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Compounding Pharmacy may have screwed up and given me T4 instead of T3 for past 8 wks

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Hi all,

I may have an interesting dilemna on my hands and won't know for sure until tomorow when my compounding pharmacy re-opens. Here is the situation. I was on 120 mg of Armour when we realized I had a reverse t3 problem and 8 weeks ago started what I thought was SRT3 only from a compounding pharmacy. The first prescription according to the RT3 website is that I should have started at 25 mcg per day and then gradually increase. However, I was prescribed 88mcg twice a day (176 mcg per day). I questioned the pharmacist about the conversion and on the phone he double checked and said no this was correct.. So, for two days I did as he advised only to have my heart rate go nuts and scare me to death. So I ramped it down to 20 - 25 mcg per day and gradually increased to 100 mcg SRT3 per day split into 4 daily doses. I was

having mixed results. My temps were gradually increasing but only to upper 97s with occasional 98.4 readings. My pulse fluctuated from low 60s to upper 80s with it staying mainly in mid 70s. My hair loss seemed to improve. I was sleeping like a baby and waking up rested. Fatigue and energy were good. What was not so good is that my metabolism is shot and I have a tightness in my chest along with elevated blood pressure and heart rate that seemed to medication related.

Ok, so here is the weird part, yesterday, I happen to notice at the bottom of ALL of the bottles from the pharmacy, it said "synthroid" -- which leads me to believe they were compounding a syntroid slow release mimic and put me on T4 only all this time instead of t3. That initial dose of 88 mcg twice a day would fit with a T4 conversion from Armour instead of T3 conversionn of 12.5 mcg twice a day.. See lab results below from 8 weeks ago and then last week. Unfortunately, the lab failed to report FT3 in latest labs. Nick and Val -- if I was on T4 only, does any of my improvement make since? My RT3 decreased from 34 to 19. What are your thoughts?

8 weeks ago before stopping Armour and starting with what I thought was SRT3:

T3 Free 325 (230 - 420)

T4 Free 2.4 (1.6 - 3.7)

TSH .02 (.40 - 4.5)

T4 Free direct dialysis 2.4 (.8 -2.7)

RT3 - 32 (11-32)

Labs last week: No FT3 reported:(

T4 Free 1.8 (1.6 - 3.7)

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