Re: HC and T3 Advice Please

[Guest guest]

>

.. All physical

> symptoms and labs confirm a reverse circadian rhythm, with below

> normal cortisol all day and above normal peaks around midnight.

TK-- common and what mine does

> Thyroid TSH looked fair, T4 was high normal, T3 was low

> normal...something odd there.

TK--- Free T3 & T4 or total ?

Should be more T3 happening with all

> that T4.

TK--- need numbers ? Proper T4 conversion is not happening which is

common

Too much reverseT3 happening, probably to slow things down

> to the hypo-adrenals. TSH thinks everything is fine and dandy.

TK--- TSH is not a good indicator

> Except for the severe underweight and unable to gain weight thing,

TK--- this is very commonly Adrenal insufficiency.

I

> have hypothyroid symptoms of fatigue and depression mainly, and of

> course always cold and cold hands. My average body temperature is

> 97.8, fairly stable, with lows of 97.4 and peaks of 98.2 sometimes.

>

> So. 2.5mg HC twice a day to start.

TK-- taken when ? this is a low dosage but a good starting point

Along with 7.5mcg T3 bid.

TK--- low safe start

Doc

> says I need more health and strength before doing any more

> chelation. 8 rounds of DMSA behind me. I can confirm what others

> here have said, that chelation is indeed very taxing on the

> adrenals, and that weak adrenals make healing impossible and

> chelation almost impossible and everything else you try riddled

with

> poor results.

>

> Side effects I might expect?

TK--- with this low dosage - probably none

Benefits I might expect?

TK--- you feeling and functioning better once you get dosages right.

I would start with the HC only to see what happens.

What could go

> wrong?

TK--- at this low dosage not much if anything

What could go right?

>

> Just trying to get a feel from others what kind of territory I am

> venturing into. It has to be better than where I've been. Hopefully.

>

[Guest guest]

I agree with TK that at the low doses that your doctor has prescribed

there will probably be no side effects/reaction. The HC might give

you a little bit of a boost, but don't be surprised if it doesn't,

simply because the dose is so low.

You will likely need to get up to about 20 mg HC per day before the

fatigue will start to lift. Even then, it might take some time at

that dose.

It is good that your doctor is willing to prescribe these things. It

is quite rare to find a doctor like this.

In the future see if you can get free T3 and free T4 tests. It takes

about 6 weeks for the thyroid meds to come to some sort of

equilibrium, so most doctors test about 6 weeks after a dose change.

TSH has absolutely no meaning for people who have centrally mediated

hypothyroidism (because of abnormal signals from the hypothalamus and

pituitary) (also called secondary or tertiary hypothyroidism).

Doctors should be able to look that up in their text books, or even on

reputable medical sites on the web.

This is all good news for you.

J

>

> I am open for all comments on Hydrocortisone and thyroid T3. After a

> year of trying things like adrenal herbs, isocort, adrenal cortex,

> armour thyroid, etc...all with bad reations of much worsened

> depression and worsened fatigue, my doctor has finally turned up the

> volume and prescribed hydrocortisone and thyroid T3. All physical

> symptoms and labs confirm a reverse circadian rhythm, with below

> normal cortisol all day and above normal peaks around midnight.

> Thyroid TSH looked fair, T4 was high normal, T3 was low

> normal...something odd there. Should be more T3 happening with all

> that T4. Too much reverseT3 happening, probably to slow things down

> to the hypo-adrenals. TSH thinks everything is fine and dandy.

> Except for the severe underweight and unable to gain weight thing, I

> have hypothyroid symptoms of fatigue and depression mainly, and of

> course always cold and cold hands. My average body temperature is

> 97.8, fairly stable, with lows of 97.4 and peaks of 98.2 sometimes.

>

> So. 2.5mg HC twice a day to start. Along with 7.5mcg T3 bid. Doc

> says I need more health and strength before doing any more

> chelation. 8 rounds of DMSA behind me. I can confirm what others

> here have said, that chelation is indeed very taxing on the

> adrenals, and that weak adrenals make healing impossible and

> chelation almost impossible and everything else you try riddled with

> poor results.

>

> Side effects I might expect? Benefits I might expect? What could go

> wrong? What could go right?

>

> Just trying to get a feel from others what kind of territory I am

> venturing into. It has to be better than where I've been. Hopefully.

>