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Well last night I was proud that I hadn't bothered you guys in a week or so. I

had had 2 pretty good days, yesterday especially. The fog was much less, I

wasn't vigorous but had good energy, not cold despite the weather! I had been

sleeping good and felt a little refreshed in the morning, a new thing for me for

sure. For over a week I had not had the waking hot with pounding heart at 3 am.

I didn't know if it was the addtional 5 HC at bedtime or the 5 of cytomel as the

light went out, as I had tried both individually and didn't seem to help until I

did both.

I am taking Cytomel 8.75/6.25/8.75/6.25/5. I had one day before added the

additional 2.5 to two of the doses. I have been trying to increase 5mcg every 5

days or so. My temps avg 98.6 but can go as high as 99 or low as 98.3 during

the day. Basal is 97.4 to 97.7. BP is normal ranges and increases on standing.

Heart rate in bed this morning was 57!!! Usually I am running 60 in bed and 72

when up and sitting. I am taking HC 10/7.5/5/5/5 at bed. I am on the max dose

of iron and getting my second IV tomorrow....first ferritin was 44 and I have

been on supps for 3 weeks now.

The reason for my post:

1. I have started having palps and irregular beats

2. For the first time in a long long time, I couldn't go to sleep last night.

After a few hours I ended up taking sleep meds which I hate to do.

Is my HR and palps due to hypo? If so, why does it happen right as I increase

the dose and why are my temps almost normal? Should I try to increase again

or.....

Is my insomnia too much T3 after the raise, too much cortisol at bedtime? I

want to decrease the bedtime dose but I was under the impression that I had been

getting low cortisol during the night hence the sweating and waking up.

Could be electrolytes as well. I had them drawn last week and will get the

results tomorrow. I have been doing 1/4 tsp sea salt twice a day at Vals

recommendation but never had abnormal electrolytes in the past and although I

have had orthostatic symptoms in the past, not in a long time.

Thank you. And let me say Nick and Val, I am sorry you have been ill and that I

have been praying that you will get over it quickly. We all so much appreciate

you.

Steve

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Val will probably have further advice when she gets back, Steve. My symptoms

have been a little similar and I am still working things out but maybe this will

help. What I would try if I were you:

1. Take 1/2 tsp of sea salt in water when you wake up with the pounding heart

symptoms. You are utilizing more thyroid and cortisol and thus sodium, if I

understand it correctly. If it is electrolytes, this should clear the symptoms

in an hour.

2. Try the no carbs after 6 pm plus a fat/protein snack at bedtime, as Val

recommends.

3. I experimented just last night when I woke up at 4 with sweats and couldn't

go back to sleep for over an hour--I took one Isocort. I went back to sleep and

then slept until almost 10 AM today!! So if 1 & 2 don't help, you might try a

2.5 dose of HC and see what happens. (Your temps look pretty good, so I would

think that you T3 dose is pretty good right now.)

BTW I am at 14 weeks, and just had the positive shift at 13 weeks, and just

barely started Isocort. So I'm still in process but know I'm on the right track

now.

Sherry

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Sherry,

Thanks for chiming in. I really do appreciate your input. But to be clear, the

waking up had gotten a bit better. Still would wake at least once and maybe

warm but not hot and able to fall right back asleep after a trip to the

bathroom. My new problem is being wide awake and unable to fall asleep when I

get in bed. Thats a new one for me, I am ususally dead tired and asleep in 15

mins. Then the palps are new too. I had them years ago before I crashed so I

am sure related to all the problems I am dealing with, but this is the first

time that they have come back with a persistence, so I just figured the sleep

and the palps are connected since they both just started, but I don't have a

clue if it's too much or too little T3 or HC or just iron.

Steve

>

> Val will probably have further advice when she gets back, Steve. My symptoms

have been a little similar and I am still working things out but maybe this will

help. What I would try if I were you:

>

> 1. Take 1/2 tsp of sea salt in water when you wake up with the pounding heart

symptoms. You are utilizing more thyroid and cortisol and thus sodium, if I

understand it correctly. If it is electrolytes, this should clear the symptoms

in an hour.

>

> 2. Try the no carbs after 6 pm plus a fat/protein snack at bedtime, as Val

recommends.

>

> 3. I experimented just last night when I woke up at 4 with sweats and

couldn't go back to sleep for over an hour--I took one Isocort. I went back to

sleep and then slept until almost 10 AM today!! So if 1 & 2 don't help, you

might try a 2.5 dose of HC and see what happens. (Your temps look pretty good,

so I would think that you T3 dose is pretty good right now.)

>

> BTW I am at 14 weeks, and just had the positive shift at 13 weeks, and just

barely started Isocort. So I'm still in process but know I'm on the right track

now.

>

> Sherry

>

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>Well last night I was proud that I hadn't bothered you guys in a week or so. I

had had 2 pretty good days, yesterday especially. The fog was much less, I

wasn't vigorous but had good energy, not cold despite the weather!

Glad to hear there is some light along that tunnel

>I had been sleeping good and felt a little refreshed in the morning, a new

thing for me for sure. For over a week I had not had the waking hot with

pounding heart at 3 am. I didn't know if it was the addtional 5 HC at bedtime

or the 5 of cytomel as the light went out, as I had tried both individually and

didn't seem to help until I did both.

>

maybe they are needed together, seems entirely possible

>I am taking Cytomel 8.75/6.25/8.75/6.25/5. I had one day before added the

additional 2.5 to two of the doses. I have been trying to increase 5mcg every 5

days or so.

Sounds good

>My temps avg 98.6 but can go as high as 99 or low as 98.3 during the day.

Basal is 97.4 to 97.7. BP is normal ranges and increases on standing. Heart

rate in bed this morning was 57!!! Usually I am running 60 in bed and 72 when

up and sitting. I am taking HC 10/7.5/5/5/5 at bed. I am on the max dose of

iron and getting my second IV tomorrow....first ferritin was 44 and I have been

on supps for 3 weeks now.

heart rate is low still

>

>The reason for my post:

>1. I have started having palps and irregular beats

This can be hypo or low cortisol or low sodium (among other things).

Glass of sea salted water is worth a try, then consider is it 30 mins

after a dose or when the next dose is nearly due? Then check

temperature when it's happening.

>2. For the first time in a long long time, I couldn't go to sleep last night.

After a few hours I ended up taking sleep meds which I hate to do.

Yep, I can understand that

>

>Is my HR and palps due to hypo? If so, why does it happen right as I increase

the dose and why are my temps almost normal? Should I try to increase again

or.....

you can try, might also be more HC needed to cope with the extra T3

>Is my insomnia too much T3 after the raise, too much cortisol at bedtime? I

want to decrease the bedtime dose but I was under the impression that I had been

getting low cortisol during the night hence the sweating and waking up.

try a high fat low carb snack at bed time, a lump of cheese say

>Could be electrolytes as well. I had them drawn last week and will get the

results tomorrow. I have been doing 1/4 tsp sea salt twice a day at Vals

recommendation but never had abnormal electrolytes in the past and although I

have had orthostatic symptoms in the past, not in a long time.

Could be, try more when the palps are happening

>

>Thank you. And let me say Nick and Val, I am sorry you have been ill and that

I have been praying that you will get over it quickly. We all so much

appreciate you.

>

Thanks, I'm 98% better now but working on an away job and spare time

is very variable

Val's on the sick list still

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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I take it as I'm trying to sleep lights out. The last dose prior was 5 hours.

>

> >My new problem is being wide awake and unable to fall asleep when I get in

bed. Thats a new one for me,

>

> How long since a T3 dose do you go to bed?

>

> Nick

>

> --

>

> for more information on RT3 and Thyroid Resistance go to

>

> www.thyroid-rt3.com

>

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>

>I take it as I'm trying to sleep lights out. The last dose prior was 5 hours.

Sounds good to me, that is what I would have suggested doing.

The T3 sounds right, it's a case of up or down on the HC and playing

with food intake

Quiet time with dim light and no TV is also conducive to slowing the

mind ready for sleep

Nick

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