Re: Slightly Increased Pulse and Noticeable Heart Beat on Cytomel 75 mcg Questio

[Guest guest]

Margery, thanks again. Interesting that you had similar response to Armour. Are

you now on T3 only treatment?

So appreciate all of the help and time.

> > > > > >

> > > > > >

> > > > > > Please help me with these questions based on the background info

below:

> > > > > >

> > > > > >

> > > > > >

> > > > > > 1. Should I ask the doctor about decreasing the dose of Cytomel?

Or

> > > > > > at least until I get my ferritin up?

> > > > > >

> > > > > >

> > > > > >

> > > > > > 2. Would I be better on a higher dose of desiccated thyroid than

> > > > > > what I was on before he switched me to synthetic (150 mg Erfa

Thyrod)

> > > > > > instead of being on synthetic T4 and synthetic T3?

> > > > > >

> > > > > >

> > > > > >

> > > > > > 3. What about a higher dose of desiccated thyroid than I was on

> > > > > > – say 3 grains or 180 mg. with the addition of a little bit if

> > > > > > Cytomel, but not as high a dose of Cytomel as he has me on now (75

mcg)?

> > > > > >

> > > > > >

> > > > > >

> > > > > > 4. What about T3 only?

> > > > > >

> > > > > >

> > > > > >

> > > > > > Background:

> > > > > >

> > > > > >

> > > > > >

> > > > > > A week ago, my doctor switched me from Erfa Thyroid 150 mg. (2 ½

> > > > > > grains) to 75 mcg Synthroid (T4) and 75 mcg Cytomel (T3) (Take 25

mcg of

> > > > > > Cytomel 3 times a day) because the muscle/tendon pain in my ankles,

the

> > > > > > tops of my feet, knees, wrists, hands and elbows was getting worse;

and

> > > > > > my brain fog and fatigue were getting worse.

> > > > > >

> > > > > >

> > > > > >

> > > > > > Recent labs (04/20/2010) while on 150 mg Erfa Thyroid:

> > > > > >

> > > > > >

> > > > > >

> > > > > > Free T3: 3.5 (2.3 – 4.2) PG/ML

> > > > > >

> > > > > > Free T4: 0.74 (0.89 – 1.76) NG/DL

> > > > > >

> > > > > > TSH: 0.015 (0.35 – 5.50) uIU/mL

> > > > > >

> > > > > > Reverse T3: 19 (11 – 32) ng/dL

> > > > > >

> > > > > >

> > > > > >

> > > > > > Ratio FT3/RT3 = 350/19 = 18.42

> > > > > >

> > > > > > (I know this needs to be at least 20.)

> > > > > >

> > > > > >

> > > > > >

> > > > > > Ferritin: 25 (10 – 291) ng/mL

> > > > > >

> > > > > > (I know this needs to get much higher.

> > > > > >

> > > > > > Started taking four 27mg Blue Bonnet iron bisglycinate

capsules

> > > > > > each day. About 3 weeks ago.)

> > > > > >

> > > > > >

> > > > > >

> > > > > > Cortisol saliva lab results from about one and a half years ago:

> > > > > >

> > > > > > 8:00 am 5.5 (7.0 – 10.0) ng/ml

> > > > > >

> > > > > > 12:00 noon 2.5 (3.0 – 6.0) ng/ml

> > > > > >

> > > > > > 4:00 pm 2.8 (2.0 – 4.0) ng/ml

> > > > > >

> > > > > > 11:00 pm 1.5 (< 1.5) ng/ml

> > > > > >

> > > > > >

> > > > > >

> > > > > > Doctor also has me on:

> > > > > >

> > > > > > · Cortef (HC) 15 mg. per day (7.5 in morning, 5.0 at noon,

> > > > > > 2.5 about 4 pm)

> > > > > >

> > > > > > · DHEA 10 mg.

> > > > > >

> > > > > > · Estrogen 0.025 mg patch (bioidentical)

> > > > > >

> > > > > > · Progesterone, bioidentical – 100 mg at night

> > > > > >

> > > > > >

> > > > > >

> > > > > > Since starting the synthetic 75 mcg T3 and 75 mcg T4, about 2 hours

> > > > > > after I take my Cytomel (divided into 25 mcg 3 times a day) I have

> > > > > > noticed that my pulse is anywhere from 80 – 100 and I

> > > > > > " notice " my heart beating a little more forcefully. I am aware

> > > > > > of it, whereas normally I don't notice my heart beating. My normal

> > > > > > pulse is about 70 – 72.

> > > > > >

> > > > > >

> > > > > >

> > > > > > Nick, if you see this message, you wrote earlier that I might do

better

> > > > > > on simply a higher dose of desiccated thyroid period once I get my

> > > > > > ferritin level up to where it should be.

> > > > > >

> > > > > >

> > > > > >

> > > > > > Or maybe that with a little bit of Cytomel added?

> > > > > >

> > > > > >

> > > > > >

> > > > > > Val, if you see this message, you suggested T3 only.

> > > > > >

> > > > > >

> > > > > >

> > > > > > So, I'm a little confused. And, I'm a little concerned about the

> > > > > > pulse and heartbeat thing. Is that anything to worry about?

> > > > > >

> > > > > >

> > > > > >

> > > > > > Many thanks for your time. Am extremely grateful to all of you.

> > > > > >

> > > > > > Read the STTM book through from cover to cover again this weekend to

try

> > > > > > to absorb everything.

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Yes, I'm on T3-only. Any T4 I take turns straight into RT3. I don't know why,

as I'm managing my ferritin and cortisol issues. We just don't know all the

causes of RT3.

> > > > > > >

> > > > > > >

> > > > > > > Please help me with these questions based on the background info

below:

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > 1. Should I ask the doctor about decreasing the dose of

Cytomel? Or

> > > > > > > at least until I get my ferritin up?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > 2. Would I be better on a higher dose of desiccated thyroid

than

> > > > > > > what I was on before he switched me to synthetic (150 mg Erfa

Thyrod)

> > > > > > > instead of being on synthetic T4 and synthetic T3?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > 3. What about a higher dose of desiccated thyroid than I was

on

> > > > > > > – say 3 grains or 180 mg. with the addition of a little bit if

> > > > > > > Cytomel, but not as high a dose of Cytomel as he has me on now (75

mcg)?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > 4. What about T3 only?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Background:

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > A week ago, my doctor switched me from Erfa Thyroid 150 mg. (2 ½

> > > > > > > grains) to 75 mcg Synthroid (T4) and 75 mcg Cytomel (T3) (Take 25

mcg of

> > > > > > > Cytomel 3 times a day) because the muscle/tendon pain in my

ankles, the

> > > > > > > tops of my feet, knees, wrists, hands and elbows was getting

worse; and

> > > > > > > my brain fog and fatigue were getting worse.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Recent labs (04/20/2010) while on 150 mg Erfa Thyroid:

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Free T3: 3.5 (2.3 – 4.2) PG/ML

> > > > > > >

> > > > > > > Free T4: 0.74 (0.89 – 1.76) NG/DL

> > > > > > >

> > > > > > > TSH: 0.015 (0.35 – 5.50) uIU/mL

> > > > > > >

> > > > > > > Reverse T3: 19 (11 – 32) ng/dL

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Ratio FT3/RT3 = 350/19 = 18.42

> > > > > > >

> > > > > > > (I know this needs to be at least 20.)

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Ferritin: 25 (10 – 291) ng/mL

> > > > > > >

> > > > > > > (I know this needs to get much higher.

> > > > > > >

> > > > > > > Started taking four 27mg Blue Bonnet iron bisglycinate

capsules

> > > > > > > each day. About 3 weeks ago.)

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Cortisol saliva lab results from about one and a half years ago:

> > > > > > >

> > > > > > > 8:00 am 5.5 (7.0 – 10.0) ng/ml

> > > > > > >

> > > > > > > 12:00 noon 2.5 (3.0 – 6.0) ng/ml

> > > > > > >

> > > > > > > 4:00 pm 2.8 (2.0 – 4.0) ng/ml

> > > > > > >

> > > > > > > 11:00 pm 1.5 (< 1.5) ng/ml

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Doctor also has me on:

> > > > > > >

> > > > > > > · Cortef (HC) 15 mg. per day (7.5 in morning, 5.0 at noon,

> > > > > > > 2.5 about 4 pm)

> > > > > > >

> > > > > > > · DHEA 10 mg.

> > > > > > >

> > > > > > > · Estrogen 0.025 mg patch (bioidentical)

> > > > > > >

> > > > > > > · Progesterone, bioidentical – 100 mg at night

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Since starting the synthetic 75 mcg T3 and 75 mcg T4, about 2

hours

> > > > > > > after I take my Cytomel (divided into 25 mcg 3 times a day) I have

> > > > > > > noticed that my pulse is anywhere from 80 – 100 and I

> > > > > > > " notice " my heart beating a little more forcefully. I am aware

> > > > > > > of it, whereas normally I don't notice my heart beating. My normal

> > > > > > > pulse is about 70 – 72.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Nick, if you see this message, you wrote earlier that I might do

better

> > > > > > > on simply a higher dose of desiccated thyroid period once I get my

> > > > > > > ferritin level up to where it should be.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Or maybe that with a little bit of Cytomel added?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Val, if you see this message, you suggested T3 only.

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > So, I'm a little confused. And, I'm a little concerned about the

> > > > > > > pulse and heartbeat thing. Is that anything to worry about?

> > > > > > >

> > > > > > >

> > > > > > >

> > > > > > > Many thanks for your time. Am extremely grateful to all of you.

> > > > > > >

> > > > > > > Read the STTM book through from cover to cover again this weekend

to try

> > > > > > > to absorb everything.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Thank you Margery. I guess w/ this doc, I have to try the NTH or the combo T4

and T3 (with lower dose of T3), get my labs run again, and if I am still in pain

and have a high rT3, FIGHT for T3 only with him...or find a new doctor. My ratio

of ft3/rt3 was 18.4. Since that is pretty close to 20, my problem could be just

low ferritin, correct? And we will have to see how my ratio does as I raise my

ferritin?

Question please: I know that our ratio should be at least 20, but how high do

you get your ratios when you guys are on T3 only? (Or how LOW do you get your

rT3?)

> > > > > > > >

> > > > > > > >

> > > > > > > > Please help me with these questions based on the background info

below:

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > 1. Should I ask the doctor about decreasing the dose of

Cytomel? Or

> > > > > > > > at least until I get my ferritin up?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > 2. Would I be better on a higher dose of desiccated thyroid

than

> > > > > > > > what I was on before he switched me to synthetic (150 mg Erfa

Thyrod)

> > > > > > > > instead of being on synthetic T4 and synthetic T3?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > 3. What about a higher dose of desiccated thyroid than I was

on

> > > > > > > > – say 3 grains or 180 mg. with the addition of a little bit if

> > > > > > > > Cytomel, but not as high a dose of Cytomel as he has me on now

(75 mcg)?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > 4. What about T3 only?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Background:

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > A week ago, my doctor switched me from Erfa Thyroid 150 mg. (2 ½

> > > > > > > > grains) to 75 mcg Synthroid (T4) and 75 mcg Cytomel (T3) (Take

25 mcg of

> > > > > > > > Cytomel 3 times a day) because the muscle/tendon pain in my

ankles, the

> > > > > > > > tops of my feet, knees, wrists, hands and elbows was getting

worse; and

> > > > > > > > my brain fog and fatigue were getting worse.

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Recent labs (04/20/2010) while on 150 mg Erfa Thyroid:

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Free T3: 3.5 (2.3 – 4.2) PG/ML

> > > > > > > >

> > > > > > > > Free T4: 0.74 (0.89 – 1.76) NG/DL

> > > > > > > >

> > > > > > > > TSH: 0.015 (0.35 – 5.50) uIU/mL

> > > > > > > >

> > > > > > > > Reverse T3: 19 (11 – 32) ng/dL

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Ratio FT3/RT3 = 350/19 = 18.42

> > > > > > > >

> > > > > > > > (I know this needs to be at least 20.)

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Ferritin: 25 (10 – 291) ng/mL

> > > > > > > >

> > > > > > > > (I know this needs to get much higher.

> > > > > > > >

> > > > > > > > Started taking four 27mg Blue Bonnet iron bisglycinate

capsules

> > > > > > > > each day. About 3 weeks ago.)

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Cortisol saliva lab results from about one and a half years ago:

> > > > > > > >

> > > > > > > > 8:00 am 5.5 (7.0 – 10.0) ng/ml

> > > > > > > >

> > > > > > > > 12:00 noon 2.5 (3.0 – 6.0) ng/ml

> > > > > > > >

> > > > > > > > 4:00 pm 2.8 (2.0 – 4.0) ng/ml

> > > > > > > >

> > > > > > > > 11:00 pm 1.5 (< 1.5) ng/ml

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Doctor also has me on:

> > > > > > > >

> > > > > > > > · Cortef (HC) 15 mg. per day (7.5 in morning, 5.0 at

noon,

> > > > > > > > 2.5 about 4 pm)

> > > > > > > >

> > > > > > > > · DHEA 10 mg.

> > > > > > > >

> > > > > > > > · Estrogen 0.025 mg patch (bioidentical)

> > > > > > > >

> > > > > > > > · Progesterone, bioidentical – 100 mg at night

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Since starting the synthetic 75 mcg T3 and 75 mcg T4, about 2

hours

> > > > > > > > after I take my Cytomel (divided into 25 mcg 3 times a day) I

have

> > > > > > > > noticed that my pulse is anywhere from 80 – 100 and I

> > > > > > > > " notice " my heart beating a little more forcefully. I am aware

> > > > > > > > of it, whereas normally I don't notice my heart beating. My

normal

> > > > > > > > pulse is about 70 – 72.

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Nick, if you see this message, you wrote earlier that I might do

better

> > > > > > > > on simply a higher dose of desiccated thyroid period once I get

my

> > > > > > > > ferritin level up to where it should be.

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Or maybe that with a little bit of Cytomel added?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Val, if you see this message, you suggested T3 only.

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > So, I'm a little confused. And, I'm a little concerned about the

> > > > > > > > pulse and heartbeat thing. Is that anything to worry about?

> > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > > > Many thanks for your time. Am extremely grateful to all of you.

> > > > > > > >

> > > > > > > > Read the STTM book through from cover to cover again this

weekend to try

> > > > > > > > to absorb everything.

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

I have seen ratios of 60-100 while on T3 only once RT3 is cleared. As

far as I am concerned th ehigher the better!

--

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