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Val, Nick

Thursday I increased my HC from 25 to 35. Friday my basal temp went to 98.2

from its usual 97.4 and my temps all day were rock steady at 98.7-98.8.

Thursday, the day I increased the HC they were 98.4-98.6 which had been what I

though was my usual stable point.

This morning my basal was 97.3 again and it seems like I am back at my usual

temps with my 9am being 98.3.

1. Do you think that the increased temps yesterday were just a result of driving

T3 into the cells and now it has dropped again?

2. I have been on iron for about 10 days now for a ferritin 44 (22-322). I am

going to get an IV next Weds. What should I do about increasing T3 dosing? I

have crept up a little over the last week. I had started at

6:30 5mcg cytomel

7:30 7.5 HC

10:00 1/4 grain NT

10:30 5HC

11:00 125 iron

1:30 5 HC

2:30 5mcg cytomel

4:30 2.5 HC

5:30 1/4 grain NT

7:30 2.5 HC

8:30 2.5 SR T3

9:30 125 iron

10:30 2.5 HC

NOW

6:30 5mcg cytomel

7:30 7.5 HC

10:00 2.5 mcg cytomel

10:30 5HC

11:00 125 iron

1:30 5 HC

2:30 5mcg cytomel

4:30 2.5 HC

5:30 5 mcg cytomel

7:30 2.5 HC

8:30 2.5 SR T3

9:30 125 iron

10:30 2.5 HC

3. How much and how often should I try to increase the cytomel?

My dosing schedule is horrendous, but I am trying to work around eating and the

iron. Anyway, my brain fog seems to fluctuate wildly around the dosing.

Sometimes I think it is the HC driving me into the fog, and other times it

doesn't seem so. I always feel really bad after the 11:00 iron, at least until

I eat at noon.

4. Do you have any suggestions about my dosing schedule that might give me more

stability throughout the day.

Thank you so much.

Steve

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Thanks Val. Any thoughts or theories on my other questions? I know that you

are swamped. Just trying to make sense of things and wondering why I seem to

feel better at no particular time of the day and much worse at others. Always

does seem better in the evenings before bedtime when I am doing lower doses, so

I swallow the pills all the time wondering if they are making me feel worse.

>

> Once yo uget the IV give it a couple days to settle thne try an increase

> of 10mcg soread over your usual doses.

>

> --

> 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/

>

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Well I thought that they were well supported at 25 mg HC. Thought my temps were

stable but I did have an outlier every 6 days or so. My BP test was good. But

you thought that was such a low dose for a man and I was feeling so bad that you

recommended I do 10/10/5/5. In addition I have been adding another 2.5 at

7:30pm and at bedtime but still woke up hot last night despite eating cashew

butter before bed. The first day my temps went up dramatically, the basal was

98.2 instead of 97.4 and the day was pretty much 98.7 all day. Today it was

back down to 97.3 basal and 98.4 all day. I am wondering if I just drove some

of my pooled T3 into the cells that first day with the increase?????

I may be imagining it but it seems that the higher HC doses send me more off

into the fog. That was why I thought I may be feeling better later in the day

when the doses are smaller. I was even toying with the idea of just taking 2.5

every 2 hours all day. Probably not a good idea?????? What do you think?

Steve

>

> Feeling better in afternoon/evenings is a classic adrenal symptom. Are

> your adrenals supported well?

>

> --

> 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/

>

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Thanks Nick and Val. I think it was a one day phenomenon that my temps went up

the first day of increased HC. TOday my basal was 97.4 again and I suspect my

avgs will be back to 98.4 or so. I think I need to increase T3 because I am now

about a week with no T4 from the NT and now 3 days of more HC. I am still

waiting for ferritin to come up though. Maybe I will just add another 2.5 of

cyto today. I haven't noticed any intolerance so I don't even know what that

is. My heart rate is still around 60 at rest. No longer having the pounding

heart but have had a few palps which have always been rare but just now

returning.

The sleep thing. I even tried 5 mg HC at bedtime 10:30 last night. Woke up at

2 am hot but not sweating, then again at 4,5,6 but those times I wasn't hot.

Now I'm wondering if the higher daily HC or the 10:30 dose is suppressing my own

ability to make a little HC during the night. Maybe the bedtime dose gets my

levels up and then they drop around 2 am or something.

>

> >The first day my temps went up dramatically, the basal was 98.2 instead of

97.4 and the day was pretty much 98.7 all day. Today it was back down to 97.3

basal and 98.4 all day. I am wondering if I just drove some of my pooled T3

into the cells that first day with the increase?????

>

> The general advice is to reduce thyroid meds when making a big change

> to HC because it can lead to a surge.

>

> It sounds like you may now be on enough HC and need more T3 as a

> result

>

> >

> >I may be imagining it but it seems that the higher HC doses send me more off

into the fog. That was why I thought I may be feeling better later in the day

when the doses are smaller. I was even toying with the idea of just taking 2.5

every 2 hours all day. Probably not a good idea?????? What do you think?

>

> Some people find little and often works well for them, you want to try

> and keep a reducing level through the day as per the profile but you

> can do that playing with the timing or the dose.

>

> How you take it within the total daily amount can be worth

> experimenting with

>

> Nick

>

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Steve,

Yes I also have adrenal problems and RT3 issues as well. My adrenals began to

slowly fail and then finally, after about 6 years and too many doctors, I found

one that agreed that having a morning cortisol level of 3 (range 9-15) and

nearly no production for the rest of the day 'qualified' me. I had been

documenting this decline the whole time with saliva tests.

I don't tolerate HC well in any dose more than 2.0 mg. at a time, so I finally

went to a compounded timed-release HC. It works much better for me, although

sometimes it's not consistent in when it 'dumps' into my system. This is most

likely because of digestion perameters. I also am one of those people, that when

my cortisol gets low, even in the night I have adrenaline 'attacks'. So I often

take a few Isocort during the night. They are much milder than taking regular HC

and I am then able to get back to sleep.

My RT3 was just recently tested and is slightly over range. My current

Endocrinologist, Dr. in Houston thinks at this point that bringing up

my FREE's into a good range may make the RT3 come into balance. I'm willing at

this point to try as I had been on T3 only therapy 3 years ago for about 8

months and did NOT do well. We're testing everything again in about 6 more

weeks.

The hardest part is that I have CFS as well. I had a terrible virus 8 years ago

at the same time as an adrenal/thyroid crisis and have never regained my

strength no matter what we've done. I have all the post-exertional issues,

debitating fatigue, body pain, cognitive difficulties, orthostatic intolerance,

sleep disorder and all the neurological issues. Right now, we're trying to see

if some of the targeted supplements (D-ribose, NADH and 400 mg. of CoQ10) will

make any difference.

Regards,

Stevie Lyn

Texas

> >

> > >The first day my temps went up dramatically, the basal was 98.2 instead of

97.4 and the day was pretty much 98.7 all day. Today it was back down to 97.3

basal and 98.4 all day. I am wondering if I just drove some of my pooled T3

into the cells that first day with the increase?????

> >

> > The general advice is to reduce thyroid meds when making a big change

> > to HC because it can lead to a surge.

> >

> > It sounds like you may now be on enough HC and need more T3 as a

> > result

> >

> > >

> > >I may be imagining it but it seems that the higher HC doses send me more

off into the fog. That was why I thought I may be feeling better later in the

day when the doses are smaller. I was even toying with the idea of just taking

2.5 every 2 hours all day. Probably not a good idea?????? What do you think?

> >

> > Some people find little and often works well for them, you want to try

> > and keep a reducing level through the day as per the profile but you

> > can do that playing with the timing or the dose.

> >

> > How you take it within the total daily amount can be worth

> > experimenting with

> >

> > Nick

> >

>

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