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Discussion Starter · #1 ·
I am confused as to how I feel vs. how I think I should feel and my labs. Jan. 1 my doctor started me on 5mg of cytomel; then after 2 weeks increase to 5mg in the morning with my synthroid; 5mg at 2pm. My synthroid was 88 mcg 6 days a week w/ half tablet on Saturday, but IN Jan. 1 I was told to start taking a full tablet on Saturday. So my dose is 88mcg synthroid 7 days a week, and 5mg of cytomes in the morning and 5mg of cytomel in the afternoon. I feel like I can take on the world in the morning, but I don't feel as energetic even after I take the afternoon cytomel. My doctor said TSH could be skewed when taking cytomel. I am not losing weight and not feeling good, which could be from being depressed from not happy with the way I look, despite diet!! Here are my labs:

t3 free 3.4 (2.3-4.2)

tpo anti 1 <9

t4 free1.2 (0.8-1.8)

tsh .06 (.4-4.5)

I am thinking about cutting the Synthroid in half on Saturday, because I felt my best after 2 weeks on Cytomel and feeling bad after 8 weeks; which the Synthroid was increased.
 
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First - Congratulations that you have a doctor willing to dose Cytomel - YEA for YOU!!

It is a trial and error thing getting both your T4 med and the Cytomel dialed in for you to feel your best.

I've edited in the 1/2-3/4 ranges for both your FT-4 and FT-3.

t3 free 3.4 (2.3-4.2) ((3.25-3.725))

tpo anti 1 <9

t4 free1.2 (0.8-1.8) ((1.3-1.55))
Your labs reflect the need for a slight increase in your T4 hormone - not a reduction. Why not give that a try first and retest.

Are your Ferritin levels in optimal range? That seems to help with the adjustment phase of adding T3 hormone.

Is your Vit D in a good range?

When you say you feel bad - what do you mean?
 

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Discussion Starter · #3 ·
First - Congratulations that you have a doctor willing to dose Cytomel - YEA for YOU!!

It is a trial and error thing getting both your T4 med and the Cytomel dialed in for you to feel your best.

I've edited in the 1/2-3/4 ranges for both your FT-4 and FT-3.

Your labs reflect the need for a slight increase in your T4 hormone - not a reduction. Why not give that a try first and retest.

Are your Ferritin levels in optimal range? That seems to help with the adjustment phase of adding T3 hormone.

Is your Vit D in a good range?

When you say you feel bad - what do you mean?
Thanks Lovlkn for responding.

Ferritin was in the optimal range. Vitamin D imo was lower than where it should be 35 but better when it's around 50. We had a lot of winter days with no sun at all; but I do supplement with 3000 iu daily, so I did increase that to 4000iu.

When I say I feel bad, its muscle aches.

So my t3 and t4 should be a little higher? I won't see the endo until June; so there are 12 weeks to work with. Do you think I could try adding 44mg (half 88mg tablet) on the last day, which would basically be 94mcg a day of Synthroid? Leave cytomel alone? I can always email my doctor through the patient portal to confirm.
 

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If it were me - I would add a bit of T4 hormone. Leave the T3 alone. If you feel hyper you could 1/2 your 2nd Cytomel dose.

Like you said - you have 12 weeks to play with it. If you are able - order FT-4 and FT-3 labs on a self pay basis.

You are really close - hang in there
 

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Discussion Starter · #5 ·
Thanks for the advice. Im going to try that!
 
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