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T3 only therapy

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It looks to me like you are on waaay too low a dose of T3. It is extremely

common for T4 to tank when you are on a T3 only therapy. IN my experience you

may need some T4. The docs that use this T3 only therapy don't like to do that.

Several folks that I know did significantly better when they started back on T4

(or Armour). It's quite logical that your free T4 tanks as the pituitary is far

more sensitive to T3 levels than T4. But, your pituitary is trying to tell your

thyroid to produce more hormones, which is why your TSH is so high. But, it's

likely your thyroid just can't do that. Which is why I think your T3 dose is too

low.

It's possible that you are not absorbing the T3. Are you using a compounded or

taking cytomel multiple times during the day? I personally don't do well unless

I take my cytomel sublingually.

I highly recommend if you don't have an appt soon to call the office (fax these

results) and see if you can't get an increase in the T3 and add some T4. I

personally think that this T3 only therapy is only appropriate for an extremely

small subset of people and for a very short period of time. I think they can

get the same results just by increasing the T3 for folks and also keep them on

some T4. I'm not totally convinced that this protocol is appropriate for folks

unless they have very high levels of reverse T3.

B.

>

> Hello all! I need some help with reading a few labs and a little input. I've

since been diagnosed with Stage 2 adrenal insufficeiency. Currenlty on T3

therapy only (almost 3 weeks) due to slightly high Reverse T3 ratio. Doctor

Spur�is working with me closely as I self diagnose thru my own symptoms. So

here are some labs that were taken the other day.

>

> Free T3 2.2 (2.3-4.2 pg/ml)

> Free T4 0.34 (0.73-1.95 NG/DL)

> TSH 27.9 H (0.3-5.1 UIU/ML)

> These results were taken after being on t3 therapy now for almost 3 weeks.

I've never seen T4 this low in my life!�I know I'm clearing out my RT3...

Just saying.

>

> Aldosterone 5

> Estrodiol 85

> Follicular range 11-212

> mid cycle 18-480

> Luteal Phase: < or =247

> Post-MenopausaL: < or=27

>

>

> Progesterone <0.5

> I need help with reading this. based on results the doc spurlock

> compounded progest SR 100mg once a day in capsule form. Is this too much?? I

am nervous about taking this all at once.�

> Ithought the cream was more effective...help?�

>

> Follicular range <1.0

> Luteal Phase: 2.6-21.5

>

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