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do i need a RT3 test?

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i am new to this group, coming here from adrenals and NTH. i am really grateful

for all of this information. i just listened to val's and janie's talk show

about Rt3 and i am wondering if i need to get this test now or if i can hold

off.

currently i am taking 12 mcg SR T3 and 50 mcg synthroid - for 4 weeks. i want

to switch to dessicated thyroid but i need to have labs run first. i am feeling

very sick and would like to change my meds soon but my doc won't see me until it

has been 8 weeks. janie gave me advice on NTH this morning. so i am planning

on running labs now (ordering them myself) then going from there. this is all

more complicated because i don't know which symptoms are hypo, which are

adrenal, and which are possibly not even related to any of it.

here is some background:

my labs before taking anything in 11/09. no other thyroid labs were run.

TSH = 5.2 (4 - 4.0)

FT4 = .7 (.6 - 1.8)

TG AB = .8 (in range)

i started on synthroid, little relief, then switched myself to thyoid-s, felt

AWFUL on that after 3 weeks so went to a ND who put me on the above regimen of

synthetic crappola. after one month on this i am again confined to bed. i will

admit my depression is MUCH better now than on the thyroid-s, but physically i

feel awful.

i have not had more thyroid labs run since then. however, in the meantime i had

ZRT cortisol x 4 and it was very high. not on any adrenal support. val helped

me with these results.

AM = 21.5 HIGH {3.7 - 9.5}

NOON = 6.4 HIGH {1.2 - 3.0}

EVENING = 2.7 HIGH {.6 - 1.9}

NIGHT = .9 {.4 - 1.0}

i plan to check TSH, FT4, FT3 and TPO ab. if i also need the RT3 test, it will

be more complicated as i have to order through a different place and this will

add time and it overwhelms me (another symptom, i can't deal with much!). i am

just feeling very desperate as i am so sick of being sick and i just want to get

better!

what would be the recommended course of action? thank you so much!

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>i am new to this group, coming here from adrenals and NTH. i am really

grateful for all of this information. i just listened to val's and janie's talk

show about Rt3 and i am wondering if i need to get this test now or if i can

hold off.

Hello and welcome, Val's on the sick list and I am trying to catch up

with posts

>

>currently i am taking 12 mcg SR T3 and 50 mcg synthroid - for 4 weeks. i want

to switch to dessicated thyroid but i need to have labs run first. i am feeling

very sick and would like to change my meds soon but my doc won't see me until it

has been 8 weeks. janie gave me advice on NTH this morning. so i am planning

on running labs now (ordering them myself) then going from there. this is all

more complicated because i don't know which symptoms are hypo, which are

adrenal, and which are possibly not even related to any of it.

It's a jumble and making sense of it with hypo brain fog makes it

harder.

An RT3 and FT3 done at the same time will eliminate RT3 as a possible

cause

The general advice is to add adrenal support until temperatures are

stable and then add thyroid to bring temperature up

>here is some background:

>

>my labs before taking anything in 11/09. no other thyroid labs were run.

>TSH = 5.2 (4 - 4.0)

>FT4 = .7 (.6 - 1.8)

>TG AB = .8 (in range)

Very hypo

>

>i started on synthroid, little relief, then switched myself to thyoid-s, felt

AWFUL on that after 3 weeks so went to a ND who put me on the above regimen of

synthetic crappola. after one month on this i am again confined to bed. i will

admit my depression is MUCH better now than on the thyroid-s, but physically i

feel awful.

Any ferritin or temperature tests???

>

>i have not had more thyroid labs run since then. however, in the meantime i

had ZRT cortisol x 4 and it was very high. not on any adrenal support. val

helped me with these results.

>

>AM = 21.5 HIGH {3.7 - 9.5}

>NOON = 6.4 HIGH {1.2 - 3.0}

>EVENING = 2.7 HIGH {.6 - 1.9}

>NIGHT = .9 {.4 - 1.0}

The early stage when adrenals are pumping out extra co compensate for

low thyroid. These should recover if you get the thyroid right but

might mean you need " little and often " on the T3.

>i plan to check TSH, FT4, FT3 and TPO ab. if i also need the RT3 test, it will

be more complicated as i have to order through a different place and this will

add time and it overwhelms me (another symptom, i can't deal with much!). i am

just feeling very desperate as i am so sick of being sick and i just want to get

better!

>

>what would be the recommended course of action? thank you so much!

Well if you can't get the RT3 test you could just assume you might

have it and go T3 only. You won't be worse off than on a T4/T3 mix and

might be better off.

I haven't heard Ferritin mentioned, getting that measured is a MUST.

Have a read of here

www.thyroid-rt3.com

and ask questions as they arise, answers may be slow as Val is off

sick

Nick

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Hi Nick! Thank you so much for the reply. I didn't see your reply until today.

I did get more labs run after I wrote that message, including the RT3. Here are

those results:

TSH: .668 (.45-4.5)

FT4: 1.15 (.82-1.77)

FT3: 3.5 (2.0 - 4.4)

RT3: 290 (90 - 350)

Ferritin: 37 (10 - 291)

FT3/RT3 ratio = 12

I bought some of the Blue Bonnet iron and will take 150 mg - 200 mg elemental

iron per day to boost the ferritin. I know this may not allow me to increase

the T3 but I am going to try.

I read everything on your site, and if I am understanding it correctly I will

indeed need to go on T3 only. Val sent me the source list so I purchased the

cynomel. In the meantime I am taking my SR T3 and I dropped the synthroid. I

don't think the SR T3 has any effect on me, I increased my SR T3 to 24 mcg and I

feel like my eyelids and limbs are made of lead.

My basal temp and HR: 97.3/64

Would you please confirm that I am on the right path? My only concern: if the

SR T3 is so weak, which I believe it is - in effect making my meds almost like

T4 only - would adding cynomel to T4 clear up my RT3? Not sure if it works like

that. But please let me know what you think. Somewhere you said that if your

RT3 is over 250 you will need T3 only, since my RT3 is 290 this is my plan.

Thanks so much for all your help!

>

> >i am new to this group, coming here from adrenals and NTH. i am really

grateful for all of this information. i just listened to val's and janie's talk

show about Rt3 and i am wondering if i need to get this test now or if i can

hold off.

>

> Hello and welcome, Val's on the sick list and I am trying to catch up

> with posts

> >

> >currently i am taking 12 mcg SR T3 and 50 mcg synthroid - for 4 weeks. i

want to switch to dessicated thyroid but i need to have labs run first. i am

feeling very sick and would like to change my meds soon but my doc won't see me

until it has been 8 weeks. janie gave me advice on NTH this morning. so i am

planning on running labs now (ordering them myself) then going from there. this

is all more complicated because i don't know which symptoms are hypo, which are

adrenal, and which are possibly not even related to any of it.

>

> It's a jumble and making sense of it with hypo brain fog makes it

> harder.

>

> An RT3 and FT3 done at the same time will eliminate RT3 as a possible

> cause

>

> The general advice is to add adrenal support until temperatures are

> stable and then add thyroid to bring temperature up

>

> >here is some background:

> >

> >my labs before taking anything in 11/09. no other thyroid labs were run.

> >TSH = 5.2 (4 - 4.0)

> >FT4 = .7 (.6 - 1.8)

> >TG AB = .8 (in range)

>

> Very hypo

> >

> >i started on synthroid, little relief, then switched myself to thyoid-s, felt

AWFUL on that after 3 weeks so went to a ND who put me on the above regimen of

synthetic crappola. after one month on this i am again confined to bed. i will

admit my depression is MUCH better now than on the thyroid-s, but physically i

feel awful.

>

> Any ferritin or temperature tests???

> >

> >i have not had more thyroid labs run since then. however, in the meantime i

had ZRT cortisol x 4 and it was very high. not on any adrenal support. val

helped me with these results.

> >

> >AM = 21.5 HIGH {3.7 - 9.5}

> >NOON = 6.4 HIGH {1.2 - 3.0}

> >EVENING = 2.7 HIGH {.6 - 1.9}

> >NIGHT = .9 {.4 - 1.0}

>

> The early stage when adrenals are pumping out extra co compensate for

> low thyroid. These should recover if you get the thyroid right but

> might mean you need " little and often " on the T3.

>

> >i plan to check TSH, FT4, FT3 and TPO ab. if i also need the RT3 test, it

will be more complicated as i have to order through a different place and this

will add time and it overwhelms me (another symptom, i can't deal with much!).

i am just feeling very desperate as i am so sick of being sick and i just want

to get better!

> >

> >what would be the recommended course of action? thank you so much!

>

> Well if you can't get the RT3 test you could just assume you might

> have it and go T3 only. You won't be worse off than on a T4/T3 mix and

> might be better off.

>

> I haven't heard Ferritin mentioned, getting that measured is a MUST.

>

> Have a read of here

>

> www.thyroid-rt3.com

>

> and ask questions as they arise, answers may be slow as Val is off

> sick

>

> Nick

>

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Nick, thanks!!! I appreciate the guidance and support - I would surely be

sicker for a lot longer if I had not found all this information. I will let you

all know how it goes.

In good health!

lisa

>

> >Would you please confirm that I am on the right path? My only concern: if

the SR T3 is so weak, which I believe it is - in effect making my meds almost

like T4 only - would adding cynomel to T4 clear up my RT3? Not sure if it works

like that. But please let me know what you think. Somewhere you said that if

your RT3 is over 250 you will need T3 only, since my RT3 is 290 this is my plan.

>

> T3 only is the guaranteed method, you can try mixing T4/T3 but I doubt

> it will get you there, plenty of people on Armour have RT3 issues

> >

> >Thanks so much for all your help!

>

> Sounds like you've got the idea, get ferritin up, support adrenals,

> increase T3.

>

> The weak SRt3 will probably be Ok for now while you get the ferritin

> up, swap to the Cynomel later when you need a higher dose

>

> Nick

>

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