4 med decreased by approximately 20 mcg for every 5 mcg T3 added, you can't really consider that T3 med is equivalent to 20 mcg synthroid, because they are actually 2 different medications and the body reacts differently to each one.  When you take a T4 med, it's presumed that you will convert a good share of that to T3, so when you add a T3 med, it's necessary to decrease the T4 in order to compensate for the conversion.

Your FT4 is only 38% of its range and rule of thumb is to have it at around the mid range point.  You don't really have enough FT4 to convert to adequate amounts of FT3.  ahmee is right that you should increase the T4 med and get that level optimal, then adjust the T3 med, so you feel well.

Are you having any symptoms, other than feeling tired?  There are other things that can cause that, as well.  Have you had vitamin B12 tested?  B12 deficiency can cause horrible fatigue, if not treated properly, as can deficiency of other vitamins/minerals.
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Avatar universal
Hi, thanks ladies!

1)  when I was on 112, I started to get numbness in my left leg.  I also got a rash on my neck, thought it was due to synthroid.  I have also lost a lot of muscle. Have I fried something or did I go toxic from going from 75 to 112 last year. I dropped after 3 months back too 100 and 88's.  I was with a bad natuopath then, he did not advise me well.

Yes, My Methylmalonic Acid Quant, serum test which is another way of measuring B12, was slightly elevated, consistent with mild vitamin B12 deficiency  or renal insuffiency, or intravascular volume contraction.
.56 was my result with 0.00-0.40 being standard.

I am taking multiple vitamin with iron now.

More troubling though was my homocysteine test result of 14.4 when 3.3 -10.4 being standard.  It means my body is aging fast inside I read.

I asked my doctor for cytomel.  I asked her for 5mcg, I added 2.5 in afternoon after one week, she ok'd it.  I am wondering if I should only take the 5 mcg, in stead.  I added 2.5 cause still tired after a week, but I also dropped to 75 when I did that, then decided I need the 88s.  I was on 75 for years, then last year became extremely tired and went from 75 to 112, with that naturopath who did not advise me right.  with a family doc now who lets me do what I want within reason.

Anyway, I guess I do not need to worry about my TSH then.  Please tell me how my reverse T3 is doing. (I tested it after about 26 days after I started cytomel. I was on 5mcg for a week and upped it myself to 7.5 on second week. Reverse T3 is 13.5 with range 9.0 - 27.0.  My T3 after 26 days is 2.9 with 2.3 - 4.2 being standard.

I take hrt therapy. In 2010 my estradiol was 211, in July 2013 under 19, changed pharmacies same script, in October 2013 went to 26 for my estradiol,to low for being on hrt, but felt more tired.  I thought maybe I absorbed new pharmacy better, and the estradiol was making me tired, it did go back up slightly, started to gain fat.  so, went back to old pharmacy and wanted to try T3 to see if helped my tiredness. so that is where I am at.  I take bi-est, estrogen and progesterone trokee, made from yams compounded.

And also I take compounded testosterone made from yams.  The weird thing was that I did change pharmacies only for my estrogen trokee.  And happen to get my testosterone  test done twice in a 6 week period.  Truthfully I may have doubled up a few times cause my testosterone was low but not everyday.  Maybe, once or twice a week.  Anyway. my free testosterone went from 0.6 to 21.8 with a standard range of 0.6- 3.8 pg/ml, and my total testosterone went from 9 to 254 with a standard range of 9-55ng/dl, and my sex hormone binding globulin went from 127 down to 95 with a range of 30- 135nmol/L

My Iron is 69 with a range of 40-150 ug/dl being standard

My Ferritin is 50 with 10-291 ng/ml being standard

My lipid panel great. Cholesterol 139, should be under 199.

Vitamin D 37.7 with standard 30. - 100

Ann
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Avatar universal
If you are taking a multivitamin with iron, check to see if there is calcium in it. Calcium interferes with the absorption of iron to the point that it may be canceling out the iron completely. I take my iron at night before bed so it does not interfere with calcium in food nor my thyroid meds. I also take it with vitamin C for better absorption.

As stated above, I would not change your T3 med at this time. Stick with your current dose of T4 and T3 until you have been on both for 6 weeks straight, then retest. The next step will be to interpret those results and tweak T4 med. Down the road you can tweak T3 but I would not touch it for the time being. There is no reason to lower it as your FT3 is still low.

From what little I know about Reverse T3, but I don't think it's an issue for you at the moment.

I would also try and keep your HRT consistent over the next several weeks so you can see the full effect of the thyroid meds. Remember, it's best to change only one variable at a time so you can discern the effects of each individual med, HRT included. Judging by the numbers and the huge leap you are over-supplementing testosterone though, so I would think you'd want to cut back on that by a lot.
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Avatar universal
Forgot to say that a ferritin of 50 isn't terrible, but it's recommended to aim for 70 or above. Your vitamin D is quite low, so hopefully you are supplementing.
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Avatar universal
Thank you Ahmee for you excellent advise, appreciate it!
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Avatar universal
Hi, thanks ladies!

1)  when I was on 112, I started to get numbness in my left leg.  I also got a rash on my neck, thought it was due to synthroid.  I have also lost a lot of muscle. Have I fried something or did I go toxic from going from 75 to 112 last year. I dropped after 3 months back too 100 and 88's.  I was with a bad natuopath then, he did not advise me well.

Yes, My Methylmalonic Acid Quant, serum test which is another way of measuring B12, was slightly elevated, consistent with mild vitamin B12 deficiency  or renal insuffiency, or intravascular volume contraction.
.56 was my result with 0.00-0.40 being standard.

I am taking multiple vitamin with iron now.

More troubling though was my homocysteine test result of 14.4 when 3.3 -10.4 being standard.  It means my body is aging fast inside I read.

I asked my doctor for cytomel.  I asked her for 5mcg, I added 2.5 in afternoon after one week, she ok'd it.  I am wondering if I should only take the 5 mcg, in stead.  I added 2.5 cause still tired after a week, but I also dropped to 75 when I did that, then decided I need the 88s.  I was on 75 for years, then last year became extremely tired and went from 75 to 112, with that naturopath who did not advise me right.  with a family doc now who lets me do what I want within reason.

Anyway, I guess I do not need to worry about my TSH then.  Please tell me how my reverse T3 is doing. (I tested it after about 26 days after I started cytomel. I was on 5mcg for a week and upped it myself to 7.5 on second week. Reverse T3 is 13.5 with range 9.0 - 27.0.  My T3 after 26 days is 2.9 with 2.3 - 4.2 being standard.

I take hrt therapy. In 2010 my estradiol was 211, in July 2013 under 19, changed pharmacies same script, in October 2013 went to 26 for my estradiol,to low for being on hrt, but felt more tired.  I thought maybe I absorbed new pharmacy better, and the estradiol was making me tired, it did go back up slightly, started to gain fat.  so, went back to old pharmacy and wanted to try T3 to see if helped my tiredness. so that is where I am at.  I take bi-est, estrogen and progesterone trokee, made from yams compounded.

And also I take compounded testosterone made from yams.  The weird thing was that I did change pharmacies only for my estrogen trokee.  And happen to get my testosterone  test done twice in a 6 week period.  Truthfully I may have doubled up a few times cause my testosterone was low but not everyday.  Maybe, once or twice a week.  Anyway. my free testosterone went from 0.6 to 21.8 with a standard range of 0.6- 3.8 pg/ml, and my total testosterone went from 9 to 254 with a standard range of 9-55ng/dl, and my sex hormone binding globulin went from 127 down to 95 with a range of 30- 135nmol/L

My Iron is 69 with a range of 40-150 ug/dl being standard

My Ferritin is 50 with 10-291 ng/ml being standard

My lipid panel great. Cholesterol 139, should be under 199.

Vitamin D 37.7 with standard 30. - 100

Ann
Helpful - 0
Avatar universal
hi, ummm, well, one day I had pain in both legs, upper legs like bad cramps.I think that I increased my dose to fast from 2.5 to 5.0 to 7.5 all within weeks. I felt like I was gaining weight and loosing muscle.  I got scared and wanted to try armour thyroid.  1 gram a day.  Well, I started getting pelvic pain, back pain, and digestion issues.  Been in it for 8 days.  I think the armour might be causing my pain, and messing with my body.  I think I should go back to 88 and 2.5 cytomel for 6 weeks.  7.5 was to much.  And the loss of muscle tone scarey.  But the pelvic ache is not fun, and my ph off causing a discharge.  I did get tested  for std's nothing has shown up yet.  I let dr. give me meds  anyway for infection before final results come back.  I have had a partner for 3 years, we do not live together.  I think maybe armour is messing with my female stuff, giving me pain, is that possible?
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649848 tn?1534633700
COMMUNITY LEADER
The thing that's messing with your body is that you are changing med(s)/ dosages WAY too fast.  You haven't stayed on anything long enough to let it work for you.

Even the faster acting T3 meds have to have time to stabilize in your body.  You've changed so many variables over the past few weeks, that it's impossible to tell where you're at or what could be causing what.  

It's unlikely that the Armour would be causing your pain.  Are you near your period?  Or do you have them anymore?  Are you still on the HRT?
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Avatar universal
YOU are creating a roller coaster.  YOU are changing MANY different drugs, hormones and dosages of each not to mention different pharmacy's etc.

you may as well be on a roller coaster juggling 6 chain saws, wondering why are are dropping saws or missing a saw here and there.

ONLY, ONLY, change one thing at a time.  Do NOTHING for 6 weeks.  Then get tested.  Decide with your Dr. what SINGLE thing to change next.

All the hormones interact with the other.  Many people have difficulty even trying to balance out and stabilize with Thyroid hormone.  You are juggling testosterone, progestrone and estrogen in addition to Thyroid. You are then changing dosages of each over very short periods of time and throwing different pharmacy's formulations into the mix.  This is a nightmare. Your body is in absolute complete confusion.

Do youself a favor and STOP.  Slow down.

my recommendation would be to increase the T4 medication and leave everything else where it was when you felt the best as you can best determine.
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Avatar universal
Hi Ladies,

This week I am taking 100 synthroid, not cytomel.  I am afraid, because the 7.5 cytomel was really to much it ate my muscle fast.  I would try 88 and 2.5 again, but I am afraid of cytomel.  It does burn muscle, and make one more flabby.  Has anyone experienced this, or is it that I just took to much cytomel,  I mean at first I asked my doctor for 75 synthroid and 5 cytomel, but did not stick to that. I raised it back to 88 and then took 2.5 twice a day and after 3 weeks, went to 5 cytomel in morning and 2.5 in afternoon of cytomel, big mistake, I got cramps in my thighs, could not sleep, lost muscle.  My doctor let me do it.  I just tell her what I am doing.

Before I started on the cytomel, I was taking 88 synthroid 5 days a week, and 100 synthroid 2 times a week. I was feeling tired.  Tried changing pharmacy's for my bi-est because was not absorbing estrogen and the pharmacy I was using and my estrogen was dropping and felt tired, my estrogen was low and numbers went up after changed pharmcy's, but felt tired, and my TSH went up when my estrogen went up.  So I then thought well maybe try cytomel.

I had to change pharmacy's and try different ones because each pharmacy made the bi-est (estrogen e1 e2 and progesterone compounded)  same prescription, stronger, still working on that,  and the stronger pharmacy  for my bi-est would raise my TSH and make me  tired.  I am lowering dose and trying one of the pharmacy's in a different dose but in cream form this time.  

I would sort of like to do the 2.5 cytomel but am afraid, do I do it every other day with an 88.  Since I was doing  the 88 and 100 synthroid on different days?  Or just forget about cytomel for awhile.  

The 7.5 cytomel that was to much for me. I got pelvic pain after I went off it. When I was on it,  I could not sleep on 7.5 cytomel, up most of night, to much for me, joints hurt, thigh cramps, loss of muscle.  

I think most people lower there synthroid a little when they add cytomel right?  Do I do 75 synthroid and 2.5 cytomel.  Or 88 synthroid and 2.5 cytomel?  I am not taking more than 2.5.  I can't loose anymore muscle.  And if it is not a long term drug, I should not go back on it.

Some one tell me about the muscle loss.  Maybe athletes should not take cytomel.  I swim for 1 1/2 hours daily.  Maybe I should not take cytomel, because when I researched it, cytomel messes with atp, and protein synthesis, it burns energy but also muscle!

Anyone read up on the muscle loss, are any of you athletes like me?

Ann
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Avatar universal
Hi Ladies,

This week I am taking 100 synthroid to bring T4 up, not taking cytomel.  I am afraid of cytomel, because the 7.5 cytomel was really to much it ate my muscle fast.  I would try 88 and 2.5 again, but I am afraid of cytomel.  It does burn muscle, and make one more flabby.  Has anyone experienced this, or is it that I just took to much cytomel,  I mean at first I asked my doctor for 75 synthroid and 5 cytomel, but did not stick to that. I raised it back to 88 and then took 2.5 twice a day and after 3 weeks, went to 5 cytomel in morning and 2.5 in afternoon of cytomel, big mistake, I got cramps in my thighs, could not sleep, lost muscle.  My doctor let me do it.  I just tell her what I am doing.

Before I started on the cytomel, I was taking 88 synthroid 5 days a week, and 100 synthroid 2 times a week. I was feeling tired.  Tried changing pharmacy's for my bi-est because was not absorbing estrogen and the pharmacy I was using and my estrogen was dropping and felt tired, my estrogen was low and numbers went up after changed pharmcy's, but felt tired, and my TSH went up when my estrogen went up.  So I then thought well maybe try cytomel.

I had to change pharmacy's and try different ones because each pharmacy made the bi-est (estrogen e1 e2 and progesterone compounded)  same prescription, stronger, still working on that,  and the stronger pharmacy  for my bi-est would raise my TSH and make me  tired.  I am lowering dose and trying one of the pharmacy's in a different dose but in cream form this time.  

I would sort of like to do the 2.5 cytomel but am afraid, do I do it every other day with an 88.  Since I was doing  the 88 and 100 synthroid on different days?  Or just forget about cytomel for awhile.  

The 7.5 cytomel that was to much for me. I got pelvic pain after I went off it. When I was on it,  I could not sleep on 7.5 cytomel, up most of night, to much for me, joints hurt, thigh cramps, loss of muscle.  

I think most people lower there synthroid a little when they add cytomel right?  Do I do 75 synthroid and 2.5 cytomel.  Or 88 synthroid and 2.5 cytomel?  I am not taking more than 2.5.  I can't loose anymore muscle.  And if it is not a long term drug, I should not go back on it.

Some one tell me about the muscle loss.  Maybe athletes should not take cytomel.  I swim for 1 1/2 hours daily.  Maybe I should not take cytomel, because when I researched it, cytomel messes with atp, and protein synthesis, it burns energy but also muscle!

Anyone read up on the muscle loss, are any of you athletes like me?

Ann
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Avatar universal
Hey Barb,

I should probably stay on only synthroid for a while till my pelvic pain goes away, I think it was from cytomel.  

Article on Cytomel below:

Cytomel

Liothyronine Sodium

Cytomel is a thyroid hormone designed and developed to treat hypothyroidism. Hypothyroidism is simply a condition where adequate thyroid hormone(s) are not being produced; commonly this can be caused by an iodine deficiency, as well as pituitary malfunction among other causes but it is a condition that is quite common. Through the use of Cytomel we can increase the amount of thyroid hormones we have in our body, most notably the Triiodothyronine hormone commonly known as T3. The Triiodothyronine hormone is responsible for many functions, most notably metabolic activity but it also plays a role in bodily growth and the heart among many others. As T3 is produced by the pituitary gland its mode of action in terms of development and release is regulated by the thyroid-stimulating hormone (TSH.) Once thyroid hormones both T3 and T4 reach a certain level in the blood production is decreased as increased levels block TSH from being released; however, once the levels fall TSH is again released and more T3 and T4 is produced. By supplementing with Cytomel we actively increase the amount of T3 in our body far beyond what natural TSH will allow.

Cytomel 101

T3 is responsible for regulating the rate in-which energy is burned in terms of both nutrient intake, as well as stored energy. By introducing Cytomel into the body, a synthetic form of the T3 hormone we increase this rate; in very simple terms Cytomel or T3 feeds off of raw energy and as levels increase more energy is needed to meet its needs. This increase in energy feeding results in producing greater metabolic activity; as stored body-fat is stored energy it begins to burn at a faster rate as the amounts of the T3 hormone increase. However, it is important to note when T3 levels increase the energy demands must be met and they will be met one way or another. This simply means both fat and muscle tissue can be used as this energy source; while fat will be the primary focus, if adequate measures are not taken when consuming Cytomel muscle tissue will be burned as the Cytomel will get what it needs by any means possible and will not discriminate.

The Benefits of Cytomel

With a simple understanding of Cytomel and the T3 hormone understanding its benefits should come quite easily. By taking Cytomel we increase the amount of T3 in our body, by increasing the amount of T3 in our body we increase metabolic activity; by increasing metabolic activity we increase the rate in-which we burn fat. When we look at it in its most simplistic terms it is just that, rather simple; however, to fully understand the benefits of Cytomel we must understand the full effects of the T3 hormone which are quite vast and affect many various areas. While these affects are vast we are only largely concerned with how they affect metabolic activity; however, it’s effects can stretch to even the heart as increased levels of the T3 hormone increase cardiac output

By taking Cytomel we greatly increase protein efficiency; however, we also increase the rate in-which protein is broken down. Due to this fact adequate amounts of protein must be taken in but this is good news as even though we require more than normal each gram is now being utilized to a far greater degree. Further and this is of the greatest importance, when we take Cytomel we increase the rate in-which glucose is metabolized by increasing the rate in-which glycogen is broken down. The faster this occurs the sooner the body is required to rely on stored body-fat for an energy source. Further and of equal importance, by taking Cytomel we increase the rate in-which cholesterol is broken down; all of these things greatly aid in increasing the rate of lipolysis.

The Side-Effects of Cytomel

As is with all medications Cytomel does carry with it potential negative side-effects, however many of the side-effects commonly associated with this medication are of little truth but some do exist. The blatant obvious negative effect is undoubtedly the loss of muscle tissue; as many performance enhancing athletes use Cytomel in an aid to lose body-fat they do so on a calorie restricted diet, because of this low consumption of calories, if adequate amounts are not in place muscle tissue will be burned. For this reason, a performance enhancing athlete will never take Cytomel without anabolic steroids, ignoring this rule will assuredly result in the loss of a vast amount of lean tissue. Beyond this possible negative side-effect others do exist but they prove to be very individualistic, dose dependent and in many cases very rare. Possible side-effects include most commonly, headaches, insomnia and excess sweating. Many women who use Cytomel may also find their menstrual cycles disrupted, however, this is often to be expected when body-fat becomes extremely low.

The Cytomel Myths

A common myth revolving Cytomel is that it will damage your thyroid production beyond repair and while it is possible for this myth to hold a small amount of truth it is generally far exaggerated and borne of fear. While extreme Cytomel use for an extreme amount of time may have a damaging effect there is no hard proof, however, we do know that Cytomel can be used for decent lengths of time, up to nearly a year with no permanent damage being done to the thyroid. However, most will never find a need to use any thyroid medication for this extended period of time unless they already suffer from some level of permanent thyroid damage. Nevertheless, make no mistake, the use of Cytomel will prevent your thyroid from producing its own natural T3 hormone but it will recover full capabilities in most all cases in a mere 2-3 months once use is discontinued and often sooner in some individuals.

Cytomel Doses & Cycles

We have established that as a performance enhancing athlete Cytomel is to only be used in conjunction with anabolic steroids and never alone as use alone will in-fact result in a loss of muscle tissue. With this in mind the next question is when is the best time to use? It should go without saying that during cutting cycles such as a competitive bodybuilding cycle is the best time to use this medication and common practice is to use Cytomel the final 6 weeks of competition to get rid of that last bit of fat; however, it can be successfully used for the entire duration of a diet but one will need to keep an eye on tissue loss if this path is taken. For most a cycle of Cytomel that is in the 6-8 week range will prove to be all the Cytomel they’ll ever need. As for the amounts, generally 25mcg per day is a good place to start with increases of 12.5mcg being applied as needed. This protocol includes Cytomel cycles for both men and women; however both will necessarily keep the dose as low as possible and only increase as needed. Most men can increase their dose safely to 150mcg per day while women will necessarily keep a maximum dose at 100mcg per day. In either case, learn to listen to your body, learn how to accurately observe your body and the effects and if you do you’ll find your Cytomel use to be more enjoyable and effective. There is a final note that will prove to provide a great benefit in thyroid recovery after use is discontinued; easing into recovery is far more beneficial than a cold turkey stop. There is no need to gradually ramp down but rather simply drop your dose down to the original starting point of 25mcg every day and hold for approximately two weeks. By following this method you will ensure your thyroid begins production sooner than later.
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Avatar universal
hey Barb,

What about a little amour with my synthroid.  I think it is the cytomel that effected my pelvic area, it gets into tissues.  

get a little T3 armour,  would that work. like 1/4 gram added?

Ann
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649848 tn?1534633700
COMMUNITY LEADER
I'm not sure where you got your information on cytomel, but I highly doubt it had anything to with "wasting" your muscles, or any of your pain.  Of course, cytomel gets into tissues - it's used by individual cells, which make up the tissues and organs of your body.  Every single cell in your body needs T3 in order to function.  

Cytomel is a very potent thyroid hormone replacement; it's not meant to be a weight loss aid or used to enhance sports performance; it should never used for anything other than its intended purpose, which is to relieve hypothyroidism.

If you had been on a very large dose for a long period of time, it might have caused some issues; however, your dose of 2.5-7.5 is not nearly enough; nor were you on it long enough for it to cause damage.

I thought you already tried Armour?  

Every one of your symptoms are those of hypothyroidism because you're not staying on any one medication, or combination, long enough for them to stabilize in your blood.

All of us advised you to stay on the 88 mcg T4 and 7.5 mcg cytomel, to let it stabilize and you chose not to.
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