Re: t3 now prescribed but am still confused

[Guest guest]

Have you not been under a endocrinologist ?

If you haven't then insist that you are referred to one.

I'd expect your TSH to be lower on this sort of dose and would want a really

good explanation if it wasn't. It is possible that your pituitary isn't working

particularly well and only an endocrinologist could assess this correctly.

DO you still have symptoms? If you do then all the more reason to go ahead and

insist on a referral. If your GP won't then change GP.

>

[Guest guest]

>

>

> DO you still have symptoms? If you do then all the more reason to go ahead and

insist on a referral. If your GP won't then change GP.

moderated to remove most of old message.....

[Guest guest]

When adding lyothyronine to your levothyroxine, you should drop

the levothyroxine dose by 50mcgs. Remember to take your T3 in split doses,

probably starting with 2 doses, half one hour before breakfast and the other

late afternoon. As the dose of T3 increases you may wish to take it in 3 or four

split doses so stop it peaking in the blood shortly after taking it. T3 can

make a difference quite quickly, but you need to be absolutely sure that you

have good levels of ferritin, vitamin B12, vitamin D3, folate, magnesium,

copper and zinc, so ask your GP to test these. Once you get the results, post

them here on the forum and we can help with their interpretation, so long as

you post the reference range for each of the tests done of course.

Luv - Sheila

have been back to gp today to find my tsh

levels are at 8.5 even though for the past 5 years have been taking

levothyroxin, at 275mcg now, i have just been given liothyronine 20mcg to take

along side the 275mcg of levothyroxin. having lost all faith in my gp does

anyone know if this will work and how long does it take to make any differance?

i still can't get my head around how it all works!!!

[Guest guest]

thanks for the advice sheila, i was told to take it at the same time as my

275mcg of levothyroxin and she didnt reduce my does on the levothyroxin, i was

not sure if she was very sure of what she was doing.last year i had very low

ferritin levels and took ferritin for 6 months but have not been checked since,

she has no explanation as to why i had become very aneamic, had various gastric

tests but they were fine, i have trouble with digestion but she does not know

why, nor does the gatric consultant so i was dischaeged from them and told to

take gaviscon!! i have been monitering my body temp which always reads about

36.4 a little lower on waking but she ignored any theory about the body temp.

many thanks for any advice .laura

>

> When adding lyothyronine to your levothyroxine, you should drop the

> levothyroxine dose by 50mcgs. Remember to take your T3 in split doses,

> probably starting with 2 doses, half one hour before breakfast and the other

> late afternoon. As the dose of T3 increases you may wish to take it in 3 or

> four split doses so stop it peaking in the blood shortly after taking it. T3

> can make a difference quite quickly, but you need to be absolutely sure that

> you have good levels of ferritin, vitamin B12, vitamin D3, folate,

> magnesium, copper and zinc, so ask your GP to test these. Once you get the

> results, post them here on the forum and we can help with their

> interpretation, so long as you post the reference range for each of the

> tests done of course.

>

>

[Guest guest]

Grrr! - you need a referral to an endocrinologist. Write and ask

your GP for this as she is not a specialist in thyroid disease and her lack of

knowledge could actually cause you harm. Tell her that you will not take her recommended

dosing therapy unless this has been sanctioned by a specialist in this field.

Luv - Sheila

thanks for the advice sheila, i was told to take it at the same time as my

275mcg of levothyroxin and she didnt reduce my does on the levothyroxin, i was

not sure if she was very sure of what she was doing.last year i had very low

ferritin levels and took ferritin for 6 months but have not been checked since,

she has no explanation as to why i had become very aneamic, had various gastric

tests but they were fine, i have trouble with digestion but she does not know

why, nor does the gatric consultant so i was dischaeged from them and told to

take gaviscon!! i have been monitering my body temp which always reads about

36.4 a little lower on waking but she ignored any theory about the body temp.

many thanks for any advice .laura

>

[Guest guest]

I would tell her you understand the Levothyroxine has to be reduced when you

take liothyronine instead and that the advice in the British National Formulary

states that dosage of T3 is:

" By mouth, initially 10–20 micrograms daily gradually increased to 60

micrograms daily in 2–3 divided doses; elderly smaller initial doses; child,

adult dose reduced in proportion to body-weight "

Ask her how and when she proposes to increase your dose and how is she going to

monitor it..

If she looks slightly confused at all, ask for a referral to an expert of your

choice.

.

>

> Grrr! - you need a referral to an endocrinologist.

[Guest guest]

Hi again,

If you had very low iron levels once then it may still be low.

You really need the complete iron panel done: serum iron, serum ferritin,

transferrin saturation, complete blood count (CBC). Also B12, folate. Your

previous low iron level could be related to the poor response of thyroid hormone

or it could be thyroid hormone that is limiting iron absorption.

It very much sounds like you have a really useless doctor.

It also bothers me that you could still have a high TSH on so much T4.

I think you absolutely need to see a good endo and maybe change GP also.

If you have a major issue with a nutrient then it may be that thyroid hormone

will work better once this is resolved. What is clear is that your GP is very

unlikely to find the answer or the balance of T4/T3 that will work.

Whoever, you are working with then they ought to be monitoring your nutrients

and get them into the upper half of the reference range AND get your FT3 and FT4

up to decent levels and find out why your TSH has remained so high. This is out

of your GPs league.

Your symptoms suggest that your thyroid hormones aren't getting through to the

tissues of your body correctly and that your adrenals aren't working right

because of this.

You just need to be working with someone competent. Hopefully, then things will

improve a lot.

>

[Guest guest]

Hi , T3 is the active hormone, T4 is a hormone that has to convert to T3 to work. if their is a reason that this is not happening then the T3 needs to be added. non converters often get a reverseT3 problem as the T4 hormone just stays in the body going no where, building up and not doing anything. angel.