New Member - just started T3 only meds

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Hi everyone! I just started taking T3 meds after being on just about everything

from Levoxyl to Erfa in two years! I suggested it to my doc after reading about

the ratio of FT3 to RT3. I also have adrenal fatigue.

Here are thyroid labs from 5/17. On 60 mg Erfa once daily. Doc wanted me to take

60 mg Erfa in the a.m. and 30mg (which I had to split) in the p.m. However I was

itching and reduced the dosage to stop the itching then neglected to start

taking the p.m. 30 mg dose again, so it's not surprising my TSH is a little more

elevated than it normally is. Although a ferritin test was requested (and I saw

the order by the doc) for some reason the lab didn't do it?!

MAY LABS

TSH 2.42 (.34 - 4.82 uIU/ml)

FT4 .38 (.77 - 1.61 ng/dL)**

FT3 230 (230 - 420 pg/dL)**

RT3 20 (11-32 ng/dL)

vitD 41 (20 - 100 ng/mL) - I am supplementing 2000 IU daily

Insulin 17 (<17 uIU/mL)**

c-reactive protein < 0.30 (0.00 - 0.30 MG/DL)

CRP-quant 2.3 (1.0 - 3.0 MG/L avg relative cardiovasc. risk)

HGBA1C 5.8 (4.8-6.0%)

Fasting Glucose 104 (70-110 mg/dL)

** = what my doc flagged on the labs. Doc was concerned that FT4 was too low?!

MARCH LABS

Erfa Thyroid 60 mg 1x daily + 30 mg at

night - feeling decent as long as I'm using Pregnenolone cream. Doc dialed down

the Erfa dosage from 2 grains after TSH was 0.0 at my last appointment. We

finally did a ZRT test in March (after almost 2 years of dessicated thyroid

treatment in one form or another).

Here are the results:

Estradiol 0.8L* pg/ml (1.3 - 3.3) premenopausal (luteal)

Progesterone 44L* pg/ml (75-270)

Ratio: Pg/E2 55L* (Optimal: 100-500 when E2 1.3 - 3.3 pg/ml)

Testosterone 22 pg/ml (16-55, age dependent)

DHEAS 3.4 ng/ml (2-23, age dependent)

Cortisol morning 5.4 ng/ml (3.7 - 9.5)

noon 2.1 ng/ml (1.2 - 3.0)

evening 0.5L* ng/ml (0.6 - 1.9)

night 0.3L* ng/ml (0.4 - 1.0)

Here are the thyroid labs that were done about the same time as the ZRT saliva

panel in March:

TSH = 0.0 (0.34 - 4.82 uIU/ml)

Free T4 = 0.68 (0.77 - 1.61 ng/dL)

Free T3 = 352 (230-420 pg/dL)

no RT3 was done at this time, however on Nov. 2009 RT3 = 216 (90 - 350 pg/ml)

SO, my doc put me on 25 mcg Cytomel twice daily (pharmacy filled liothyronine -

generic)I am taking it once in the am when I first get up and again about 2-3

pm. The first day I took it I had a massive all-encompassing headache and body

aches. I am feeling rather hypo over all. How do I know if I need to increase or

decrease the dosage? Even though I've requested ferritin labs my doc seems to

glaze over them. I think I had them done in 2008 and they were " in-range "

However, all my hormone levels have dropped since then. I am taking most of

's adrenal supplements (super stress tabs, C, and rebuilder) as well as

ashwagandha, Vit. D, zinc, selenium, caltrate, krill oil, and red yeast rice and

niacin for high cholesterol.

I have looked through a couple of books I have on thyroid conditions and neither

one of them mentions reverse T3!! If anyone has some suggestions about my dosage

of T3 only meds I would appreciate some input. Thanks so much for reading this

rather lengthy post! However I thought it might give the reader a better idea of

where I am at the moment. Thanks again!