Cytomel dosage when cortisol is high

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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