Re: Re: Am I ramping up Cytomel too slowly?

[Guest guest]

This is helpful; thanks, Margery. I think I need some encouragement. I'm feelingnervous about ramping up. Is there any way to determine whether or not an amountless than 50mcg/day will help? Also, I'm still having tummy problems with the Cytomel.When I told my doc that, she said that could be a sign that the amount I'm on (10mcg/day)is sufficient--could that be true? Could it be that until I no longer am feeling stomach cramping that I'm on a dose that is ideal for me? Thanks, Jen Re: Am I ramping up Cytomel too slowly?

Dose-wise, it varies from person to person, but a dose under 50mcg/day may not clear RT3. To stop the formation of RT3, the T3 dose needs to be high enough to suppress the body's own production of T4. More on this at Moderator Nick's web page:

http://www.thyroid-rt3.com/howisit1.htm

There's also a thread discussing this; specifically mentioning that 17.5 mcg/day probably won't do the job. Here's the link:

http://health.groups.yahoo.com/group/RT3_T3/message/26934

Time-wise, increasing dose more slowly will likely take longer to achieve clearance, but as long as the dose is eventually adequate, RT3 has to eventually clear. Nick's website mentions a group member who could not tolerate any increase greater than 6.25 per week, here's the link:

http://www.thyroid-rt3.com/dosing.htm

Hope this helps.

>

> Yesterday I met with my Naturopathic doc. I even printed out the the dosing schedule you have on this site. She was concerned that ramping up at the speed you suggest would be too much for me (I had a kidney transplant so she wants to be sure to not tax my system). She did agree to go from 10mcg per day to 15 mcg per day (5 mcg three times a day).

>

> She agrees with you that I could start taking my pulse and temp to see if the 15 mcg will be okay.

>

> I must admit the thought of ramping up quickly makes me a bit nervous; and, yet, I also want to get better.

>

> Do you think 15 mcg/day is enough to eventually get the RT3 out of my system....even if it would take longer than had I ramped up to a higher dose?

>

> Thanks for any thoughts you can send my way,

>

> Jen

>

[Guest guest]

> Is there any way to determine whether or not an amount

>less than 50mcg/day will help? Also, I'm still having tummy problems with the

Cytomel

If your FT3 is at 50% of the bottom of the range then you are on

enough T3 to induce clearance,. The idea is to stop making T4 and that

is done by adding enough T3 to lower TSH to turn off your own thyroid

production.

Without T4 no more rt3 can be made and what's there in the serum and

receptors eventually decays to nothing.

When I say that as an example if the range were 0.8 to 1.8 then you

would be looking for a FT4 of 0.4 or less to confirm you were on

enough T3. TSh at that time will be 0.01 or so.

You need to slowly increase T3 to make that happen, it will take at

least 6 weeks to get T4 levels down and as the T4 lowers you will find

you need more T3 to make up for the lack.

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

[Guest guest]

Thanks, Nick. My FT3 is 2.3 (on scale of 2.4 - 4.4)My FT4 is .98 (on a scale of .9 - 1.8)My RT3 is 352 (on a scale of 90-350)My TSH is 1.56 (on a scale of .3 - 5.5)I'm feeling like a dunce. With the above values,are you able to predict how much Cytomel I mightneed? I'm not sure why I'm feeling so nervous abouttaking much more of it...maybe because I'm seeing some adverse reactions others on this forum arehaving.Thanks,Jen Re: Re: Am I ramping up Cytomel too slowly?

> Is there any way to determine whether or not an amount

>less than 50mcg/day will help? Also, I'm still having tummy problems with the Cytomel

If your FT3 is at 50% of the bottom of the range then you are on

enough T3 to induce clearance,. The idea is to stop making T4 and that

is done by adding enough T3 to lower TSH to turn off your own thyroid

production.

Without T4 no more rt3 can be made and what's there in the serum and

receptors eventually decays to nothing.

When I say that as an example if the range were 0.8 to 1.8 then you

would be looking for a FT4 of 0.4 or less to confirm you were on

enough T3. TSh at that time will be 0.01 or so.

You need to slowly increase T3 to make that happen, it will take at

least 6 weeks to get T4 levels down and as the T4 lowers you will find

you need more T3 to make up for the lack.

Nick

--

for more information on RT3 and Thyroid Resistance go to

www.thyroid-rt3.com

[Guest guest]

Thanks, Margery. In addition to blood tests showing RT3 levels decreasing, is it morelikely I'll begin to feel better? Or even worse as some other users have indicated withadverse symtoms (fast pulse, etc.)? Re: Am I ramping up Cytomel too slowly?

If the T3 dose is adequate to prevent the formation of additional RT3, blood tests should show RT3 levels going down. My own RT3 decreased from 319 to 35 when I was on an adequate dose of T3.

Unfortunately, there is no test available for actual clearance...blood levels of RT3 can be very low (for example, at 6 weeks into T3-only treatment) but the receptors still blocked with RT3. As long as new RT3 is not being formed, the receptors will clear eventually, at about 12 weeks on the usual dosage increase schedule; likely somewhat longer on a slower increase schedule.

The stomach cramping I am not familiar with. I have read other posts on digestive issues, some resolve themselves fairly quickly, some are improved with a slower rate of T3 dose increases.

> >

> > Yesterday I met with my Naturopathic doc. I even printed out the the dosing schedule you have on this site. She was concerned that ramping up at the speed you suggest would be too much for me (I had a kidney transplant so she wants to be sure to not tax my system). She did agree to go from 10mcg per day to 15 mcg per day (5 mcg three times a day).

> >

> > She agrees with you that I could start taking my pulse and temp to see if the 15 mcg will be okay.

> >

> > I must admit the thought of ramping up quickly makes me a bit nervous; and, yet, I also want to get better.

> >

> > Do you think 15 mcg/day is enough to eventually get the RT3 out of my system....even if it would take longer than had I ramped up to a higher dose?

> >

> > Thanks for any thoughts you can send my way,

> >

> > Jen

> >

>

[Guest guest]

Thanks again, Margery. I'm trying to understand what Nick what saying here:<<If your FT3 is at 50% of the bottom of the range then you are on

enough T3 to induce clearance,. The idea is to stop making T4 and that

is done by adding enough T3 to lower TSH to turn off your own thyroid

production.

Without T4 no more rt3 can be made and what's there in the serum and

receptors eventually decays to nothing.

When I say that as an example if the range were 0.8 to 1.8 then you

would be looking for a FT4 of 0.4 or less to confirm you were on

enough T3. TSh at that time will be 0.01 or so.

You need to slowly increase T3 to make that happen, it will take at

least 6 weeks to get T4 levels down and as the T4 lowers you will find

you need more T3 to make up for the lack.

Nick>>Here are my labs:My FT3 is 2.3 (on scale of 2.4 - 4.4)My FT4 is .98 (on a scale of .9 - 1.8)My RT3 is 352 (on a scale of 90-350)My TSH is 1.56 (on a scale of .3 - 5.5)Since my FT3 is at the bottom of the range, does that meanthe 10 mcg I'm currently on will be enough? I'm confused :-)Thanks,Jen Re: Am I ramping up Cytomel too slowly?

Difficult to say, some people have a smoother time than others.

Many group members report feeling slightly hypo right before they are due for their next dosage increase.

Some encounter T3 intolerance or other bumps along the road (such as low iron, low or high cortisol or other adrenal issues).

The best way to lay good groundwork for the smoothest possible T3-only progress is to first make sure that iron and adrenals are in good shape, as per Moderator Nick's excellent web page, here's the link:

http://www.thyroid-rt3.com/dosing.htm

In addition to a ferritin of 70-90, we now also recommend getting an iron panel, for best thyroid utilization, % saturation should be 35-45.

Also worth noting is the importance of electrolyte balance, here's the link to Nick's page on that:

http://www.thyroid-rt3.com/electrol.htm

> > >

> > > Yesterday I met with my Naturopathic doc. I even printed out the the dosing schedule you have on this site. She was concerned that ramping up at the speed you suggest would be too much for me (I had a kidney transplant so she wants to be sure to not tax my system). She did agree to go from 10mcg per day to 15 mcg per day (5 mcg three times a day).

> > >

> > > She agrees with you that I could start taking my pulse and temp to see if the 15 mcg will be okay.

> > >

> > > I must admit the thought of ramping up quickly makes me a bit nervous; and, yet, I also want to get better.

> > >

> > > Do you think 15 mcg/day is enough to eventually get the RT3 out of my system....even if it would take longer than had I ramped up to a higher dose?

> > >

> > > Thanks for any thoughts you can send my way,

> > >

> > > Jen

> > >

> >

>

[Guest guest]

10 mcg T3 is not enough for anyone! As low as yours is I owuld

suspect oyu will need at least 75mcg.

http://www.nthadrenalsweb.com http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://faqhelp.webs.com/

http://health.groups.yahoo.com/group/RT3_T3/

http://www.thyroid-rt3.com/

http://groups.yahoo.com/group/HypoPets/

http://artisticgrooming.net/

Thanks again, Margery.

I'm trying to understand what Nick what saying here:

<<If your FT3 is at 50%

of the bottom of the range then you are on

enough T3 to induce clearance,. The idea is to stop making

T4 and that

is done by adding enough T3 to lower TSH to turn off your

own thyroid

production.

Without T4 no more rt3 can be made and what's there in the

serum and

receptors eventually decays to nothing.

When I say that as an example if the range were 0.8 to 1.8

then you

would be looking for a FT4 of 0.4 or less to confirm you

were on

enough T3. TSh at that time will be 0.01 or so.

You need to slowly increase T3 to make that happen, it will

take at

least 6 weeks to get T4 levels down and as the T4 lowers you

will find

you need more T3 to make up for the lack.

Nick>>

Here are my labs:

My FT3 is 2.3 (on scale of  2.4 - 4.4)

My FT4 is .98 (on a scale of  .9 - 1.8)

My RT3 is 352 (on a scale of  90-350)

My TSH is 1.56 (on a scale of  .3 - 5.5)

Since my FT3 is at the bottom of the range, does that mean

the 10 mcg I'm currently on will be enough?  I'm confused

:-)

Thanks,

Jen

Re: Am I ramping up Cytomel too slowly?

 

Difficult to say, some people have a smoother time

than others.

Many group members report feeling slightly hypo right

before they are due for their next dosage increase.

Some encounter T3 intolerance or other bumps along the

road (such as low iron, low or high cortisol or other

adrenal issues).

The best way to lay good groundwork for the smoothest

possible T3-only progress is to first make sure that

iron and adrenals are in good shape, as per Moderator

Nick's excellent web page, here's the link:

http://www.thyroid-rt3.com/dosing.htm

In addition to a ferritin of 70-90, we now also

recommend getting an iron panel, for best thyroid

utilization, % saturation should be 35-45.

Also worth noting is the importance of electrolyte

balance, here's the link to Nick's page on that:

http://www.thyroid-rt3.com/electrol.htm

> > >

> > > Yesterday I met with my Naturopathic

doc. I even printed out the the dosing schedule you

have on this site. She was concerned that ramping up

at the speed you suggest would be too much for me (I

had a kidney transplant so she wants to be sure to not

tax my system). She did agree to go from 10mcg per day

to 15 mcg per day (5 mcg three times a day).

> > >

> > > She agrees with you that I could start

taking my pulse and temp to see if the 15 mcg will be

okay.

> > >

> > > I must admit the thought of ramping up

quickly makes me a bit nervous; and, yet, I also want

to get better.

> > >

> > > Do you think 15 mcg/day is enough to

eventually get the RT3 out of my system....even if it

would take longer than had I ramped up to a higher

dose?

> > >

> > > Thanks for any thoughts you can send my

way,

> > >

> > > Jen

> > >

> >

>

[Guest guest]

Thanks, Val. I'm getting caught up, though, in this idea:

"If your FT3 is at 50% of the bottom of the range then you are onenough T3 to induce clearance..."

My FT3 does appear to be at the bottom of the range. So wouldn't

that mean (according to what Nick says below) that I'm on enough

T3?

I'm sorry...I know there's a basic thing I'm just not getting here. I appreciate

your help!

Jen Re: Am I ramping up Cytomel too slowly? > > > > > > > If the T3 dose is adequate to prevent the formation of additional RT3, blood tests should show RT3 levels going down. My own RT3 decreased from 319 to 35 when I was on an adequate dose of T3. > > Unfortunately, there is no test available for actual clearance...blood levels of RT3 can be very low (for example, at 6 weeks into T3-only treatment) but the receptors still blocked with RT3. As long as new RT3 is not being formed, the receptors will clear eventually, at about 12 weeks on the usual dosage increase schedule; likely somewhat longer on a slower increase schedule. > > The stomach cramping I am not familiar with. I have read other posts on digestive issues, some resolve themselves fairly quickly, some are improved with a slower rate of T3 dose increases. > > > > > > > > Yesterday I met with my Naturopathic doc. I even printed out the the dosing schedule you have on this site. She was concerned that ramping up at the speed you suggest would be too much for me (I had a kidney transplant so she wants to be sure to not tax my system). She did agree to go from 10mcg per day to 15 mcg per day (5 mcg three times a day). > > > > > > She agrees with you that I could start taking my pulse and temp to see if the 15 mcg will be okay. > > > > > > I must admit the thought of ramping up quickly makes me a bit nervous; and, yet, I also want to get better. > > > > > > Do you think 15 mcg/day is enough to eventually get the RT3 out of my system....even if it would take longer than had I ramped up to a higher dose? > > > > > > Thanks for any thoughts you can send my way, > > > > > > Jen > > > > >>

[Guest guest]

Bottom of the range is NOT where you want T3 nto for clearance and

certainly not for good health. You need over range when oin JUST T3

as your T4 will fgo down and you wil nto have any T4 for conversion

to T3 so you must keep T3 even higher.

http://www.nthadrenalsweb.com http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://faqhelp.webs.com/

http://health.groups.yahoo.com/group/RT3_T3/

http://www.thyroid-rt3.com/

http://groups.yahoo.com/group/HypoPets/

http://artisticgrooming.net/

Thanks, Val.   I'm getting caught up, though, in this idea:

 

"If your FT3 is at 50% of the bottom of the range then you

are on

enough T3 to induce clearance..."

 

My FT3 does appear to be at the bottom of the range.  So

wouldn't

that mean (according to what Nick says below) that I'm on

enough

T3?

 

I'm sorry...I know there's a basic thing I'm just not getting

here. I appreciate

your help!

 

Jen

Re: Am I ramping up Cytomel too

slowly?

 

Difficult to say, some people have a

smoother time than others.

Many group members report feeling slightly

hypo right before they are due for their

next dosage increase.

Some encounter T3 intolerance or other bumps

along the road (such as low iron, low or

high cortisol or other adrenal issues).

The best way to lay good groundwork for the

smoothest possible T3-only progress is to

first make sure that iron and adrenals are

in good shape, as per Moderator Nick's

excellent web page, here's the link:

http://www.thyroid-rt3.com/dosing.htm

In addition to a ferritin of 70-90, we now

also recommend getting an iron panel, for

best thyroid utilization, % saturation

should be 35-45.

Also worth noting is the importance of

electrolyte balance, here's the link to

Nick's page on that:

http://www.thyroid-rt3.com/elect

rol.htm

> > >

> > > Yesterday I met with my

Naturopathic doc. I even printed out the the

dosing schedule you have on this site. She

was concerned that ramping up at the speed

you suggest would be too much for me (I had

a kidney transplant so she wants to be sure

to not tax my system). She did agree to go

from 10mcg per day to 15 mcg per day (5 mcg

three times a day).

> > >

> > > She agrees with you that I

could start taking my pulse and temp to see

if the 15 mcg will be okay.

> > >

> > > I must admit the thought of

ramping up quickly makes me a bit nervous;

and, yet, I also want to get better.

> > >

> > > Do you think 15 mcg/day is

enough to eventually get the RT3 out of my

system....even if it would take longer than

had I ra mped up to a higher dose?

> > >

> > > Thanks for any thoughts you

can send my way,

> > >

> > > Jen

> > >

> >

>

[Guest guest]

Thanks again, Val.

Between the time I wrote this last email and now I had a weird thing happen

to me: I was working at my computer and all of a sudden I felt really faint.

I even went to my boss and told her that I felt like I was going to pass and out

laid down with my feet up in my office. This has never happened to me.

Could this be a symptom of taking the Cytomel?

Re: Am I ramping up Cytomel too slowly?

Difficult to say, some people have a smoother time than others. Many group members report feeling slightly hypo right before they are due for their next dosage increase. Some encounter T3 intolerance or other bumps along the road (such as low iron, low or high cortisol or other adrenal issues).The best way to lay good groundwork for the smoothest possible T3-only progress is to first make sure that iron and adrenals are in good shape, as per Moderator Nick's excellent web page, here's the link: http://www.thyroid-rt3.com/dosing.htmIn addition to a ferritin of 70-90, we now also recommend getting an iron panel, for best thyroid utilization, % saturation should be 35-45.Also worth noting is the importance of electrolyte balance, here's the link to Nick's page on that: http://www.thyroid-rt3.com/elect rol.htm > > > > > > Yesterday I met with my Naturopathic doc. I even printed out the the dosing schedule you have on this site. She was concerned that ramping up at the speed you suggest would be too much for me (I had a kidney transplant so she wants to be sure to not tax my system). She did agree to go from 10mcg per day to 15 mcg per day (5 mcg three times a day). > > > > > > She agrees with you that I could start taking my pulse and temp to see if the 15 mcg will be okay. > > > > > > I must admit the thought of ramping up quickly makes me a bit nervous; and, yet, I also want to get better. > > > > > > Do you think 15 mcg/day is enough to eventually get the RT3 out of my system....even if it would take longer than had I ra mped up to a higher dose? > > > > > > Thanks for any thoughts you can send my way, > > > > > > Jen > > > > >>

[Guest guest]

That would not be a T3 sympotms but could indicate lwo cortisol.

Have yo uhad that tested?

http://www.nthadrenalsweb.com http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://faqhelp.webs.com/

http://health.groups.yahoo.com/group/RT3_T3/

http://www.thyroid-rt3.com/

http://groups.yahoo.com/group/HypoPets/

http://artisticgrooming.net/

Thanks again, Val. 

 

Between the time I wrote this last email and now I had a

weird thing happen

to me:  I was working at my computer and all of a sudden I

felt really faint. 

I even went to my boss and told her that I felt like I was

going to pass and out

laid down with my feet up in my office. This has never

happened to me. 

Could this be a symptom of taking the Cytomel?

Re: Am I ramping up

Cytomel too slowly?

 

Difficult to say, some people

have a smoother time than others.

Many group members report feeling

slightly hypo right before they

are due for their next dosage

increase.

Some encounter T3 intolerance or

other bumps along the road (such

as low iron, low or high cortisol

or other adrenal issues).

The best way to lay good

groundwork for the smoothest

possible T3-only progress is to

first make sure that iron and

adrenals are in good shape, as per

Moderator Nick's excellent web

page, here's the link:

http://www.thyroid-rt3.com/dosing.htm

In addition to a ferritin of

70-90, we now also recommend

getting an iron panel, for best

thyroid utilization, % saturation

should be 35-45.

Also worth noting is the

importance of electrolyte balance,

here's the link to Nick's page on

that:

http://www.thyroid-rt3.com/elect

rol.htm

> > >

> > > Yesterday I met

with my Naturopathic doc. I even

printed out the the dosing

schedule you have on this site.

She was concerned that ramping up

at the speed you suggest would be

too much for me (I had a kidney

transplant so she wants to be sure

to not tax my system). She did

agree to go from 10mcg per day to

15 mcg per day (5 mcg three times

a day).

> > >

> > > She agrees with you

that I could start taking my pulse

and temp to see if the 15 mcg will

be okay.

> > >

> > > I must admit the

thought of ramping up quickly

makes me a bit nervous; and, yet,

I also want to get better.

> > >

> > > Do you think 15

mcg/day is enough to eventually

get the RT3 out of my

system....even if it would take

longer than h ad I ra mped up to a

higher dose?

> > >

> > > Thanks for any

thoughts you can send my way,

> > >

> > > Jen

> > >

> >

>

[Guest guest]

No, I haven't had my cortisol tested; but I just looked up the side effectsfor another drug I started taking yesterday (prometrium....progesterone)and it says that dizziness occurs in up to 24% of people taking it. I'm guessing that's it...since it's the only thing I've done differently in thepast day! Thanks for all your help. Re: Am I ramping up

Cytomel too slowly?

Difficult to say, some people

have a smoother time than others.

Many group members report feeling

slightly hypo right before they

are due for their next dosage

increase.

Some encounter T3 intolerance or

other bumps along the road (such

as low iron, low or high cortisol

or other adrenal issues).

The best way to lay good

groundwork for the smoothest

possible T3-only progress is to

first make sure that iron and

adrenals are in good shape, as per

Moderator Nick's excellent web

page, here's the link:

http://www.thyroid-rt3.com/dosing.htm

In addition to a ferritin of

70-90, we now also recommend

getting an iron panel, for best

thyroid utilization, % saturation

should be 35-45.

Also worth noting is the

importance of electrolyte balance,

here's the link to Nick's page on

that:

http://www.thyroid-rt3.com/elect

rol.htm

> > >

> > > Yesterday I met

with my Naturopathic doc. I even

printed out the the dosing

schedule you have on this site.

She was concerned that ramping up

at the speed you suggest would be

too much for me (I had a kidney

transplant so she wants to be sure

to not tax my system). She did

agree to go from 10mcg per day to

15 mcg per day (5 mcg three times

a day).

> > >

> > > She agrees with you

that I could start taking my pulse

and temp to see if the 15 mcg will

be okay.

> > >

> > > I must admit the

thought of ramping up quickly

makes me a bit nervous; and, yet,

I also want to get better.

> > >

> > > Do you think 15

mcg/day is enough to eventually

get the RT3 out of my

system....even if it would take

longer than h ad I ra mped up to a

higher dose?

> > >

> > > Thanks for any

thoughts you can send my way,

> > >

> > > Jen

> > >

> >

>

[Guest guest]

>

><

enough T3 to induce clearance,. The idea is to stop making T4 and that

>is done by adding enough T3 to lower TSH to turn off your own thyroid

>production.

I meant FT4!!!

Nick

[Guest guest]

Thanks for the clarification, Nick. Although my FT4 is alsoat the bottom of the range:My FT3 is 2.3 (on scale of 2.4 - 4.4)My FT4 is .98 (on a scale of .9 - 1.8)My RT3 is 352 (on a scale of 90-350)My TSH is 1.56 (on a scale of .3 - 5.5)I know Val said that 10-15 mcg is unlikely enough to clear; butaccording to what you're saying, perhaps it is? Sorry to belaborthis questioning...I'm just hoping to get away with as little T3 aspossible :-)Jen Re: Re: Am I ramping up Cytomel too slowly?

>

><<If your FT3 is at 50% of the bottom of the range then you are on

>enough T3 to induce clearance,. The idea is to stop making T4 and that

>is done by adding enough T3 to lower TSH to turn off your own thyroid

>production.

I meant FT4!!!

Nick

[Guest guest]

>My FT3 is 2.3 (on scale of 2.4 - 4.4)

>My FT4 is .98 (on a scale of .9 - 1.8)

>My RT3 is 352 (on a scale of 90-350)

>My TSH is 1.56 (on a scale of .3 - 5.5)

>

>I know Val said that 10-15 mcg is unlikely enough to clear; but

>according to what you're saying, perhaps it is? Sorry to belabor

>this questioning...I'm just hoping to get away with as little T3 as

>possible :-)

You are very hypo based on those labs.

You don't stand a chance of clearing RT3 unless you can get FT4 down

to .5 or so. Even then it will take longer than if you go onto a full

replacement dose of T3 when FT4 would drop down much lower and TSH .

You need to find out why you are not tolerating T3 and rectify that as

you will feel a lot better from sorting that issue, Cortisol and iron

are the most common reasons.

Nick

[Guest guest]

Thanks, Nick!!Jen Re: Re: Am I ramping up Cytomel too slowly?

>My FT3 is 2.3 (on scale of 2.4 - 4.4)

>My FT4 is .98 (on a scale of .9 - 1.8)

>My RT3 is 352 (on a scale of 90-350)

>My TSH is 1.56 (on a scale of .3 - 5.5)

>

>I know Val said that 10-15 mcg is unlikely enough to clear; but

>according to what you're saying, perhaps it is? Sorry to belabor

>this questioning...I'm just hoping to get away with as little T3 as

>possible :-)

You are very hypo based on those labs.

You don't stand a chance of clearing RT3 unless you can get FT4 down

to .5 or so. Even then it will take longer than if you go onto a full

replacement dose of T3 when FT4 would drop down much lower and TSH .

You need to find out why you are not tolerating T3 and rectify that as

you will feel a lot better from sorting that issue, Cortisol and iron

are the most common reasons.

Nick