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very low TSH

I had my thyroid removed 18 months ago for a large goiter. My TSH last dec was 0.01 and my doctor chose to leave the meds alone as I had no symptoms. However, over the last several months, I have begun to feel like I did before the TT. Exhausted, cold, but then when I have any exertion, I sweat profusely. I'm hungry all the time, and have gained 8lbs in the last 2 months, where previously my weight was stable. Now I'm not sleeping well, although I fall asleep easily, I just don't stay asleep. My TSH was repeated last week and remains at 0.01, however, now I'm wondering if it's time for a change in doseage, I'm currently on .125mcg Levothyroxine daily. I have an appointment with my GP today, should I ask about changing to Armour? Should I wait for more labs?
From reading all the posts, I think I definately need to ask for more labs. I appreciate any advice available.
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Avatar universal
Got my labs back and they are as follows:
TSH 0.01   Range 0.465-4.65
T4 Total- 10.70  Range 5.53-11.00
FT3 - 3.0 range 2.77-5.27

He did start me on Cytomel 25mcg, which I began yesterday. After reading so much here, I actually split the dose, which I did just fine on. I know many recommended started with a 1/4 th dose, but I couldn't get the pill in the 1/4. After splitting in half, I just got crumbs from the rest.  He left my synthroid at 0.125 and I clarified when the nurse called to be sure that was the dose he wanted. I may decrease by a half dose every other day and see how that goes. I didn't have any negative effects from the Cytomel I did take, I was a little worried about that. I go back in 2 months for a lab redraw, but will go back sooner if I don't see any improvement or have other issues.  
Thank you for responding!!
Helpful - 0
231441 tn?1333892766
Hi,

our reply is late.

What did your GP say?

You should be tested for FT3 and FT4 to see what your actual thyroid hormone levels are.  Optimal FT4 is usually around middle of the range, and optimal FT3 is usually towards the upper half of the reference range.

Changing to armor (or equivalent dessicated thyroid / or adding in a T3 medication like cytomel) should only be done if your FT3 is low even when FT4 is appropriate level.
Helpful - 0

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