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Thyroid -Over medicated

I'm 54 and have been taking thyroid medication for years - always hypo. My doctor put me on 50 mcg of cytomel and 50mcg synthroid. Then, recently I had my blood work done and results were TSH .05 and Free T4 -.44. My doctor took me off the cytomel today. He seemed confused with my blood work considering I've always been hypo. Could this indicate too much meds or pituitary glad problem. I seem to have brain fog, extremely tired,(at times- my speech is slurred. And I have osteoporosis. I've gained weight, and so tired.
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Avatar universal
No, I've never had antibody or T3 tested.

Can too much T3 hormone such as Cytomel cause T4 to be low?

I realize that you're not my doctor but what amount or ratio of synthroid/cytomel would you suggest for me?

If you have too low of Synthroid (T4) hormone does that cause the tireness,brain fog, depression, weight gain? And, by making the change with the medications help me to loss some weight?

I was worried that the labs were showing that I was HypR and that I'm getting too much thyroid medication.

Thank you so much!!!!
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Avatar universal
Something I forgot to mention - since last year my eye sight keeps changing.
I had lasek eye surgery 6 years ago (mono vision) everything was great! I was so happy I did it...worth every dime.
Since last fall my eyes just keeping changing - first it was +.50 then +1.00, then +1.50, now I have +2.00 and I'm ready still having problems.

Most of all, I get so frustrated because my short term memory is shot - I have what they call  CRS.... ha!  
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Avatar universal
I should have added that your FT4 is much too low...it's below range.  If you d/c the Cytomel, you are going to have to add in more Synthroid since at the moment your FT4 level is not high enough to support conversion.  It would be best to do that by increasing Synthroid while simultaneously decreasing Cytomel so that the FT4 level has time to build before you lose the support of your Cytomel.  

Have you ever had antibody testing to determine the cause of your hypothyroidism?
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Avatar universal
Ooops, I think you need to correct your profile...it says you're male!

In terms of losing weight, there is no diet for hypo people.  When we are hypo, it is difficult to impossible to lose weight because our metabolism is slowed down so much.  Once you get your thyroid hormones back in line, it's easier to lose weight.

Just guessing from the little I know about Lasek here, but I believe that vision continues to deteriorate from your forties through your fifties and then often stabilizes in your sixties.  It's not unusual to need a "touch up" Lasek procedure...one of the reasons I'm not considering it yet. My eyes are still getting worse, so I'll think about that when (if?) my vision stabilizes.

I can only encourage you to have the FT3 test.  Did you have any side effects last July when your doctor increased your Synthroid to 50 mcg and added 50 mcg Cytomel all at once?  Why did he add that much Cytomel?  Had he tested your FT3 before he did that?
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Avatar universal
Something I forgot to mention - since last year my eye sight keeps changing.
I had lasek eye surgery 6 years ago (mono vision) everything was great! I was so happy I did it...worth every dime.
Since last fall my eyes just keeping changing - first it was +.50 then +1.00, then +1.50, now I have +2.00 and I'm ready still having problems.

Most of all, I get so frustrated because my short term memory is shot - I have what they call  CRS.... ha!  
Helpful - 0
Avatar universal
My labs:
TSH .34 - 4.82uIU/ml     mine was   0.05
Free T4  .59-1.61ng/dl    mine was  0.44

When the doctor increased my dosages  last July from 25mcg synthyroid to 50mcg and added cytomel 25mcg twice a day I did lose 3 or 4 lbs.

Since then I've put on those few pounds plus 4 (total 7-8)

I don't recall my blood test results when I was  taking 100mcg of Cytomel - I would have to say that I was down to 127-130 back then (I was 45). I don't know if this has anything to do with the medications but I stop having a monthly cycle when I was on that high of dose. And because I wanted to lose weight and couldn't without starving myself - I took doctor prescription diet pills.

Can I ask-is there a diet our there for hypO people?

Thanks so much!


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