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Re: Cytomel dosage when cortisol is high

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>But if there could be some phenomenon where T3 could lower temps, please let me

know!)

T3 should raise temperature at the time you take it, the only time it

doesn't is if you have low cortisol and it pushes it lower.

Your high cortisol is almost certainly the first stage of adrenal

failure caused by you being hypo, the adrenal levels rise to

compensate for the lack of thyroid before they then get exhausted and

levels drop.

These will have made things worse by then steering what T4 you have

into RT3 instead of T3.

There is a reasonable chance, though you might want to ask on the

adrenals board (address is at the end of all Val's posts) that going

T3 only and slowly increasing will fix the high adrenal levels as well

as the RT3.

By removing the hypo which is the reason for the high cortisol the

body might get control back over it and levels calm down.

It's worth trying the T3 but you will need to go up far enough to

suppress TSH and hence your own T4 production. It looks like these

Docs are not willing to support that.

If you can't find a competent Doc or at least one that's open to

learning from you then self medication is possible, T3 is cheap and

available mail order without a prescription and you can order labs

privately. It's not ideal, it's far better being under a competent

Doc, but some of us have resorted to it.

>

>If it matters I am very sick since November (mostly bedridden/homebound; have

CFS), get nocturnal panic attacks/jolts/cold attacks while sleeping. Very

temperature sensitive; sensory overload (difficult with 2 young children).

That sounds very adrenal, and if the screwed up adrenals are due to

hypo then that's a good place to start looking.

>T3 free: 265 (ref 230-420)

>T3 reverse: 44 HIGH (ref 11-32)

265/44 = 6.

This ratio should be 20 or higher. You have SEVERE RT3 issues. Get

those sorted and then after they have settled see if the adrenal

levels will settle down and it should shift most of your CFS symptoms.

The last person who had a ratio that bad had also been told they have

CFS, there seems to be a BIG tie up between severe RT3 issues and the

CFS diagnosis.

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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FREE CORTISOL RHYTHM

6-8am: 30 = elevated (ref: 13-24 nM)

11-noon: 34 = elevated (ref: 5-10 nM)

4-5pm: 10 = elevated (ref: 3-8 nM)

10-midnt:12 = elevated (ref: 1-4 nM)

Cortisol Burden 86 (Ref: 23-42)

What lab did these tests? If ti was Diagnos Techs, I would tend to retest

through ZRT. High cortisol that I have seen usually comes wiht a perfect rhythm,

not the ups and dows I am seeing in your levels. I would veryify this is NOT lab

error before continueing on. Even an am serum cortilsl might help clarify

whether you neeed to look further into this.

--

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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FREE CORTISOL RHYTHM

6-8am: 30 = elevated (ref: 13-24 nM)

11-noon: 34 = elevated (ref: 5-10 nM)

4-5pm: 10 = elevated (ref: 3-8 nM)

10-midnt:12 = elevated (ref: 1-4 nM)

Cortisol Burden 86 (Ref: 23-42)

What lab did these tests? If ti was Diagnos Techs, I would tend to retest

through ZRT. High cortisol that I have seen usually comes wiht a perfect rhythm,

not the ups and dows I am seeing in your levels. I would veryify this is NOT lab

error before continueing on. Even an am serum cortilsl might help clarify

whether you neeed to look further into this.

--

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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I think that Val's suggestion for re-testing cortisol is a must-do. I had some

of the same symptoms you do, but it was from LOW cortisol, not high.

Specifically, you mentioned " nocturnal panic attacks/jolts/cold attacks while

sleeping " . I had the exact same thing, and I was taking SeriPhos to combat the

high cortisol...but SeriPhos made the symptoms WORSE, because it wasn't high

cortisol causing my symptoms, it was LOW.

>

> Hi, everyone. I am getting conflicting info from practitioners, and would

appreciate any comments regarding my high rT3 given my extremely high cortisol:

>

> Here are my Recent test results:

>

> T3 free: 265 (ref 230-420)

> T3 reverse: 44 HIGH (ref 11-32)

> Both antibodies (TPO and thyroid AB) are well below concern levels (ok)

>

> Back in August, had these tests:

> TSH: 1.04 (ref .35-5.5)

> Free T4: 0.84 (ref .56 -1.66)

>

> One practitioner* first offerred NT but when I mentioned research that I

should not have T4 and would prefer cytomel, offered cytomel at this dose: 5 mcg

a day for a week, then twice a day (i.e. 10 mcg daily) if needed.

>

> The 2nd** suggested adrenal supps (e.g. R ) but when I mentioned I

have been taking 6 Adrenal Rebuilder, 6 PhosPHORYLATED serine (supposedly more

effective that phosphitidyl serine), and 4 Cortisol manager daily for 3 months

she agreed to cytomel, and prescribed 12.5 mg.

>

> A 3rd practitioner mentioned a dose of 6.5 mcg, taking temps and retesting in

4 weeks.

>

> My temps have been around 97.2-97.5. (ironically, only since starting the 5

mcg cytomel. I assume that's a fluke; I had only started taking temps 2 days

previous - 98.0 - 98.5 and those 2 mornings I had the heating pad on. But if

there could be some phenomenon where T3 could lower temps, please let me know!)

>

> I've read http://thyroid-rt3.com/starting.htm but wanted to hear any thoughts

relative to my very high cortisol, since I did see someone post that she had to

go slower to avoid anxiety/jitters. My levels may have come down since

testing,but it's still quite high based on my symtoms:

>

> My cortisol results (ASI) from December:

>

> FREE CORTISOL RHYTHM

> 6-8am: 30 = elevated (ref: 13-24 nM)

> 11-noon: 34 = elevated (ref: 5-10 nM)

> 4-5pm: 10 = elevated (ref: 3-8 nM)

> 10-midnt:12 = elevated (ref: 1-4 nM)

> Cortisol Burden 86 (Ref: 23-42)

>

> in August my ferritin was 53; I am taking lactoferrin supplement. My D3 is at

the top of the range (I supplement).

>

> If it matters I am very sick since November (mostly bedridden/homebound; have

CFS), get nocturnal panic attacks/jolts/cold attacks while sleeping. Very

temperature sensitive; sensory overload (difficult with 2 young children).

>

> Thanks so much,

> Nina

>

> P.S. I am under extreme financial and relationship stress that will not be

resolved soon.

>

> * on the recommended list, Manzanero's NP Debbie Winder

> * also on the recommended list, lin's NP, Shook

>

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