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Re: Unsure/slightly confused

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Hi again, Just wanted to check in to get any new advice in my journey so far. I

was not sure if it is okay to hit reply from this post or not since it is quite

old.

I did what my doctor requested and went one month on the Synthroid 50mcg. and

5mcg Cytomel two times per day. New labs were as expected:

Free T3...287 pg/dL (230-420) went up a little from 207

Free T4 ..0.9 ng/dL (0.8-1.8) went down a little from 1.1

TSH 2.74 mIU/L(0.40-4.50) went down a little from 2.71

T3 Reverse 33 ng/dL(11-32) stayed the same

My doctor say she would be fine with T3 only but did not no how to dose that. I

showed her the dosing plan and talked about iron and temp. charts and all is

good so far. Since we last talked I have been charting temps. and also marking

pulse 3x per day. The first nine days were low but stable (hypo), then it went

wild for about 12 days, and the last 10 days have been good: most present

first..98.7, 98.6, 98.6, 98.8, 98.6, 98.7, 98.8, 98.6, 98.5, 98.6.

Basil temps. have been between 97.8 - 98.3 in the last 10 days.

Pulse ranges between 80 - 88 bpm.

I began taking iron on 12/26 - started off slow but have raised every couple

days (was afraid of problems) I take a total of 108mg of Ferrachel, 22.5mg of

fumerous fumerate in my vitamins, and 6.2 of iron(type?) in Chlorella. Total

intake is now approx. 136.7mg. Should I up the Ferrochel one or two more? Also

I take all my supplements after I eat (which is 1 hour after T3) to prevent

upset tummy. Is it okay to take my multi vit., calcium, B complex, Vit c,

chlorella, and Iron all at the same time as I have been doing or will this

prevent the Iron from working it's best? Also, should I be tested again for

Ferritin in 2 months or how long?

T3 only has been a slow process as suggested. Began on 1/1 and immediately

found that the dosing worked best if I broke it up in about 5 doses per day to

be able to tolerate it. I was planning to raise on every 5th day by 6.25mcg as

long as temps. and pulse looked good and I felt okay. Please advise on this.

Right now I take sublingually:

12.5mcg - after basil temp./wake up

6.25mcg - 3 hours later

6.25mcg - 3 hours later

6.25mcg - 3 hours later

6.25mcg - 3+hours later (bedtime)

So far I haven't had any serious problems. Once and a while I feel like I have

pressure in my chest mainly as the day goes by(almost like trapped gas), and I

still wake up at night very hot/sweating (behind neck and knees). The waking up

hot has actually increased from once per night to up to four times per night. I

am most tired in the afternoon still (when my cortisol was at it's lowest), but

I know that this takes time with supplements (Adrenoltone Plus by Designs for

Health). Also please advise on any labs that should be done that may not have

been done before.

Thank you,

Marcy

> >

> > > The iron and the Cytomel are another story since I must obtain a Rx. Let

me try to get this right: I can take the iron, along with the T3 and use the

dosage chart (dropping T4) and begin as soon as my doctor is on board. Can I

also work on adrenals at the same time if they are not too out of wack?

> >

> > Yes, the ideal is adrenals first and then add thyroid but your

> > adrenals look reasonable

> >

> > >Right now I am taking herbal treatment for them as sleeping was not good. I

am sleeping some now as I wake up feeling refreshed compared to before. However,

sometimes I still feel tired in the afternoon when cortisol seems to be at it's

lowest (not as bad though).

> > >

> > >Free T3 = 207 (230-420),

> >

> > Very Hypo

> >

> > >Free T4 = 1.1 (0.8-1.8),

> > Not a problem, depends what you were taking

> (Synthroid 50mcg everyday except Monday and Thursday on which I take 75mcg

Synthroid)

> >

> > > TSH = 2.71 (0.40-4.50),

> >

> > Hypo

> >

> > >Reverse T3 = 33 (11-32),

> >

> > Too high, T3 only needed

> >

> > >Iron = 113 (40-175),

> > >Ferritin = 41 (10-232),

> >

> > Low, needs lots of supplementing, ideal 70-90

> >

> > >Adrenocorticortropin Hormone 11 @9am(5-27),

> >

> > Don't know

> >

> > >Salivary Cortisol and DHEA was done through Genova Diagnostics and the

> > >7-9am =1.05,reference range = (0.27-1.18 mcg/dL)

> > >11am-1pm =0.16, = (0.10-0.41 mcg/dL)

> > >3pm-5pm =0.18, = (0.05-0.27 mcg/dL)

> > >10pm-12am=0.24, = (0.03-0.14 mcg/dL)

> >

> > They look pretty reasonable, the night level is a bit high but T3

> > supplementation with a bed time dose may be enough to sort that out

> >

> > What are your temperatures doing?? If they are stable from day to day

> > when charted like this

> >

> > http://www.drrind.com/therapies/metabolic-temperature-graph

> >

> > then they don't need support. Those Saliva results look pretty

> > reasonable to me, hopefully Val can confirm that

> >

> > If you start T3 and build slowly while supplementing Iron then you may

> > well be OK

> >

> > Watch the timing between taking T3 and taking Iron

> >

> > http://thyroid-rt3.com/interact.htm

> >

> > If that proves difficult then you can take the T3 sublingually at any

> > time

> >

> > Nick

> >

>

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