Guest guest Posted March 24, 2010 Report Share Posted March 24, 2010 I think you need to post the unit and the ranges on your lab work. By any way of judging your ferritin looks very low. MacGilchrist To: RT3_T3 Sent: Wed, 24 March, 2010 18:59:12Subject: New and Need Advice Hello Everyone,I recently discovered this group and I hope I'm heading in the right direction because I'm pretty much at my wit's end. Some quick info about me: I started noticing hypo symptoms about 5 years ago. All test results came back "normal" so my doctor dismissed my concerns. 4 years, 6 doctors, and 70 pounds later, I finally found a doctor who diagnosed me as hypo. That doctor started me off on synthyroid and when my labs came back "normal," she dismissed my concerns that I was still feeling hypo. I found another doctor who added cytomel to my synthroid which helped some things, but not everything. I was still feeling lethargic and fatigued, I was gaining weight, etc. As of today, my meds are: 88mcg synthroid, 20mcg cytomel, 25mcg DHEA, and 2625mcg metformin. The fatigue has gotten a lot better, but I'm still gaining weight. My most recent test results came back as follows:TSH: .02Free T4: 1.0Free T3: 348Total T3: 115RT3: 29Ferritin: 18Based on the calculation, it seems that I'm T3 resistant, but my doctor has never dealt with anyone like me and has no idea what to do. I went to another doctor for a second opinion and he said that I was "fine" and that I should just consider switching to Armour.Can anyone give me any advice? I so sick and tired of gaining weight and being depressed and I have no idea how to get better. Please help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2010 Report Share Posted March 24, 2010 Sorry about that... TSH: .02L (.4-4.5) Free T4: 1.0ng/dL (.8-1.8) Free T3: 348pg/dL (230-420) Total T3: 115ng/dL (76-181) RT3: 29ng/dL (11-32) Ferritin: 18ng/ml (10-154) > > Hello Everyone, > > I recently discovered this group and I hope I'm heading in the right direction because I'm pretty much at my wit's end. Some quick info about me: I started noticing hypo symptoms about 5 years ago. All test results came back " normal " so my doctor dismissed my concerns. 4 years, 6 doctors, and 70 pounds later, I finally found a doctor who diagnosed me as hypo. That doctor started me off on synthyroid and when my labs came back " normal, " she dismissed my concerns that I was still feeling hypo. I found another doctor who added cytomel to my synthroid which helped some things, but not everything. I was still feeling lethargic and fatigued, I was gaining weight, etc. As of today, my meds are: 88mcg synthroid, 20mcg cytomel, 25mcg DHEA, and 2625mcg metformin. The fatigue has gotten a lot better, but I'm still gaining weight. My most recent test results came back as follows: > > TSH: .02 > Free T4: 1.0 > Free T3: 348 > Total T3: 115 > RT3: 29 > Ferritin: 18 > > Based on the calculation, it seems that I'm T3 resistant, but my doctor has never dealt with anyone like me and has no idea what to do. I went to another doctor for a second opinion and he said that I was " fine " and that I should just consider switching to Armour. > > Can anyone give me any advice? I so sick and tired of gaining weight and being depressed and I have no idea how to get better. Please help. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2010 Report Share Posted March 24, 2010 OUCH ot your ferrritin which si a common cause of high Rt3 which oyu do have. Your ratio is 348/29=12 and it needs ot eb 20 or higher. I would suggest trying to get an iron IV or starting immediately on 150-200mg elemental iron daily. You may need ot work up to that dose but it is what is bneeded to raise iron when it is really lwo. POnce you can get it to around 50, which may take several noths you can start the t3 protocol slowly as you raise both T3 and iron to good levels. -- http://www.stopthethyroidmadness.com/ http://nthadrenalsweb.org/ http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/ http://health.groups.yahoo.com/group/RT3_T3/ http://www.thyroid-rt3.com/ http://groups.yahoo.com/group/HypoPets/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 Hello and welcome >TSH: .02 >Free T4: 1.0 >Free T3: 348 >Total T3: 115 >RT3: 29 >Ferritin: 18 348/29 = 12, this ratio should be 20 or better. You have RT3 issues going on and going T3 only would help With that Ferritin though you will have a lot of trouble tolerating enough T3 You need to supplement iron heavily, 150 of elemental iron split into 2 doses a day for several months or some iron IVs. Once ferritin is up you can either try just increasing the amount of cytomel in the mix or going T3 only >Based on the calculation, it seems that I'm T3 resistant, but my doctor has never dealt with anyone like me and has no idea what to do. I went to another doctor for a second opinion and he said that I was " fine " and that I should just consider switching to Armour. Welcome to the world of Dr training!! Have a look through here www.thyroid-rt3.com and feel free to ask questions > >Can anyone give me any advice? I so sick and tired of gaining weight and being depressed and I have no idea how to get better. Please help. Get the ferritin up, 70 to 90 is your target and 50 the minimum to tolerate enough T3 That is your first step on the road to health. Have you checked your adrenals at all? there is a temperature stability test on the site that gives a good clue Nick -- for more information on RT3 and Thyroid Resistance go to www.thyroid-rt3.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 Hello and welcome >TSH: .02 >Free T4: 1.0 >Free T3: 348 >Total T3: 115 >RT3: 29 >Ferritin: 18 348/29 = 12, this ratio should be 20 or better. You have RT3 issues going on and going T3 only would help With that Ferritin though you will have a lot of trouble tolerating enough T3 You need to supplement iron heavily, 150 of elemental iron split into 2 doses a day for several months or some iron IVs. Once ferritin is up you can either try just increasing the amount of cytomel in the mix or going T3 only >Based on the calculation, it seems that I'm T3 resistant, but my doctor has never dealt with anyone like me and has no idea what to do. I went to another doctor for a second opinion and he said that I was " fine " and that I should just consider switching to Armour. Welcome to the world of Dr training!! Have a look through here www.thyroid-rt3.com and feel free to ask questions > >Can anyone give me any advice? I so sick and tired of gaining weight and being depressed and I have no idea how to get better. Please help. Get the ferritin up, 70 to 90 is your target and 50 the minimum to tolerate enough T3 That is your first step on the road to health. Have you checked your adrenals at all? there is a temperature stability test on the site that gives a good clue Nick -- for more information on RT3 and Thyroid Resistance go to www.thyroid-rt3.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 Thanks so much for the advice. With regards to my adrenals, I've had a saliva test and the results were a little odd...my cortisol levels are low when they're suppose to be high and high when they're suppose to be low. Overall, they're higher than they should be and I figured out that they only dip down right after I workout. I reasoned that because I have such high levels of cortisol, I'm taxing my adrenals and therefore need to support them. So, I convinced my doctor to put me on DHEA. I've also been doing the temperature stability test for the last few days and it seems that my temps are stable, but low (96.2-97.5). With regards to the doctor I went to see for my second opinion, the only reason I went to him was because he's actually aware of the T3 resistance and has dealt with it with other patients. That's why I was so shocked and dismayed that he basically dismissed me as being " fine. " With regards to the iron, what is the difference between elemental iron and iron iv? I know that the rest of my iron levels are normal so supplementing more iron makes me a little nervous. Are there any side effects to taking additional iron when my iron is normal with the exception of my ferritin levels? > > >TSH: .02 > >Free T4: 1.0 > >Free T3: 348 > >Total T3: 115 > >RT3: 29 > >Ferritin: 18 > > 348/29 = 12, this ratio should be 20 or better. You have RT3 issues > going on and going T3 only would help > > With that Ferritin though you will have a lot of trouble tolerating > enough T3 > > You need to supplement iron heavily, 150 of elemental iron split into > 2 doses a day for several months or some iron IVs. > > Once ferritin is up you can either try just increasing the amount of > cytomel in the mix or going T3 only > > >Based on the calculation, it seems that I'm T3 resistant, but my doctor has never dealt with anyone like me and has no idea what to do. I went to another doctor for a second opinion and he said that I was " fine " and that I should just consider switching to Armour. > > Welcome to the world of Dr training!! > > Have a look through here > > www.thyroid-rt3.com > > and feel free to ask questions > > > >Can anyone give me any advice? I so sick and tired of gaining weight and being depressed and I have no idea how to get better. Please help. > > Get the ferritin up, 70 to 90 is your target and 50 the minimum to > tolerate enough T3 > > That is your first step on the road to health. > > Have you checked your adrenals at all? there is a temperature > stability test on the site that gives a good clue > > Nick > > -- > > for more information on RT3 and Thyroid Resistance go to > > www.thyroid-rt3.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 > >With regards to the iron, what is the difference between elemental iron Elemental iron is the amount in an iron tablet that is bioavailable. The tablet will weigh more that that due to fillers and binders etc. >and iron iv? An Intravenus drip straight into a vein >I know that the rest of my iron levels are normal so supplementing more iron makes me a little nervous. Are there any side effects to taking additional iron when my iron is normal with the exception of my ferritin levels? you have to watch for constipation if you are taking tablets. Vitamin C and Magnesium can both help with the absorbtion of the iron and the constipation Apart from that there is the beneficial side effect of being able to utilise thyroid hormone successfully! Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 > >With regards to the iron, what is the difference between elemental iron Elemental iron is the amount in an iron tablet that is bioavailable. The tablet will weigh more that that due to fillers and binders etc. >and iron iv? An Intravenus drip straight into a vein >I know that the rest of my iron levels are normal so supplementing more iron makes me a little nervous. Are there any side effects to taking additional iron when my iron is normal with the exception of my ferritin levels? you have to watch for constipation if you are taking tablets. Vitamin C and Magnesium can both help with the absorbtion of the iron and the constipation Apart from that there is the beneficial side effect of being able to utilise thyroid hormone successfully! Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2010 Report Share Posted March 25, 2010 >With regards to my adrenals, I've had a saliva test and the results were a little odd...my cortisol levels are low when they're suppose to be high and high when they're suppose to be low. Overall, they're higher than they should be and I figured out that they only dip down right after I workout. I reasoned that because I have such high levels of cortisol, I'm taxing my adrenals and therefore need to support them. So, I convinced my doctor to put me on DHEA. I've also been doing the temperature stability test for the last few days and it seems that my temps are stable, but low (96.2-97.5). > High levels overall can be due to low thyroid. That's why people with thyroid issues have low adrenals, they go up first and then " burn out " If you google " stages of adrenal failure " you should find information on this Nick -- for more information on RT3 and Thyroid Resistance go to www.thyroid-rt3.com Quote Link to comment Share on other sites More sharing options...
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