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Re: Never had these labs before...HIGH Free T3...7.5, range 2.0 - 4.4

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Margery,

Hopefully you'll get some other help. Just a couple of comments:

Based on my experience, please get more than your ferritin level, at least add

in the iron saturation. This is in case your ferritin is elevated from

inflammation. I've been dealing with the horrible fatigue but after my first

iron IV yesterday there is major improvement. My ferritin didn't look too bad

but iron panel showed a problem. I wish I had done the iron panel much earlier.

Your serum potassium is quite low, is this on the current dose of K?

Vitamin D is still low.

Something seems to be blocking the T3 and cell metabolism.

I've noticed that some people feel hypo on too much T3 and too much HC. Have

you tried cutting back?

One other thing, has anyone checked your reflexes? This is a very good test of

thyroid levels according to my doctor. In fact, yesterday he told me my

reflexes show that my thyroid is a little high--and that also connects with what

Val told me--that I probably need to drop it a little.

Sherry

>

> Test taken day before yesterday. Had test first thing in AM, did not take any

T3 than morning. I am on 150mg/day cynomel, will cut back immediately...but

still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

>

> Temps stable, 97s at rest, 96s after exercise.

> Pulse at rest 80.

>

> How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all up,

RT3 has been gone since January.

>

> The temp dropping after exercise sounds adrenal, but I am on 35mg/day HC,

15/10/5/5, (have also taken 20/5/5/5, no difference between the two).

>

> I have tried taking more florinef; it gave me headaches. But I was on a lot

less T3 then. Worth trying an increase again?

>

> I take:

> 1 1/2 tabs florinef (0.15 mg) (I still fail the " pupil test " )

> 2 teaspoons sea salt, divided into 2 doses

> 1500 mg potassium (K-Dur) divided into 2 doses

> 170 mg elemental iron (in 2 Hema-Plex tablets, divided into 2 doses)

> 150 mg Grossman Cynomel from Mexico, in six equal doses, taken sublingually.

I have been on this dose for two weeks

> 500 mg magnesium (Jigsaw sustained release)

>

> My Rt3 ratio on 10/01/09 was 13. I started taking t3 only then.

>

> I am stopping iron today, will re-test ferritin in 5 days, in the meantime

here's most recent labs.

>

> 2/19/10

> Reverse T3: 35 (range 90-350)

> TSH: .021 (range .450-4.500)

> Free T3: 4.3 (range 2.0-4.4) (I was on 75 mg/day at this time)

> T4, Free (direct): .17 (range .82-1.77)

> Vitamin D: 63 (range 32-100) (up from 31)

> Vitamin B12: 962 (range 211-911)

> Ferritin: 78 (range 10-291)

> Testosterone: 6 (range 6-82) (just started transdermal cream)

> ACTH, Plasma: 18.5 (range 7.2-63.3)

> Progesterone: <0.2 (range 0.1-0.8) (tried prescription-strength bio-identical

cream for over a year, it did not raise my progesterone levels)

> Sodium: 138 (range 135-145) (taking twice as much sea salt now)

> Potassium, serum: 3.9 (range 3.5-5.2)

>

> Help is deeply appreciated.

>

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Thank you, Sherry, for your reply. Yes, something sure is blocking the T3. With this much Free T3 my pulse and temps should be through the roof. They are not.I

had 2 iron IVs in January, so I hope the ferritin is accurate. I will

test again. I will also get the iron saturation test you suggested.

Will be off all iron 5 days prior to tests.I have doubled my dose of potassium to 3,000 mg/day. Will test electrolytes again in 2 weeks.I

am continuing to raise my Vitamin D, it is slow but it IS going up.

Taking 10,000 IU a day. Tried intramuscular injections but had a bad

reaction.I tried cutting back on HC a few weeks ago. As a

result got my old 3:00 AM cortisol crash, adrenalin, high pulse, etc.,

so I suspect I may be closer to low cortisol than high. I have also

tested high for Cortisol Binding Globulin, so I do not know how much

of the HC I take gets utilized effectively vs. getting bound into an

inactive form. (I wish I could test for this, but I understand that

all existing cortisol tests are inaccurate while on HC.)I have

never had my reflexes tested (not in the last 40 years, anyway). I do

not know anything about this and would very much like to get these

tested. My Dr. opposes T3-only treatment, does "not believe" in RT3,

and has never tested my reflexes, so yes, she is worse than useless.

Can any regular doctor check reflexes? Or is there a specialist?Thank you very much, again for your reply. PS

I also probably have potassium wasting, and read with interest your

post earlier today on that subject. I have been tested for heavy

metals and no help there. So I am trying both sustained-release and

transdermal magnesium for this problem. "it is magnesium that controls the fate of potassium", from:http://www.krispin.com/magnes.html--- In RT3_T3 , "scdlymie" wrote:>> Margery,> > Hopefully you'll get some other help. Just a couple of comments: > > Based on my experience, please get more than your ferritin level, at least add in the iron saturation. This is in case your ferritin is elevated from inflammation. I've been dealing with the horrible fatigue but after my first iron IV yesterday there is major improvement. My ferritin didn't look too bad but iron panel showed a problem. I wish I had done the iron panel much earlier.> > Your serum potassium is quite low, is this on the current dose of K?> > Vitamin D is still low.> > Something seems to be blocking the T3 and cell metabolism.> > I've noticed that some people feel hypo on too much T3 and too much HC. Have you tried cutting back?> > One other thing, has anyone checked your reflexes? This is a very good test of thyroid levels according to my doctor. In fact, yesterday he told me my reflexes show that my thyroid is a little high--and that also connects with what Val told me--that I probably need to drop it a little.> > Sherry> > > >> > Test taken day before yesterday. Had test first thing in AM, did not take any T3 than morning. I am on 150mg/day cynomel, will cut back immediately...but still have bad hypo symptoms. Constant, crushing, debilitating exhaustion, primarily.> > > > Temps stable, 97s at rest, 96s after exercise.> > Pulse at rest 80.> > > > How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all up, RT3 has been gone since January.> > > > The temp dropping after exercise sounds adrenal, but I am on 35mg/day HC, 15/10/5/5, (have also taken 20/5/5/5, no difference between the two).> > > > I have tried taking more florinef; it gave me headaches. But I was on a lot less T3 then. Worth trying an increase again?> > > > I take:> > 1 1/2 tabs florinef (0.15 mg) (I still fail the "pupil test")> > 2 teaspoons sea salt, divided into 2 doses> > 1500 mg potassium (K-Dur) divided into 2 doses> > 170 mg elemental iron (in 2 Hema-Plex tablets, divided into 2 doses)> > 150 mg Grossman Cynomel from Mexico, in six equal doses, taken sublingually. I have been on this dose for two weeks> > 500 mg magnesium (Jigsaw sustained release)> > > > My Rt3 ratio on 10/01/09 was 13. I started taking t3 only then. > > > > I am stopping iron today, will re-test ferritin in 5 days, in the meantime here's most recent labs.> > > > 2/19/10> > Reverse T3: 35 (range 90-350)> > TSH: .021 (range .450-4.500)> > Free T3: 4.3 (range 2.0-4.4) (I was on 75 mg/day at this time)> > T4, Free (direct): .17 (range .82-1.77)> > Vitamin D: 63 (range 32-100) (up from 31)> > Vitamin B12: 962 (range 211-911)> > Ferritin: 78 (range 10-291)> > Testosterone: 6 (range 6-82) (just started transdermal cream)> > ACTH, Plasma: 18.5 (range 7.2-63.3)> > Progesterone: <0.2 (range 0.1-0.8) (tried prescription-strength bio-identical cream for over a year, it did not raise my progesterone levels)> > Sodium: 138 (range 135-145) (taking twice as much sea salt now)> > Potassium, serum: 3.9 (range 3.5-5.2)> > > > Help is deeply appreciated.> >>

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>Test taken day before yesterday. Had test first thing in AM, did not take any

T3 than morning. I am on 150mg/day cynomel, will cut back immediately...but

still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

>

>Temps stable, 97s at rest, 96s after exercise.

>Pulse at rest 80.

>

>How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all up,

RT3 has been gone since January.

Resistance still by the looks of it.

From the 10th Jan it's only about 10 weeks, hang in there, it takes

generally 11 tto 13 weeks to clear the RT3 from the receptors.

While receptors are still blocked you will be hypo on an " in range "

FT3. If you are not hyper on your 150 you can stay there, just be

ready to drop when resistance clears.

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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Nick, I've been on T3 only for 22 weeks (since Oct. 1). Is it possible my

receptors are still not clear? Has anybody else's clearing taken this long?

Thank you.

>

> >Test taken day before yesterday. Had test first thing in AM, did not take

any T3 than morning. I am on 150mg/day cynomel, will cut back immediately...but

still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

> >

> >Temps stable, 97s at rest, 96s after exercise.

> >Pulse at rest 80.

> >

> >How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all up,

RT3 has been gone since January.

>

> Resistance still by the looks of it.

>

> From the 10th Jan it's only about 10 weeks, hang in there, it takes

> generally 11 tto 13 weeks to clear the RT3 from the receptors.

>

> While receptors are still blocked you will be hypo on an " in range "

> FT3. If you are not hyper on your 150 you can stay there, just be

> ready to drop when resistance clears.

>

> Nick

>

> --

>

> for more information on RT3 and Thyroid Resistance go to

>

> www.thyroid-rt3.com

>

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Nick,I am confused by your response to Margery. With a ft3 at 7.5 couldn't she be feeling this way because she is hyperthyroid? With the number this high, as mine was, (9.1) could not this be adrenal because the high T3 is using up the the adrenals? Trying to figure this out for myself, not really disputing your comment.VeniziaSubject: Re: Never had these labs before...HIGH Free T3...7.5, range 2.0 - 4.4To: RT3_T3 Date: Wednesday, March 24, 2010, 9:14 AM

Nick, thanks for your answer. Re-reading my post, I see I was unclear about my T-3 only start date: it was October 1, 2009.

>

> >Test taken day before yesterday. Had test first thing in AM, did not take any T3 than morning. I am on 150mg/day cynomel, will cut back immediately. ..but still have bad hypo symptoms. Constant, crushing, debilitating exhaustion, primarily.

> >

> >Temps stable, 97s at rest, 96s after exercise.

> >Pulse at rest 80.

> >

> >How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all up, RT3 has been gone since January.

>

> Resistance still by the looks of it.

>

> From the 10th Jan it's only about 10 weeks, hang in there, it takes

> generally 11 tto 13 weeks to clear the RT3 from the receptors.

>

> While receptors are still blocked you will be hypo on an "in range"

> FT3. If you are not hyper on your 150 you can stay there, just be

> ready to drop when resistance clears.

>

> Nick

>

> --

>

> for more information on RT3 and Thyroid Resistance go to

>

> www.thyroid- rt3.com

>

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Hi Venizia: In these last two days I increased Cortef from 35 mg/day to 50

mg/day and feel a lot better. Based on this, I think you are really on to

something with the high T3/adrenal angle.

I have lowered my Cynomel dose from 150 down to 125 for now. I know I want to

keep my free T3 in the top end or slightly over range, but I feel I was too far

over.

Since I've been on T3 only for something like 20 weeks, I think the receptors

have to be cleared, now I have to look for what else is going on.

I don't know what to expect next. (Will I need less Cortef as my T3 goes down?)

I am reading a lot on the adrenals group looking for info but have not yet

succeeded in locating anything addressing this specific issue.

Thank you very much for your post, it is VERY helpful to hear from someone who

has had the same issues.

>

> >

>

> > >Test taken day before yesterday. Had test first thing in AM, did not take

any T3 than morning. I am on 150mg/day cynomel, will cut back immediately.

...but still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

>

> > >

>

> > >Temps stable, 97s at rest, 96s after exercise.

>

> > >Pulse at rest 80.

>

> > >

>

> > >How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all

up, RT3 has been gone since January.

>

> >

>

> > Resistance still by the looks of it.

>

> >

>

> > From the 10th Jan it's only about 10 weeks, hang in there, it takes

>

> > generally 11 tto 13 weeks to clear the RT3 from the receptors.

>

> >

>

> > While receptors are still blocked you will be hypo on an " in range "

>

> > FT3. If you are not hyper on your 150 you can stay there, just be

>

> > ready to drop when resistance clears.

>

> >

>

> > Nick

>

> >

>

> > --

>

> >

>

> > for more information on RT3 and Thyroid Resistance go to

>

> >

>

> > www.thyroid- rt3.com

>

> >

>

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Hi Venizia: In these last two days I increased Cortef from 35 mg/day to 50

mg/day and feel a lot better. Based on this, I think you are really on to

something with the high T3/adrenal angle.

I have lowered my Cynomel dose from 150 down to 125 for now. I know I want to

keep my free T3 in the top end or slightly over range, but I feel I was too far

over.

Since I've been on T3 only for something like 20 weeks, I think the receptors

have to be cleared, now I have to look for what else is going on.

I don't know what to expect next. (Will I need less Cortef as my T3 goes down?)

I am reading a lot on the adrenals group looking for info but have not yet

succeeded in locating anything addressing this specific issue.

Thank you very much for your post, it is VERY helpful to hear from someone who

has had the same issues.

>

> >

>

> > >Test taken day before yesterday. Had test first thing in AM, did not take

any T3 than morning. I am on 150mg/day cynomel, will cut back immediately.

...but still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

>

> > >

>

> > >Temps stable, 97s at rest, 96s after exercise.

>

> > >Pulse at rest 80.

>

> > >

>

> > >How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all

up, RT3 has been gone since January.

>

> >

>

> > Resistance still by the looks of it.

>

> >

>

> > From the 10th Jan it's only about 10 weeks, hang in there, it takes

>

> > generally 11 tto 13 weeks to clear the RT3 from the receptors.

>

> >

>

> > While receptors are still blocked you will be hypo on an " in range "

>

> > FT3. If you are not hyper on your 150 you can stay there, just be

>

> > ready to drop when resistance clears.

>

> >

>

> > Nick

>

> >

>

> > --

>

> >

>

> > for more information on RT3 and Thyroid Resistance go to

>

> >

>

> > www.thyroid- rt3.com

>

> >

>

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Guest guest

Hi Venizia: In these last two days I increased Cortef from 35 mg/day to 50

mg/day and feel a lot better. Based on this, I think you are really on to

something with the high T3/adrenal angle.

I have lowered my Cynomel dose from 150 down to 125 for now. I know I want to

keep my free T3 in the top end or slightly over range, but I feel I was too far

over.

Since I've been on T3 only for something like 20 weeks, I think the receptors

have to be cleared, now I have to look for what else is going on.

I don't know what to expect next. (Will I need less Cortef as my T3 goes down?)

I am reading a lot on the adrenals group looking for info but have not yet

succeeded in locating anything addressing this specific issue.

Thank you very much for your post, it is VERY helpful to hear from someone who

has had the same issues.

>

> >

>

> > >Test taken day before yesterday. Had test first thing in AM, did not take

any T3 than morning. I am on 150mg/day cynomel, will cut back immediately.

...but still have bad hypo symptoms. Constant, crushing, debilitating exhaustion,

primarily.

>

> > >

>

> > >Temps stable, 97s at rest, 96s after exercise.

>

> > >Pulse at rest 80.

>

> > >

>

> > >How can I still be hypo with a free T3 so high? Ferritin, Vit D, b12 all

up, RT3 has been gone since January.

>

> >

>

> > Resistance still by the looks of it.

>

> >

>

> > From the 10th Jan it's only about 10 weeks, hang in there, it takes

>

> > generally 11 tto 13 weeks to clear the RT3 from the receptors.

>

> >

>

> > While receptors are still blocked you will be hypo on an " in range "

>

> > FT3. If you are not hyper on your 150 you can stay there, just be

>

> > ready to drop when resistance clears.

>

> >

>

> > Nick

>

> >

>

> > --

>

> >

>

> > for more information on RT3 and Thyroid Resistance go to

>

> >

>

> > www.thyroid- rt3.com

>

> >

>

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>Nick, I've been on T3 only for 22 weeks (since Oct. 1). Is it possible my

receptors are still not clear? Has anybody else's clearing taken this long?

Thank you.

>

Lost the plot, too many people to try and remember and I mix people up

I'm afraid

Agree it could be hyper, see if dropping helps

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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Guest guest

>Nick, I've been on T3 only for 22 weeks (since Oct. 1). Is it possible my

receptors are still not clear? Has anybody else's clearing taken this long?

Thank you.

>

Lost the plot, too many people to try and remember and I mix people up

I'm afraid

Agree it could be hyper, see if dropping helps

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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Guest guest

>Nick, I've been on T3 only for 22 weeks (since Oct. 1). Is it possible my

receptors are still not clear? Has anybody else's clearing taken this long?

Thank you.

>

Lost the plot, too many people to try and remember and I mix people up

I'm afraid

Agree it could be hyper, see if dropping helps

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

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