how to increase t3

[Guest guest]

Though my doc wants me to get onto erfa or levoxyl-plus-cytomel, I am not sure I

want to follow his recommendation, due to the rt3 issue i had when on levoxyl.

My free t3 was very low while on high doses of levoxyl, with severe

hyper-stimulation symptoms, nostly adrenaline rushes.

I am scared to get back onto t4; yet remembering that at that time I was not on

any adrenal support, not on any hc.

Now that I'm on hc is it wise to consider getting onto erfa? (my rt3 was less

than 17 as of 12/24/09 and I'm now into the 11th week I believe, of t3-only

treatment.

If I am to increase by 5 mcg a week, what time of day would be advisable to add

it in?

I still have a murderously hard time falling asleep, and with sleep aids such as

xanax plus klonopin I manage to fall asleep by 1 a..m. (and I need to fall

asleep by 10 or 11 p.m. latest.)

I am fatigued in the morning and my energy level comes up around 6 p.m. which is

also when my temps start coming up to 98. That's when my hands start fo feel

warm as opposed to cold, and it's either adrenaline that makes me feel more

energetic or the t3 I have taken throughout the day that is finally kicking in.

Two questions:

1. should I switch to erfa?

2. should I increase t3 and at what time of day?

Right now I am dosing :

7:30 a,m. 7.5 mcg

11:30 a.m. 10 mcg

3:30 a.mm. 10 mcg

7:30 p.m. 7.5 mcg.

this is in addition to the 10 mg hc I take every two hours

Thanks for your help!

[Guest guest]

I ahve always taken even dosing through the day and BEDTIME. Bedtime

dosing is SO healing for oyur body and will help you start the day with

ENERGY,.

--

Artistic Grooming- Hurricane WV

http://www.stopthethyroidmadness.com/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://health.groups.yahoo.com/group/RT3_T3/

http://groups.yahoo.com/group/HypoPets/

[Guest guest]

Last night I took my final 7.5 dose at 11 p.m. instead of 7:30 p.m. Still exhausted, possibly due to the xanax/klonopin, yet I woulda been up most of the night if not for the xanax/klonopin.

Would it be better to take smaller doses t3 by day and one larger dose at bedtime? Say, 5, 5, 5, 20? Or 7.5, 7.5, 7.5, 12.5?

To: RT3_T3 Sent: Tue, January 19, 2010 9:19:19 AMSubject: Re: how to increase t3

I ahve always taken even dosing through the day and BEDTIME. Bedtime dosing is SO healing for oyur body and will help you start the day with ENERGY,.-- Artistic Grooming- Hurricane WVhttp://www.stopthet hyroidmadness. com/http://health. groups.yahoo. com/group/ NaturalThyroidHo rmonesADRENALS/http://health. groups.yahoo.. com/group/ RT3_T3/http://groups. yahoo.com/ group/HypoPets/

[Guest guest]

My thoughts, Val will probably come in here as well.

From your symptoms you sound very hypo still, is there a reason you

are on that low a dose at 11 weeks?

>

>Two questions:

>1. should I switch to erfa?

I wouldn't try it until you were stable and feeling well on T3. T3 is

easier to adjust by symptoms than natural.

>2. should I increase t3 and at what time of day?

>

>Right now I am dosing :

>7:30 a,m. 7.5 mcg

>11:30 a.m. 10 mcg

>3:30 a.mm. 10 mcg

>7:30 p.m. 7.5 mcg.

To me that is probably under dosed by more than 5. What are your pulse

and temperatures doing??

If I were to add 5 from there I would make it a " as I turn the light

out at night " dose. It will help you get to sleep, improve sleep

quality, and leave you more refreshed in the morning

Another 5 after that would come from evening up the doses so you were

taking 10 5 times a day.

After that I would increase one dose at a time starting with the

morning one.

Let's see what Val suggests!

Nick

[Guest guest]

Thanks Nick,

I'm on low dose because I have a hard time tolerating more. When I hit 40 mcg I felt so hyper and anxious and hyperdefecating and don't-remember-what-else; I think adrenaline rushes. so I scaled back to 30 and decided to go veeeeerrrrry slow.

Truth is, since I'm on higher HC (60-80 a day does it for me, helps me avoid what I think are adrenaline rushes) I may be able to tolerate more t3, but still waiting for stable average temps. Don't know why they are still not stable. Maybe I need more hc?

Anyhow, now that I'm on hc I may very well be able to tolerate more t3, i just have this terrible fear of a return of anxiety symptoms. The fact that I'm on higher doses of hc may bery well keep the anxiety symptoms at bay. So maybe I'll try an increase of t3 tonight.

any idea why sleep is so elusive for me? right now I am going back to bed for a nap, as I am totally exhausted.

My last tsh on dec 24 was 49, and I imagine it is around 80-100 by now, as I have no intake of t4 at all.

To: RT3_T3 Sent: Tue, January 19, 2010 9:52:08 AMSubject: Re: how to increase t3

My thoughts, Val will probably come in here as well.From your symptoms you sound very hypo still, is there a reason youare on that low a dose at 11 weeks?>>Two questions: >1. should I switch to erfa?I wouldn't try it until you were stable and feeling well on T3. T3 iseasier to adjust by symptoms than natural.>2. should I increase t3 and at what time of day?>>Right now I am dosing :>7:30 a,m. 7.5 mcg>11:30 a.m. 10 mcg>3:30 a.mm. 10 mcg>7:30 p.m. 7.5 mcg.To me that is probably under dosed by more than 5.. What are your pulseand temperatures doing??If I were to add 5 from there I would make it a "as I turn the lightout at night" dose. It will help you get to sleep, improve sleepquality, and leave you more refreshed in the morningAnother 5 after that would come from

evening up the doses so you weretaking 10 5 times a day.After that I would increase one dose at a time starting with themorning one.Let's see what Val suggests!Nick

[Guest guest]

>

>any idea why sleep is so elusive for me? right now I am going back to bed for a

nap, as I am totally exhausted.

Dare I say it, High Cortisol???

Cortisol levels are meant to drop a lot at night, it's one of the

sleep triggers. Melatonin (production is triggered by darkness) is a

cortisol antagonist I believe.

If you are supplementing that much HC then it may not be sinking

enough at night to let you sleep.

Have you tried Melatonin to encourage sleep?

>

>My last tsh on dec 24 was 49, and I imagine it is around 80-100 by now, as I

have no intake of t4 at all..  

It's the T3 that will set the TSH, not the T4. You can have low T4 and

low TSH at the same time if you take enough T3.

As you have plenty of HC then it's worth giving that extra T3 a try.

Sleep time dose first and then even the doses up next.

I am presuming your ferritin is OK?

Nick

[Guest guest]

Thanks NIck, My hc used to be 35 mg a day and I was sleepless on many nights.

I believe that is what made my adrenaline pump out a lot of adrenaline.

On lower hc i have day-long shakes, so I'm afraid to lower my hc.

I was taking high doses of iron and i think my body reacted to it; I am now back down to two iron pills a day. I think I got sick from too much iron.

I'm not clear what you mean by, "Sleep time dose first and then even the doses up next." Can you explain that please?

yes I have tried melatonin but to no avail, I went up to 20 mg and it did nothing for me.

the only thing that knocks me out is xanax and my theory, correct me if I'm wrong, is that xanax makes the body pump out more cortisol. If that is indeed the case, i seem to need more cortisol than the 35 I have been taking for awhile.

To: RT3_T3 Sent: Tue, January 19, 2010 10:26:45 AMSubject: Re: how to increase t3

>>any idea why sleep is so elusive for me? right now I am going back to bed for a nap, as I am totally exhausted. Dare I say it, High Cortisol???Cortisol levels are meant to drop a lot at night, it's one of thesleep triggers. Melatonin (production is triggered by darkness) is acortisol antagonist I believe.If you are supplementing that much HC then it may not be sinkingenough at night to let you sleep.Have you tried Melatonin to encourage sleep?>>My last tsh on dec 24 was 49, and I imagine it is around 80-100 by now, as I have no intake of t4 at all.. It's the T3 that will set the TSH, not the T4. You can have low T4 andlow TSH at the same time if you take enough T3.As you have plenty of HC then it's worth giving that extra T3 a try.Sleep time dose first and then even the doses up next.I

am presuming your ferritin is OK?Nick

[Guest guest]

thanks so much! Will print and paste on fridge!

To: RT3_T3 Sent: Tue, January 19, 2010 2:51:17 PMSubject: Re: how to increase t3

>I'm not clear what you mean by, "Sleep time dose first and then even the doses up next." Can you explain that please?Stage one, add 5mcg as you put the light out, the "sleep time dose"making 5 doses a day at 7,5, 10, 10, 10, 5Stage 2 go to 10, 10, 10, 10, 5 Stage 3 go to 10, 10, 10, 10, 10Leave a few days between each change and check pulse/temperature is OKbefore an increase. If you overshoot and get a high temperature andpulse go back to the previous dose and try again a week later.Nick-- for more information on RT3 and Thyroid Resistance go to www.thyroid- rt3.com

[Guest guest]

Is it ok to increase t3, even in tiny increments, if stemps are still not stable? Or can I at least increase tiny tiny increments and hope temps will stbilize somewhere along the lines?

To: RT3_T3 Sent: Tue, January 19, 2010 2:51:17 PMSubject: Re: how to increase t3

>I'm not clear what you mean by, "Sleep time dose first and then even the doses up next." Can you explain that please?Stage one, add 5mcg as you put the light out, the "sleep time dose"making 5 doses a day at 7,5, 10, 10, 10, 5Stage 2 go to 10, 10, 10, 10, 5 Stage 3 go to 10, 10, 10, 10, 10Leave a few days between each change and check pulse/temperature is OKbefore an increase. If you overshoot and get a high temperature andpulse go back to the previous dose and try again a week later.Nick-- for more information on RT3 and Thyroid Resistance go to www.thyroid- rt3.com

[Guest guest]

>Is it ok to increase t3, even in  tiny increments, if stemps are still not

stable? Or can I at least increase tiny tiny increments and hope temps will

stbilize somewhere along the lines? 

You can try. If temperature drops 30 mins after taking T3 then there

are still adrrenal issues.

Nick

[Guest guest]

Never knew of this trick! 30 minutes after swallowing or sublingual? or does it not matter? I will definitely try it today.

I think my adrenals are properly supported now on high hc because my bp rises when I stand up. and my startling reflex has improved dramatically since I upped my hc. I'm just a tad concerned about the amount of hc I'm taking. though it does help with shakiness and startling and stomach issues.

To: RT3_T3 Sent: Wed, January 20, 2010 3:31:37 AMSubject: Re: how to increase t3

>Is it ok to increase t3, even in tiny increments, if stemps are still not stable? Or can I at least increase tiny tiny increments and hope temps will stbilize somewhere along the lines? You can try. If temperature drops 30 mins after taking T3 then thereare still adrrenal issues.Nick

[Guest guest]

>Never knew of this trick! 30 minutes after swallowing or sublingual? or does it

not matter? I will definitely try it today.

30 mins to an hour, swallow or sublingual. If cortisol is marginal the

T3 will " use up " more cortisol than you can make aas it gets into the

cells and cause a drop.

I found this when I experimenting with taking my T3 in less doses. if

I took 25 at 7am and 25 at 10am I did well.

Taking 50 at 7am instead and my temperature dropped and I felt very

tired.

I eventually realised what happened, it was adrenal related.

>I think my adrenals are properly supported now on high hc because my bp rises

when I stand up. and my startling reflex has improved dramatically since I upped

my hc. I'm just a tad concerned about the amount of hc I'm taking. though it

does help with shakiness and startling and stomach issues.

Sounds good, get the T3 to a point where you are not hypo and then you

can try dropping the HC to see what happens

Nick

[Guest guest]

Oh heck I know i'm underdosed lol...but until now I was not able to tolerate more. Now on higher hc i may be able to tolerate more.

My average temps are not too bad, my basal pulse is 60 and during the day after resting for 2-3 minutes it's around 72.

Last night I increased by 2.5

so yesterday's dosing was

7.5

10

10

10

Should I keep this up for five days and then increase to 10, 10, 10, 10?

with the fourth dose taken at bedtime?

To: RT3_T3 Sent: Tue, January 19, 2010 9:52:08 AMSubject: Re: how to increase t3

My thoughts, Val will probably come in here as well.From your symptoms you sound very hypo still, is there a reason youare on that low a dose at 11 weeks?>>Two questions: >1. should I switch to erfa?I wouldn't try it until you were stable and feeling well on T3. T3 iseasier to adjust by symptoms than natural.>2. should I increase t3 and at what time of day?>>Right now I am dosing :>7:30 a,m. 7.5 mcg>11:30 a.m. 10 mcg>3:30 a.mm. 10 mcg>7:30 p.m. 7.5 mcg.To me that is probably under dosed by more than 5. What are your pulseand temperatures doing??If I were to add 5 from there I would make it a "as I turn the lightout at night" dose. It will help you get to sleep, improve sleepquality, and leave you more refreshed in the morningAnother 5 after that would come from

evening up the doses so you weretaking 10 5 times a day.After that I would increase one dose at a time starting with themorning one.Let's see what Val suggests!Nick

[Guest guest]

Sounds good.

--

Artistic Grooming- Hurricane WV

http://www.stopthethyroidmadness.com/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://health.groups.yahoo.com/group/RT3_T3/

http://groups.yahoo.com/group/HypoPets/

[Guest guest]

Nick, you wrote:

"I found this when I experimenting with taking my T3 in less doses. ifI took 25 at 7am and 25 at 10am I did well.Taking 50 at 7am instead and my temperature dropped and I felt verytired."

Based on your experiment it would make sense to not take t3 upon awakening, rather wait for hc to build up a bit and take first t3 dose a bit later in the day, eh?

To: RT3_T3 Sent: Wed, January 20, 2010 8:42:30 AMSubject: Re: how to increase t3

>Never knew of this trick! 30 minutes after swallowing or sublingual? or does it not matter? I will definitely try it today. 30 mins to an hour, swallow or sublingual. If cortisol is marginal theT3 will "use up" more cortisol than you can make aas it gets into thecells and cause a drop.I found this when I experimenting with taking my T3 in less doses. ifI took 25 at 7am and 25 at 10am I did well.Taking 50 at 7am instead and my temperature dropped and I felt verytired.I eventually realised what happened, it was adrenal related.>I think my adrenals are properly supported now on high hc because my bp rises when I stand up. and my startling reflex has improved dramatically since I upped my hc. I'm just a tad concerned about the amount of hc I'm taking. though it does help with shakiness and startling and stomach issues. Sounds

good, get the T3 to a point where you are not hypo and then youcan try dropping the HC to see what happensNick

[Guest guest]

I think this would be helpful info on the T3 website, don't you, Nick? Or is it

there and I just have forgotten?

Jeanne

>

> >Never knew of this trick! 30 minutes after swallowing or sublingual? or does

it not matter? I will definitely try it today.

>

> 30 mins to an hour, swallow or sublingual. If cortisol is marginal the

> T3 will " use up " more cortisol than you can make aas it gets into the

> cells and cause a drop.

>

> I found this when I experimenting with taking my T3 in less doses. if

> I took 25 at 7am and 25 at 10am I did well.

>

> Taking 50 at 7am instead and my temperature dropped and I felt very

> tired.

>

> I eventually realised what happened, it was adrenal related.

>

> >I think my adrenals are properly supported now on high hc because my bp rises

when I stand up. and my startling reflex has improved dramatically since I upped

my hc. I'm just a tad concerned about the amount of hc I'm taking. though it

does help with shakiness and startling and stomach issues.

>

> Sounds good, get the T3 to a point where you are not hypo and then you

> can try dropping the HC to see what happens

>

> Nick

>

[Guest guest]

>

>I think this would be helpful info on the T3 website, don't you, Nick? Or is

it there and I just have forgotten?

It's on this one

http://thyroid-rt3.com/temperat.htm

Nick

[Guest guest]

Not sure who you were responding to, Nick, but seems I should consider taking t3 later in the day as opposed to starting my first dose in the morning. Maybe start at 12 p.m., eh?

To: RT3_T3 Sent: Wed, January 20, 2010 2:08:10 PMSubject: Re: how to increase t3

>Based on your experiment it would make sense to not take t3 upon awakening, rather wait for hc to build up a bit and take first t3 dose a bit later in the day, eh?I would take T3 and HC at the same time, as far as I know the HC getsinto the blood stream quickly. You need the HC there as the T3 uses itgetting into the cellsNick

[Guest guest]

I feel better if I take my first morning dose of T3 half an hour after my HC.

If I take T3 as soon as I wake up it makes me very tired. It appears that I

wake up in a low cortisol state; this has to be fixed before taking T3. I take

my HC at 6:30 and my T3 at 7:00. This has diminished very much the 10:00 AM

" crash " . (Regardless of timing, I never take HC on an empty stomach, or it will

irritate my stomach.)

>

> >Never knew of this trick! 30 minutes after swallowing or sublingual? or does

it not matter? I will definitely try it today.

>

> 30 mins to an hour, swallow or sublingual. If cortisol is marginal the

> T3 will " use up " more cortisol than you can make aas it gets into the

> cells and cause a drop.

>

> I found this when I experimenting with taking my T3 in less doses. if

> I took 25 at 7am and 25 at 10am I did well.

>

> Taking 50 at 7am instead and my temperature dropped and I felt very

> tired.

>

> I eventually realised what happened, it was adrenal related.

>

> >I think my adrenals are properly supported now on high hc because my bp rises

when I stand up. and my startling reflex has improved dramatically since I upped

my hc. I'm just a tad concerned about the amount of hc I'm taking. though it

does help with shakiness and startling and stomach issues.

>

> Sounds good, get the T3 to a point where you are not hypo and then you

> can try dropping the HC to see what happens

>

> Nick

>

[Guest guest]

I love to learn from other people's experiences. I think I will give it a shot tomorrow! I do feel more energized late afternoon. And tired as can be all morning long. Like those days when I was totally adrenally fatigued, and a salivary cortisol test might indicate low low cortisol in the a.m. Only this time I did get nine hours of sleep (but c'be the klonopin contributed to my fatigue this morning?)

To: RT3_T3 Sent: Wed, January 20, 2010 4:23:43 PMSubject: Re: how to increase t3

I feel better if I take my first morning dose of T3 half an hour after my HC. If I take T3 as soon as I wake up it makes me very tired. It appears that I wake up in a low cortisol state; this has to be fixed before taking T3. I take my HC at 6:30 and my T3 at 7:00. This has diminished very much the 10:00 AM "crash". (Regardless of timing, I never take HC on an empty stomach, or it will irritate my stomach.)> > >Never knew of this trick! 30 minutes after swallowing or sublingual? or does it not matter? I will definitely try it today. > > 30 mins to an hour, swallow or sublingual. If cortisol is marginal the> T3 will "use up" more cortisol than you can make aas it gets into the> cells and cause a drop.> > I found this when I experimenting with taking my T3 in

less doses. if> I took 25 at 7am and 25 at 10am I did well.> > Taking 50 at 7am instead and my temperature dropped and I felt very> tired.> > I eventually realised what happened, it was adrenal related.> > >I think my adrenals are properly supported now on high hc because my bp rises when I stand up. and my startling reflex has improved dramatically since I upped my hc. I'm just a tad concerned about the amount of hc I'm taking. though it does help with shakiness and startling and stomach issues. > > Sounds good, get the T3 to a point where you are not hypo and then you> can try dropping the HC to see what happens> > Nick>