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Adding in T3 to NDT

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Finally my temps are stable on 25mg HC (10-10-5)(and 2NAX) around 36.7 36.8

although my basal temps are still low anywhere between 36.0-36.4. Obviously

still need more thyroid meds although I'm on 2 grains NDT, so not far off the

average dose. I have ordered some T3 and want to try adding that as well, I

assume I would start 6.25mcg for 5 days if no adverse reaction and temps still

stable increase again by 6.25mcg? I haven't got any recent bloods to share with

you (self treating/GP won't do them), my pulse is high 60's to low 70's BP is

still low at 95/59 - 105/70, still terribly hypo symptomatic. I am/have treated

other factors (B12, Ferritin, Candida etc) So I'm guessing (and hoping) the

reason I still feel so unwell is just not enough thyroid hormone, which adding

in the T3 should address.

Lastly I still wake at 4am should I move 2.5mg HC from my lunchtime dose to

bedtime? would that improve things? I usually have a broken nights sleep because

my 3yr old daughter wakes in the night, then my husband wakes me at 6am when he

gets up and ready for work. So from 4am (or earlier depending when my daughter

wakes) I don't get good quality sleep, when I wake at 4am it's not for long but

I guess any interuption makes an impact. It's at times like these I want to stay

away from home and see what my sleep would be like without the disturbances from

my family, maybe I'll just buy some ear plugs! lol.

I always feel terrible in the morning, so tired dragging myself out of bed, I

would love to wake up refreshed and ready for the day, I thought HC would help

with the morning fatigue but it hasn't so maybe more thyroid related.

Thanks

Sandie

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Just bumping this, any thoughts?

>

> Finally my temps are stable on 25mg HC (10-10-5)(and 2NAX) around 36.7 36.8

although my basal temps are still low anywhere between 36.0-36.4. Obviously

still need more thyroid meds although I'm on 2 grains NDT, so not far off the

average dose. I have ordered some T3 and want to try adding that as well, I

assume I would start 6.25mcg for 5 days if no adverse reaction and temps still

stable increase again by 6.25mcg? I haven't got any recent bloods to share with

you (self treating/GP won't do them), my pulse is high 60's to low 70's BP is

still low at 95/59 - 105/70, still terribly hypo symptomatic. I am/have treated

other factors (B12, Ferritin, Candida etc) So I'm guessing (and hoping) the

reason I still feel so unwell is just not enough thyroid hormone, which adding

in the T3 should address.

> Lastly I still wake at 4am should I move 2.5mg HC from my lunchtime dose to

bedtime? would that improve things? I usually have a broken nights sleep because

my 3yr old daughter wakes in the night, then my husband wakes me at 6am when he

gets up and ready for work. So from 4am (or earlier depending when my daughter

wakes) I don't get good quality sleep, when I wake at 4am it's not for long but

I guess any interuption makes an impact. It's at times like these I want to stay

away from home and see what my sleep would be like without the disturbances from

my family, maybe I'll just buy some ear plugs! lol.

> I always feel terrible in the morning, so tired dragging myself out of bed, I

would love to wake up refreshed and ready for the day, I thought HC would help

with the morning fatigue but it hasn't so maybe more thyroid related.

> Thanks

> Sandie

>

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I am not a mod on this board, but I think that is risky. I would get some labs

done privately, there is already a good amount of T3 in NDT. Just my opinion. I

take 2.5 of HC before bed and it does help my sleep through the night..so I

adjusted to 10-7.5-5-2.5 and sometimes take 2.5 at 8pm if I feel I need it..

>

> Finally my temps are stable on 25mg HC (10-10-5)(and 2NAX) around 36.7 36.8

although my basal temps are still low anywhere between 36.0-36.4. Obviously

still need more thyroid meds although I'm on 2 grains NDT, so not far off the

average dose.

*************moderated to remove most of the old message********

>

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, you don't need to be a moderator to voice an opinion, all opinions

are just as valid, that's how the forum is able to keep batting away at all the

various questions, because our collective knowledge is huge.

I personally don't find that there is enough T3 in 2 grains of NT and I'm

currently taking around 20 mcg of extra t3 though am hoping I won't need this

once I manage to increase my b12 levels.

I sometimes wake up in the night, starving and wide awake, this for me, is a

sign that my blood sugar is not being regulated due to low cortisol so if this

happens I also, like jennifer, make sure I have 2.5 mcg of HC before bed and I

can sleep really well.

Might be worth a try Sandie?

x

> >

> > Finally my temps are stable on 25mg HC (10-10-5)(and 2NAX) around 36.7 36.8

although my basal temps are still low anywhere between 36.0-36.4. Obviously

still need more thyroid meds although I'm on 2 grains NDT, so not far off the

average dose.

>

> *************moderated to remove most of the old message********

> >

>

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Thankyou both for your replies. It was a suggestion in Dr P's last letter that

I try adding T3 to NDT if I didn't feel good enough on NDT alone, but I often

come here for advice because it's a bit slow getting in touch with Dr P (writing

letters or waiting for a phone consult) I do agree that some labs would be

useful (previous labs were before I started treatment), and am trying to save up

for some but I won't be able to get them done anytime soon I don't think, I'll

see after payday. The fact that I am still not feeling good on 2 grains leads

me to think I need more T3 because (without labs I cannot be certain) I'm not

converting properly. As far as I'm aware 2 grains NDT only has 18mcg of T3,

which doesn't seem alot, and I had read of others on this forum that take both

NDT and extra T3 together.

Thanks

Sandie

>

> I am not a mod on this board, but I think that is risky. I would get some labs

done privately, there is already a good amount of T3 in NDT.>

*************moderated to remove most of the old message********

> >

>

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Hi sandie, I wouldn't take HC too near bedtime as this would probably make yoursleep worse- best to take a bigger dose in the morning and then taper the size of the subsequent doses. 2 grains NDT is, as you say, not necassarily a full dose- any reason why you don't want to try 2.5? did you do really badly on T4? if so then T3 probably best. > thyroid treatment > From: sandie82blue@...> Date: Wed, 12 Jan 2011 19:56:15 +0000> Subject: Re: Adding in T3 to NDT> > > Just bumping this, any thoughts?> > >> > Finally my temps are stable on 25mg HC (10-10-5)(and 2NAX) around 36.7 36.8 although my basal temps are still low anywhere between 36.0-36.4. Obviously still need more thyroid meds although I'm on 2 grains NDT, so not far off the average dose. I have ordered some T3 and want to try adding that as well, I assume I would start 6.25mcg for 5 days if no adverse reaction and temps still stable increase again by 6.25mcg? I haven't got any recent bloods to share with you (self treating/GP won't do them), my pulse is high 60's to low 70's BP is still low at 95/59 - 105/70, still terribly hypo symptomatic. I> > Thanks> > Sandie> >> > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> >

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Just shows we are all different, my Dr. just asked me to add some T4 to my

Armour...my conversion it too good and my FT3 is almost over the top on one

grain.

I am not feeling like it is over the top, but I am certainly not as useless as I

was a few weeks ago.

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Hi Sandie Perhaps Dr P thinks you won't be able to convert any more T4 than you

are taking already . I don't do blood tests -just use how I feel and resting

pulse -I try to keep it to 84 [over90 is too high ] The dose I take has nothing

to do with blood tests I surpose that is because I have been hyper in the past

.. I consider that they are only a moment in time and have found them extremely

unreliable in the past . Best wishes

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I'm only on 2 grains because I'm still increasing, got another week and half

before I can increase to 2.5, I'm just unsure if it's going to make that much

of a difference, hence I think it's more of a conversion issue. I have never

take T4 only. Ideally I suppose an RT3 test would be useful, so I know I

wouldn't be blocking the extra T3 by the T4 in the NDT not converting properly.

Why would HC near bedtime make it worse? I've been told by a few people now to

add in a bedtime dose, I tried it last night no difference still woke at 4am,

but it's only one night so I'll give it a go for a week and see.

Thanks

Sandie

>

>

> Hi sandie,

> I wouldn't take HC too near bedtime as this would probably make

yoursleep worse- best to take a bigger dose in the morning and then taper the

size of the subsequent doses.

> 2 grains NDT is, as you say, not necassarily a full dose- any reason why you

don't want to try 2.5? did you do really badly on T4? if so then T3 probably

best.

>

> > >

> >

> >

> >

> >

> > ------------------------------------

> >

> > TPA is not medically qualified. Consult with a qualified medical

practitioner before changing medication.

> >

> >

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I've tried taking a bedtime dose of HC for 5 nights now, I'm still waking at 3

or 4am, so no worse but no better, should I persevere longer? I am now waking

up in the morning with a headache though, which I haven't done for ages, use to

wake with headaches for months that lasted allday and would not shift with

painkillers, not too happy at their return, is that the bedtime HC? will try

without tonight and see what happens. Also when my alarm wakes me in the

morning I startle and get palps (not tachycardic), wouldn't that be low

cortisol? using an alarm is a new thing for me so the symptom itself isn't

exactly the new thing the alarm is iyswim, I used to leave myself to wake up

naturally whatever time that was, or my daughter would wake me. Recently I am

using an alarm to try and establish a sleep/wake routine, although it isn't

easy.

Taking HC 10-7.5-5-2.5

2grains NDT (not yet optimised on thyroid meds)

4000mg Vit C

2 NAX

plus lots of other vits and mins.

Temps are stable, pulse is high 60s to low 70s.

Awaiting the arrival of my T3, when starting should I take a small dose once a

day and increase frequency first or should I take a small amount several times a

day and increase the amount?

I have ordered some tests from Genova as it's probably a good idea to check how

things are going, been self treating for nearly 3 mths, so got a Total Thyroid

Screen and RT3 test, at least that way I can rest easy knowing I'm going not to

mess up adding T3 to NDT if I do have an RT3 issue.

Thanks

Sandie

>

>

> > Why would HC near bedtime make it worse? I've been told by a few people now

to add in a bedtime dose, I tried it last night no difference still woke at 4am,

but it's only one night so I'll give it a go for a week and see.

> > > ------------------------------------

> > >

> > > TPA is not medically qualified. Consult with a qualified medical

practitioner before changing medication.

> > >

> > >

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Hi SandieYou wrote:" Also when my alarm wakes me in the morning I startle and get palps (not tachycardic), wouldn't that be low cortisol"One of the symptoms I get when my adrenal reserve is low is what you speak of, where I get

startled from the smallest unexpected sound. It's an awful feeling...even when my phone vibrates with a message I jump out of my skin. It's being in a constant state of fight or flight, and for me, definitely signals low cortisol.I can't advise on your HC dosing, as I don't take HC.Lysa

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