Val: T3 pooling again.....Help!

August 20, 2010

Hi Val,

We had spoke on phone bout 5 or so wks ago. At that time, I had just gotten 2

addl Iron IV's & my then labs showed T3 was pooling. I had gotten up to 70 mcg

of Cytomel & you had advised I scale bk down to 60 mcg which I did. After my 2nd

Iron IV, I began 5 mcg weekly raises & was doing real fine up until last Sunday.

By then I was up to 90 mcg of Cytomel & could feel the pooling begin again.

Temps were 98.0 to 98.4 & pulse was anywear from high 70's to 100.

I dropped back down to 60 mcg of the T3. I am also in process of weaning from HC

& Florinef bc we had discussed doing so last time on phone as I was exhibiting

high cortisol symptoms such as sweating, bruising & you felt that could be

contributing to the T3 pooling.

I am now down to 5 mg of HC & 1/2 tab of Florinef. I am very happy to report

that the relentless immense sweating as greatly subsided. = ) I feel OK w this

small amount of HC & am weaning at a rate of 2.5 mg per w as you & I had

discussed.

I got another Iron IV today bc I could feel my ferritin dropping. My cycles are

still rather heavy altho no longer hemoraghing (spelling) as back in the day. My

current PCP is OK w me getting monthly IV iron, which is wonderful.

I am hoping I can increase my Cytomel again. Right now I am doing 60 mcg. I was

hoping to get bk up to the 90 mcg asap.

What do you suggest my game plan be now? How should I proceed increasing T3?

I know I am due for labs & will be having those w.in the next week or two.

I do apologize for the lengthy post. I am also own 120 meq of K-Dur & have tried

scaling down but when I do my edema comes back badly. Also taking 2 1/2 - 3

teaspoons of sea salt a day. My BP has come down since I scaled back on both the

HC & Florinef as we had discussed.

In conclusion, here are my questions:

1. How long should I stay at 60 mcg of T3?

2. Is it possible that my body likes 15-20 mcg doses as opposed to 25 mcg doses?

3. Can I dose T3 5-6 times a day as opposed to 4 times?

4. Should I continue to scale down on the HC at the 2.5 mg rate per wk?

5. Is it OK to stay on the Florinef after I wean off of the HC & then drop the

1/2 tab at once or should I do 1/4 tab? I dropped 1/2 tab at once already & did

not feel bad doing so.

Thnx Val. I may end up setting up phone appt over the wkend.

C.

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