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Thanks again for your help previously Nick. Following up:

1. I have just had ferretin levels done - came back as 60. Do you think it is worth supplementing? If so does anyone have a recommendation for best oral treatment? (apologies if this has been raised lots of times before)

2, Also as still overseas still not having much luck with good cortisol tests (which I think I need as my average daily temperature fluctuation is all over the place). All I could get done was cortisol a.m. test which was 14 (lab range 6 to 26). This seems fairly normal, but again any comments gratefully received.

Am coming back to UK shortly and in addition to 24 saliva test was kind of thinking of having the ACTH stimulation test done if I can - to get the best picture I can of what is going on. Does anyone know what level of risk is associated with test (I had to have an insulin stimulation test when I was 17 and did not like that one bit!) Has any one had the test before? Again, any comments gratefully received.

all the best

--- El mar, 2/16/10, Nick Foot escribió:

De: Nick Foot Asunto: Re: new on forum..A: RT3_T3 Fecha: martes, 16 de febrero de 2010, 01:24 am

>Hi there, and thanks for all your useful comments & info. Hello and welcome>>Apologies for being dumb - completely new to this rt3-ft3 ratio, t3 only treatment etc - but have had some lab tests done for the first time and struggling to get the rt3-ft3 ratio. > So assume that I am to put the decimal point where i think it should be - ie 4 divided by .23, which gives ratio of 17? >Yep. We look for a ratio of at least 20 so this is a little under butnot terrible.>Presuming ratio is 17, which looks close to normal would any one recommend t3 to take it up to 20 or would it be better just to leave things as they are? Have chronic fatigue (which came on suddenly after acute viral illness 15 years ago) and odd hypo background (diagnosed hypo aged 17, only to be told aged 20 that I was ok). Personally I would say if you don't feel well

then it's worth droppingthat T3 and ramping up slowly on T3 to see if you feel any better.Most people that are hypo do better with some T3 at least added. Witha TSH of 2.6 you are NOT normal, people that have normal thyroidfunction have a TSH of 1 or under. From those labs there is somethingfunny going on and we need more things to know what it is. For astarter some adrenal and ferritin tests.>For info, have been taking 25mcg of synthroid for one year (as last year got pretty desperate to try something to alleviate exhaustion) but this was not prescribed by my doctor (he just took tsh and free t4 tests and they came back normal)It's not enough to do any good and T4 is pretty useless for a lot ofpeople,>>I suspect my tiredness is probably due to some other cause as these results seem ok to me but if any one has any comments would be gratefully received. >Ferritin and cortisol are the

first steps.The "quick and dirty" cortisol test is a temperature check, the methodis to take it at specific times each day, average the temperature forthat day, and then compare these averages from day to day.If they are within 0.2F from day to day cortisol is probably OK. Ifit's not then a "4 sample saliva test" is the gold standard to findout how bad.Ferritin is a blood test the Drs can run. For thyroid health it needsto be between 70 and 90 and I think yours may well be low,This page has info on both tests as well as dosing and ramping up T3.http://thyroid- rt3.com/dosing. htmMy gut feeling is your body temperature will be around 96 F andfluctuating by a whole degree F from hour to hour!Let us know if I am right.My gut feeling is that if you get ferritin and cortisol in place andramp up

on T3 you may well feel a LOT better.Nick-- for more information on RT3 and Thyroid Resistance go to www.thyroid- rt3.com

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