added 10mg cytomel with synthroid ??

[lksangel]

I am taking 112 mg levo and 10mg of lio Generic cytomel I feel the same as I did before cytomel was added
have a hard time going to and staying asleep take lorazepam works great. Feel tired and achey

Here are my labs JUNE                                                    JULY      FREET4      1.27    0.80-1.80 ng/dl
                                      T4      11       5.0- 12.5                                FT3           3.0      2.3-4.2   pg/mL
                                                                                                                                                                                                                                                                             TSH        0.062     0.350-4.500 uIU/mL
                                    FT4   1.84     .80- 1.80 ng/dl                         TPO ab      466.8    0.0-60.0 U/mL
                                    T3     106.0    80-204    ng/dl           throgloblin Antibody     146     0.0-60 U/mL      
                                   FT3     3.4      2.3-4.2    pg/mL                        RT3             32      11-32   ng/dL
                                  TSH    0.161    350-4.50  uIU/ml                       ACTH           14       10-46  pg/mL        
          thyroglobulin Antibody   31.5       0.0-60   U/mL
                                    RT3       41       11-32    ng/dL                Did not get T3
                                   ACTH      6        10- 46  pg/mL

Any ideas or Help appreciated---- going to new Endo tomorrow

[gimel]

I hope that the Endo is not making that much of an increase in Cytomel all at one time.  that might be way too much of an increase and could cause some adverse reactions.  Seems to me it would be better to phase in to that level.

[lksangel]

The Endo is taking me off synthroid and increasing cytomel to 75mg a day,
to clear out T4. Order bloodwork BMP,PTH Vit D,TSH,FreeT3 and FreeT4.

[gimel]

One thing that I see is that your ratio of FT3 to Reverse T3 is too low.  Your RT3 is at the high end of the range and your FT3 is near the low end of the range.  For some reason your body is converting T4 to excessive amounts of RT3.  RT3 is the mirror image of FT3, but it is biologically inactive.  RT3 will go into the receptor cells and block FT3 from those cells.   This will result in hypo symptoms.  

Here is an article you can read about RT3 dominance.

http://www.custommedicine.com.au/health-articles/reverse-t3-dominance/

I am also sending you a PM with another link that you will find interesting.