5 weeks on, need input

[Guest guest]

I am panhypopituitary, so I take replacements for all endocrine hormones daily

(adrenal, growth hormone, thyroid, ovarian). On May 5th I discontinued

Levoxyl/Cytomel combo and began T3 only to clear out RT3 (which is 300 on test

from end of April). Have gradually increased T3 to 35 mcg daily, in at least 4

divided doses. Of this, 25 mcg is Mexican Cynomel, and 10 mcg is generic

American Cytomel. I don't think I have " thyroid resistance " ; am just

hypopituitary which is secondary hypothyroidism, and also do not have

Hashimotos. I need to fess up to my endo (visit coming up in August, but can

phone in the meantime) about my increasing my T3 to more than my prescription is

for - script is for 15 mcg - and ask for script for greater amount (I will tell

him I tweaked T4 down and T3 up until I felt better, and he will likely be ok

with that). One question is, will I likely need another bump up in dose, or at

5 weeks, is this likely as much as I am going to need? I have good temps and

pulse rates (with some intervals of fast pulses still); if I try to increase it

now I get too fast pulse rates. Also, what do you suppose the equivalent dose

would be, Mexican Cynomel and generic Cytomel (like say, 40 mcg generic = 35 mcg

Cynomel?).

Also very strange- please let me know if you have any idea why I no longer

needed Florinef as soon as I went off T4? As soon as I went off the T4, my BP

went up a lot; I had been diagnosed with hyporeninemic hypoaldosteronism in 2005

and been on Florinef since that time, but was on thyroid since 1989, always

something that contained T4. Wasn't dx'd with panhypopit since 2005 and went on

the rest of the replacements for entire endocrine system at that time. Now BPs

are in good range with no Florinef since going off all T4.

Thanks-

Kate W. from NC (F, age 52)

Hydrocortisone 20 mg

DHEA 15 mg

Potassium 80 meq

Femring

Estrogel

Tesosterone gel (compounded)

Genotropin

Cytomel/Cynomel 35 mcg