First post, can you help ?

May 13, 2010

I have been taking natural thyroid hormones for over a year now. In that time i

have switched to synthetic T4 and couldnt get it to work. So since christmas i

have been working my way up the grains. i take hc and am on 30mg. My days

temps are very stable at around 36.85-36.95 C. My basal temps have come up in

that time to 36.4C and i have hit 36.6C on occasions.

I was doing very well until the end of march on 3 1/2 grains. I became hypo

again and thought it may be cortisol or electrolyte related. I upped the hc to

25mg and increased the thyroid to 4 grains. i was well for 2 weeks and then

became hypo again. after a bit i upped to 4 1/2 grains and was well for one

week. then i upped to 5 grains and again was well for a week.

I have not been rushing the raises prior to 3 1/2 grains and the raises after

that have been every 1 or 2 weeks.

So i am getting better and then it is all breaking down. I raised last night by

1/2 grain and felt well until this afternoon. I took the final amount of todays

meds (1 1/2 grain) and immediatley i felt hypo.

Now i experienced a similar thing when on thyroxine. I got to 150mgs and it

worked for a good 6 weeks, then it stopped working. when i increased it helped

and then stopped working the next day. i remember taking 25mg more on holiday

in the evening and i became well again for the night. next day though the hypo

symptoms came back.

Now if all of this is a placebo effect then i am stuffed, but i think it may be

something to do with RT3. So my body does well initially on the increase, but

then shuts down for some reason - too much T4 in the system maybe?

I just cannot get tested here in the UK for these things, but will be going to

the ukraine soon and hope to get thoroughly tested there. in the meantime what

do people reckon to me trying T3 only medication? If so any idea what amount i

need to start with? I would drop down to 2 grains and add in 2 x 25mg a day of

cytomel.

I take b12 as this was low last yr. ferritin is fine at 115, and i have just

started to take selenium and magnesium again just in case these are an issue.

1) Does this sound like RT3 issues?

2) Should i immediatley back down on the thyroid-s to 4 grains or lower ?

3) should i introduce some cytomel. if so what dose is normal and should i drop

the thyroi -s to 2 grains or lower ?

My last labs on 3 1/2 grains were FT4 = 17 (10-24) FT3 was well out because i

forgot to NOT take the meds before the test so = 11 (2.5-7)

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