Guest guest Posted February 21, 2010 Report Share Posted February 21, 2010 Bumping to find out if I need any adrenal support before I begin T3. Thanks! > > Hi, > > I've been diagnosed with Hashi's & am currently on 75 mcg generic levothyroxine. My latest labs show I have an RT3 problem. I was taking 100 mcg at the time due to continuing hypo symptoms but have since cut back to 75: > 1/10 labs: > TSH <0.01 (0.4-4.5) whoops > FT4 2.5 (0.8-1.8) > FT3 493 (230-420) > RT3 56 (11-32) > D3 52 (>30 optimal) (up from 22 in November, supplementing with 4000 iu/day) > Ferritin 116 (10-232) (November labs) > B12 811 (200-1100) (November labs) > > I'd like to start on T3 only but am wondering how my adrenals look: > Saliva Cortisol test (ZRT) 1/10: > Morning 8.2 (3.7-9.5) > Noon 2.0 (1.2 -3.0) > Evening 0.8 (0.6-1.9) > Night 1.5 (0.4-1.0) > > Should I be taking something to support my adrenals or do they look OK to start T3? I have been taking sea salt for a couple of weeks. I have trouble staying awake past 9 pm & usually wake up once during the night, hot. My temps are low & unstable. My symptoms are fatigue & pain (my knees have been killing me this week). > > Thanks for any guidance! > > Deirdre > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2010 Report Share Posted February 22, 2010 > > Saliva Cortisol test (ZRT) 1/10: > > Morning 8.2 (3.7-9.5) > > Noon 2.0 (1.2 -3.0) > > Evening 0.8 (0.6-1.9) > > Night 1.5 (0.4-1.0) > > > > Should I be taking something to support my adrenals or do they look OK to start T3? I have been taking sea salt for a couple of weeks. I have trouble staying awake past 9 pm & usually wake up once during the night, hot. My temps are low & unstable. My symptoms are fatigue & pain (my knees have been killing me this week). > > Those cortisol readings don't look too bad except for the night one, which is probably causing your sleep issues. The late night cortisol reading should ideally be near the bottom of the range. When it's high you have stress hormones flying around your system revving it up when you're trying to sleep, causing hypoglycemia, sweating, wakefulness. I had high nighttime cortisol too and found taking phosphorylated serine before bed helped. Also eating a high fat, high protein snack late at night can help stave off the hypoglycemia. As far as I know the problems that can arise from starting T3 if adrenal issues are present come from starting T3 when there is insufficient cortisol (T3 needs cortisol to get into the cells) so the T3 builds up outside the cells with nowhere to go. Then if you start taking adrenal support at that point (or if cortisol rises by itself), suddenly all the T3 dumps into the cells at once and you go hyper. I would really see what Val has to say before making any decisions though, she's the adrenal expert. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2010 Report Share Posted February 22, 2010 Saliva Cortisol test (ZRT) 1/10: > > Morning 8.2 (3.7-9.5) > > Noon 2.0 (1.2 -3.0) > > Evening 0.8 (0.6-1.9) > > Night 1.5 (0.4-1.0) Aside from the high at night an dit si not horribel, there are near perfect lab for cortiosl. I would suggest only maybe a 1mg melqtonin at bedtime to heo you sleep and counter that high night time level. You shoul be fine to start T3 wiht these levels. -- 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/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2010 Report Share Posted February 22, 2010 Thanks so much Val & I1775. I'll give those nighttime suggestions a try. I'm seeing (another) new doctor this week & will discuss RT3 with him. If he won't address it, I'd like to be ready to get started with T3 on my own. I'd love to get the source list whenever someone has a moment. Thank you! Deirdre > > Saliva Cortisol test (ZRT) 1/10: > > > Morning 8.2 (3.7-9.5) > > > Noon 2.0 (1.2 -3.0) > > > Evening 0.8 (0.6-1.9) > > > Night 1.5 (0.4-1.0) > > Aside from the high at night an dit si not horribel, there are near perfect lab for cortiosl. I would suggest only maybe a 1mg melqtonin at bedtime to heo you sleep and counter that high night time level. You shoul be fine to start T3 wiht these levels. > > -- > 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/ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2010 Report Share Posted February 22, 2010 Do you mean phosphatidyl serine? Sydney To: RT3_T3 Sent: Mon, February 22, 2010 2:01:09 AMSubject: Re: RT3 problem - bump> > Saliva Cortisol test (ZRT) 1/10:> > Morning 8.2 (3.7-9.5)> > Noon 2.0 (1.2 -3.0)> > Evening 0.8 (0.6-1.9)> > Night 1.5 (0.4-1.0)> > > > Should I be taking something to support my adrenals or do they look OK to start T3? I have been taking sea salt for a couple of weeks. I have trouble staying awake past 9 pm & usually wake up once during the night, hot. My temps are low & unstable. My symptoms are fatigue & pain (my knees have been killing me this week).> > Those cortisol readings don't look too bad except for the night one, which is probably causing your sleep issues. The late night cortisol reading should ideally be near the bottom of the range. When it's high you have stress hormones flying around your system revving it up when you're trying to sleep, causing hypoglycemia, sweating, wakefulness. I had high nighttime cortisol too and found taking phosphorylated serine before bed helped. Also eating a high fat, high protein snack late at night can help stave off the hypoglycemia.As far as I know the problems that can arise from starting T3 if adrenal issues are present come from starting T3 when there is insufficient cortisol (T3 needs cortisol to get into the cells) so the T3 builds up outside the cells with nowhere to go. Then if you start taking adrenal support at that point (or if cortisol rises by itself), suddenly all the T3 dumps into the cells at once and you go hyper.I would really see what Val has to say before making any decisions though, she's the adrenal expert.------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2010 Report Share Posted February 22, 2010 > > Do you mean phosphatidyl serine? > > > Phosphorylated serine is similar to phosphatidyl, but as I understand it is the more active form - the body performs the phosphorylation step on the phosphatidyl form before it can use it. If you take the phosphorylated form, you basically bypass this step making it more bioavailable. Hope this helps. No doubt there are more in-depth/technical explanations out there! Lucy Quote Link to comment Share on other sites More sharing options...
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