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Hi everyone. I have Hashimoto's. My continued symptoms are fatigue,

sluggishness, heavy periods, low body temp, cold, some muscle

weakness, high cholesterol, inability to lose weight. I also have some

heart palpitations which in the past was helped when the meds were

increased.

My labs from last week are:

TSH .03 (.4-4.5)

Free T3 323 (230-420)

Free T4 .8 (.8-1.8)

I am currently on Armour and Cytomel. What do you make of these labs

and what changes do think need to made in my meds? Do my labs justify

the symptoms I have?

I have a follow-up with a new doctor on Thursday morning. Any advice

is greatly appreciated.

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I have almost the same exact numbers as you and also take Cytomel and Levoxyl.

I see my doc next month — I want to raise my T4F above the .9 it’s been at for years.

Your TSH and T3F look great though — just the T4F.

Let your doctor know you realize the numbers are “in range” but you still have symptoms...hopefully that will help.

Sue

Hi everyone. I have Hashimoto's. My continued symptoms are fatigue,

sluggishness, heavy periods, low body temp, cold, some muscle

weakness, high cholesterol, inability to lose weight. I also have some

heart palpitations which in the past was helped when the meds were

increased.

My labs from last week are:

TSH .03 (.4-4.5)

Free T3 323 (230-420)

Free T4 .8 (.8-1.8)

I am currently on Armour and Cytomel. What do you make of these labs

and what changes do think need to made in my meds? Do my labs justify

the symptoms I have?

I have a follow-up with a new doctor on Thursday morning. Any advice

is greatly appreciated.

Give Back

Connect with others.

..

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Hi Sue, thank you for responding.

I hope both of our doctors are willing to help! Do you know what

your Free T3 level is?

>

> >

> >

> >

> >

> > Hi everyone. I have Hashimoto's. My continued symptoms are

fatigue,

> > sluggishness, heavy periods, low body temp, cold, some muscle

> > weakness, high cholesterol, inability to lose weight. I also

have some

> > heart palpitations which in the past was helped when the meds

were

> > increased.

> >

> > My labs from last week are:

> >

> > TSH .03 (.4-4.5)

> > Free T3 323 (230-420)

> > Free T4 .8 (.8-1.8)

> >

> > I am currently on Armour and Cytomel. What do you make of these

labs

> > and what changes do think need to made in my meds? Do my labs

justify

> > the symptoms I have?

> >

> > I have a follow-up with a new doctor on Thursday morning. Any

advice

> > is greatly appreciated.

> >

> > Give Back

> >

> >

> >

> >

> >

> > Connect with others.

> >

> >

> >

> >

> > .

> >

> >

>

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My T3F level WITH cytomel of 20 mcg daily and 100 mcg Levoxyl was 390 on a range of 240-420 so I was happy with that.

My T34 was .9 on a range of .8 to 2.8

The last labs were 2 months ago and I go again in a couple weeks.

I was on ARMOUR 135 mg but didn’t feel good on that – achy, tired, sweaty so I went back to the levo/cyto.

My doctor has no idea but I had to do what I had to do.. Guess she’ll be surprised next month :)

Sue

Hi Sue, thank you for responding.

I hope both of our doctors are willing to help! Do you know what

your Free T3 level is?

>

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Why do you think she needs more ARMOUR and not straight–up T4 since her t4 is what is so low?

Just curious........................

sue

Hi lymebytes,

You really do need an increase in your Armour, despite your low TSH you are

terribly under medicated. And, by the way, if you're on Armour the TSH

doesn't mean a thing ! It's the free Ts that count.

Good luck with convincing your doc that you need an increase - but only a

small one ! Increasing too rapidly won't help either !

Lili

..

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Because her T3 is rather low - it's high in comparison to her T4, but the

majority of people need a T3 up the top end of the range - if not over the

top. My T3 slightly over the top. Hers isn't even in the middle of the

range, despite the extra she's been taking. Which is rather curious. If I

were her, I would want to drop the cytomel and up the Armour for a few

weeks, and then test to see what was what. If the T4 was still low in

comparison to the T3, then I would add straight T4. However, just dropping

the cytomel might even out the ratio and then the Armour could be brought up

until she feels better. Just my opinion, anyway.

Lili

>

>Reply-To: The_Thyroid_Support_Group

>To: The_Thyroid_Support_Group >

>Subject: Re: Re: Help with results please

>Date: Tue, 20 Feb 2007 12:24:54 -0600

>

>Why do you think she needs more ARMOUR and not straight­up T4 since her t4

>is what is so low?

>Just curious........................

>sue

>

>

>

>

> >

> >

> >

> >

> > Hi lymebytes,

> >

> > You really do need an increase in your Armour, despite your low TSH you

>are

> > terribly under medicated. And, by the way, if you're on Armour the TSH

> > doesn't mean a thing ! It's the free Ts that count.

> >

> > Good luck with convincing your doc that you need an increase - but only

>a

> > small one ! Increasing too rapidly won't help either !

> >

> > Lili

> >

> >

> > .

> >

> >

>

>

_________________________________________________________________

Découvrez le Blog heroic Fantaisy d'Eragon!

http://eragon-heroic-fantasy.spaces.live.com/

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I agree — if she is to up the Armour, then drop the Cytomel.

But I would add some straight T4 to get that moving....

Sue

Because her T3 is rather low - it's high in comparison to her T4, but the

majority of people need a T3 up the top end of the range - if not over the

top. My T3 slightly over the top. Hers isn't even in the middle of the

range, despite the extra she's been taking. Which is rather curious. If I

were her, I would want to drop the cytomel and up the Armour for a few

weeks, and then test to see what was what. If the T4 was still low in

comparison to the T3, then I would add straight T4. However, just dropping

the cytomel might even out the ratio and then the Armour could be brought up

until she feels better. Just my opinion, anyway.

Lili

>From: JustYourTypeDTP <justyourtypedtp@... <mailto:justyourtypedtp%40earthlink.net> >

>Reply-To: The_Thyroid_Support_Group <mailto:The_Thyroid_Support_Group%40yahoogroups.com>

>To: <The_Thyroid_Support_Group <mailto:The_Thyroid_Support_Group%40yahoogroups.com> >

>Subject: Re: Re: Help with results please

>Date: Tue, 20 Feb 2007 12:24:54 -0600

>

>Why do you think she needs more ARMOUR and not straight–up T4 since her t4

>is what is so low?

>Just curious........................

>sue

>

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You're the only one I've heard of on Armour and Cytomel. Do you have

major conversion problems? Your T4 is noticibly low, and that's not

surprising with your combination. Maybe your doc will add some T4.

Many have good luck with a T4/Armour combination and a T4/Cytomel

combination. Others do fine with straight Armour, but Armour and

Cytomel is a lot of T3. I was on Armour, then Armour and T4, now just

T4 and I feel better that way. I may add cytomel later after my next

set of labs. Let us know what the doc does with these labs... Judy

> My labs from last week are:

>

> TSH .03 (.4-4.5)

> Free T3 323 (230-420)

> Free T4 .8 (.8-1.8)

>

> I am currently on Armour and Cytomel. What do you make of these labs

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Hi Judy, thanks for your reply.

I aon't know if I have conversion problems or if I just have not

been on a sufficient dose. Does having more T3 make the T4 lower?

I will post what the doctor wants to do. Thanks!

>

> You're the only one I've heard of on Armour and Cytomel. Do you

have

> major conversion problems? Your T4 is noticibly low, and that's

not

> surprising with your combination. Maybe your doc will add some

T4.

> Many have good luck with a T4/Armour combination and a T4/Cytomel

> combination. Others do fine with straight Armour, but Armour and

> Cytomel is a lot of T3. I was on Armour, then Armour and T4, now

just

> T4 and I feel better that way. I may add cytomel later after my

next

> set of labs. Let us know what the doc does with these labs... Judy

>

> > My labs from last week are:

> >

> > TSH .03 (.4-4.5)

> > Free T3 323 (230-420)

> > Free T4 .8 (.8-1.8)

> >

> > I am currently on Armour and Cytomel. What do you make of these

labs

>

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I feel pretty good, I just can’t lose an ounce and have been gaining AGAIN.

I eat so healthy too — and I work out 5 x a week – not strenuous but cardio and weights, crunches , etc.

It’s a bummer.

Sue

Hi Sue. How are you feeling with your Free T4 so low?

I hope your doctor is okay with you switching meds.

>

> My T3F level WITH cytomel of 20 mcg daily and 100 mcg Levoxyl was

390 on a

> range of 240-420 so I was happy with that.

> My T34 was .9 on a range of .8 to 2.8

> The last labs were 2 months ago and I go again in a couple weeks.

> I was on ARMOUR 135 mg but didn’t feel good on that – achy, tired,

sweaty so

> I went back to the levo/cyto.

> My doctor has no idea but I had to do what I had to do.. Guess

she’ll be

> surprised next month :)

> Sue

>

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Hi Sue. I know it is very frustrating to work so hard and not be

able to lose weight. I cannot either. I hope your doctor can

adjust your meds.

> >> >

> >> > My T3F level WITH cytomel of 20 mcg daily and 100 mcg Levoxyl

was

> > 390 on a

> >> > range of 240-420 so I was happy with that.

> >> > My T34 was .9 on a range of .8 to 2.8

> >> > The last labs were 2 months ago and I go again in a couple

weeks.

> >> > I was on ARMOUR 135 mg but didn¹t feel good on that ­ achy,

tired,

> > sweaty so

> >> > I went back to the levo/cyto.

> >> > My doctor has no idea but I had to do what I had to do.. Guess

> > she¹ll be

> >> > surprised next month :)

> >> > Sue

> >> >

>

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Sue, you do realise that there is a connection between hypo and weight gain,

don't you ? And that it is highly unlikely that you are going to lose weight

- or even stop putting it on - with such a low T4 ? And that your low-fat

diet is making things even worse in that you are not giving your body the

resources to make its own hormone ? Even your high colesterol is hypo linked

and won't come down until your T4 goes up. Well, that's my take on things,

anyway, and I think a lot of people would back me up.

Lili

>

>Reply-To: The_Thyroid_Support_Group

>To: The_Thyroid_Support_Group >

>Subject: Re: Re: Help with results please

>Date: Tue, 20 Feb 2007 18:57:56 -0600

>

>I feel pretty good, I just can¹t lose an ounce and have been gaining AGAIN.

>I eat so healthy too ‹ and I work out 5 x a week ­ not strenuous but cardio

>and weights, crunches , etc.

>It¹s a bummer.

>Sue

>

>

>

>

> >

> >

> >

> >

> > Hi Sue. How are you feeling with your Free T4 so low?

> >

> > I hope your doctor is okay with you switching meds.

> >

> >

> >> >

> >> > My T3F level WITH cytomel of 20 mcg daily and 100 mcg Levoxyl was

> > 390 on a

> >> > range of 240-420 so I was happy with that.

> >> > My T34 was .9 on a range of .8 to 2.8

> >> > The last labs were 2 months ago and I go again in a couple weeks.

> >> > I was on ARMOUR 135 mg but didn¹t feel good on that ­ achy, tired,

> > sweaty so

> >> > I went back to the levo/cyto.

> >> > My doctor has no idea but I had to do what I had to do.. Guess

> > she¹ll be

> >> > surprised next month :)

> >> > Sue

> >> >

>

_________________________________________________________________

Découvrez le Blog heroic Fantaisy d'Eragon!

http://eragon-heroic-fantasy.spaces.live.com/

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My labs from last week are:

>

> TSH .03 (.4-4.5)

> Free T3 323 (230-420)

> Free T4 .8 (.8-1.8)

>

> I am currently on Armour and Cytomel. What do you make of these labs

> and what changes do think need to made in my meds? Do my labs justify

> the symptoms I have?

The thyroid produces mainly T4 and a little T3, the body converts T4 to

T3 on a as needed basis.. Armour contains 38mcg of T4 and 9mg of T3 per

grain or 60mg..

How much Armour are you on?

Synthroid is a T4 only medication..

Cytomel is a T3 only medication..

Armour is a natural T4/T3 medication although the ratio of T3 to T4 is

higher than what the human body produces..

Synthroid has a half life of 7 days..it takes a while to build up in

your system but for a lot of people on a high enough Synthroid dose and

without conversion issues there can be enough T4 to convert to T3 on a

as needed basis..

T3 both in the synthetic form of Cytomel and in Armour has a half life

of 1 1/2 hours..

Cytomel is direct T3 so once your body uses it up it is gone..

Armour contains T3 that is gone but it also contains a little T4 to

convert to T3 on a as needed basis..

You feel like crap because unless your body is functioning 24 hrs a day

and unless you are feeding it T3 every 2-3 hours on a 24 hour schedule

you are spending your days swinging in and out of hypo.

T3 also suppresses the TSH so your doc maybe running all the tests and

looking only at the TSH and saying well it is supressed, she is fine..

Now I know not everyone here agrees with me on this but I like Synthroid

( actually I hate it , it is the only T4 synthetic with potent issues

and the only one that contains sulpites used in colouring) ( most

people do better on the other versions of synthetic T4) .

You can not decide conversion issues until the T4 is brought up to the

higher end if not top end of the range..now I realize synthetic T4 is

not for everyone..some peoples body's think it is mush and have no idea

what to do with it..but for the most part it allows the body to do what

it was designed to do and that is to convert T4 to T3 on how it sees it

needs it..

Now you have a few options here..

Drop all meds and go on T4 only..this will raise your T4 and allow for

conversion..this option will suck big time as your body is use to the

direct T3 and will crash big time..

What I am thinking is keeping in mind 1 grain of Armour = 38mcg of T4

and 9mg of T3, replace your Cytomel T3 with equal Armour ..this way you

are taking only 1 medication, your T3 will not drop but you will be

adding the extra T4 that Armour provides to increase your T4..lab in 6

weeks and see where the T4 sits and if the T3 raises substantially or

is maintained..

You have other options too of adding T4 and removing Armour and

replacing the T3 in Armour with Cytomel and then as the T4 increases

and conversion takes place you can slowly lower your T3 which would

probabley give you the better option of preventing a crash from

changing meds..

If you post exactly how much Armour and how much Cytomel you are taking

over the course of a day and I can throw some numbers out at you so you

can see what I mean..but you really need to increase your T4 with out

increasing the T3 too much so that you become more stabilized through

out the day..

Kats3boys

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Hi Lili,

Yes of course I realize a connection between hypo and weight gain but I am not Untreated.

I agree my T4F is way too low — I am trying to get it up... With or without the doc’s help.

Regarding fat, with a history of high cholesterol/strokes in my family I simply refuse to load my body up with fat.

I do use olive oil, a pat of butter, etc. but a healthy amount and plan to keep it that way.

Sue

Sue, you do realise that there is a connection between hypo and weight gain,

don't you ? And that it is highly unlikely that you are going to lose weight

- or even stop putting it on - with such a low T4 ? And that your low-fat

diet is making things even worse in that you are not giving your body the

resources to make its own hormone ? Even your high colesterol is hypo linked

and won't come down until your T4 goes up. Well, that's my take on things,

anyway, and I think a lot of people would back me up.

Lili

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Sue, I know you're not UNtreated, you're UNDERtreated, and that means you

aren't going to lose weight. I know you think I'm rude, and I do lose my

temper very easily when my hormones are off, but I'm not being rude when I

say that it breaks my heart sometimes to read your posts and see just how

hypo you are - it shows in most of what you write. What is the problem ? Is

it your doc that won't up your dose ? Or is it that you have trouble with

raising the dose ? Whatever it is, I do hope that you get to a comfortable

dose soon and then you will find you can lose the weight and your

cholesterol will go down - among other things. BTW I went hyper just

recently, and my cholesterol was way, way under norm ! lol

Lili

>

>Reply-To: The_Thyroid_Support_Group

>To: The_Thyroid_Support_Group >

>Subject: Re: Re: Help with results please

>Date: Wed, 21 Feb 2007 09:47:07 -0600

>

>Hi Lili,

>Yes of course I realize a connection between hypo and weight gain but I am

>not Untreated.

>I agree my T4F is way too low ‹ I am trying to get it up... With or without

>the doc¹s help.

>Regarding fat, with a history of high cholesterol/strokes in my family I

>simply refuse to load my body up with fat.

>I do use olive oil, a pat of butter, etc. but a healthy amount and plan to

>keep it that way.

>

>Sue

>

>

>

>

> >

> >

> >

> >

> > Sue, you do realise that there is a connection between hypo and weight

>gain,

> > don't you ? And that it is highly unlikely that you are going to lose

>weight

> > - or even stop putting it on - with such a low T4 ? And that your

>low-fat

> > diet is making things even worse in that you are not giving your body

>the

> > resources to make its own hormone ? Even your high colesterol is hypo

>linked

> > and won't come down until your T4 goes up. Well, that's my take on

>things,

> > anyway, and I think a lot of people would back me up.

> >

> > Lili

> >

> >

> >

> >

>

>

_________________________________________________________________

Gagnez des pc Windows Vista avec Live.com http://www.image-addict.fr/

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Kats3boys, thank you for your reply. You provided a wealth of

information!

I agree that it may be good to increase the Armour and drop the

Cytomel. I am currently on 2 grains of Armour and 25mcg of

Cytomel.

What increase do you think would be best? Do you think this increase

would raise the T4 enough to improve the symptoms or would it have

to be raised in a few steps over time with labs in-between? As you

know, it is very hard to be patient when you feel so bad. I have my

folllow-up appointment tomorrow morning and any information you can

provide that could help me get this doctor on board is greatly

appreciated.

Thank you!

>

> My labs from last week are:

> >

> > TSH .03 (.4-4.5)

> > Free T3 323 (230-420)

> > Free T4 .8 (.8-1.8)

> >

> > I am currently on Armour and Cytomel. What do you make of these

labs

> > and what changes do think need to made in my meds? Do my labs

justify

> > the symptoms I have?

>

>

> The thyroid produces mainly T4 and a little T3, the body converts

T4 to

> T3 on a as needed basis.. Armour contains 38mcg of T4 and 9mg of

T3 per

> grain or 60mg..

>

> How much Armour are you on?

> Synthroid is a T4 only medication..

> Cytomel is a T3 only medication..

> Armour is a natural T4/T3 medication although the ratio of T3 to

T4 is

> higher than what the human body produces..

>

> Synthroid has a half life of 7 days..it takes a while to build up

in

> your system but for a lot of people on a high enough Synthroid

dose and

> without conversion issues there can be enough T4 to convert to T3

on a

> as needed basis..

>

> T3 both in the synthetic form of Cytomel and in Armour has a half

life

> of 1 1/2 hours..

>

> Cytomel is direct T3 so once your body uses it up it is gone..

> Armour contains T3 that is gone but it also contains a little T4

to

> convert to T3 on a as needed basis..

>

> You feel like crap because unless your body is functioning 24 hrs

a day

> and unless you are feeding it T3 every 2-3 hours on a 24 hour

schedule

> you are spending your days swinging in and out of hypo.

>

> T3 also suppresses the TSH so your doc maybe running all the tests

and

> looking only at the TSH and saying well it is supressed, she is

fine..

>

> Now I know not everyone here agrees with me on this but I like

Synthroid

> ( actually I hate it , it is the only T4 synthetic with potent

issues

> and the only one that contains sulpites used in colouring) ( most

> people do better on the other versions of synthetic T4) .

>

> You can not decide conversion issues until the T4 is brought up to

the

> higher end if not top end of the range..now I realize synthetic T4

is

> not for everyone..some peoples body's think it is mush and have no

idea

> what to do with it..but for the most part it allows the body to do

what

> it was designed to do and that is to convert T4 to T3 on how it

sees it

> needs it..

>

> Now you have a few options here..

> Drop all meds and go on T4 only..this will raise your T4 and allow

for

> conversion..this option will suck big time as your body is use to

the

> direct T3 and will crash big time..

>

> What I am thinking is keeping in mind 1 grain of Armour = 38mcg of

T4

> and 9mg of T3, replace your Cytomel T3 with equal Armour ..this

way you

> are taking only 1 medication, your T3 will not drop but you will

be

> adding the extra T4 that Armour provides to increase your T4..lab

in 6

> weeks and see where the T4 sits and if the T3 raises substantially

or

> is maintained..

>

> You have other options too of adding T4 and removing Armour and

> replacing the T3 in Armour with Cytomel and then as the T4

increases

> and conversion takes place you can slowly lower your T3 which

would

> probabley give you the better option of preventing a crash from

> changing meds..

>

> If you post exactly how much Armour and how much Cytomel you are

taking

> over the course of a day and I can throw some numbers out at you

so you

> can see what I mean..but you really need to increase your T4 with

out

> increasing the T3 too much so that you become more stabilized

through

> out the day..

>

> Kats3boys

>

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>

> Kats3boys, thank you for your reply. You provided a wealth of

> information!

>

> I agree that it may be good to increase the Armour and drop the

> Cytomel. I am currently on 2 grains of Armour and 25mcg of

> Cytomel.

>

> What increase do you think would be best? Do you think this

increase

> would raise the T4 enough to improve the symptoms or would it have

> to be raised in a few steps over time with labs in-between? As you

> know, it is very hard to be patient when you feel so bad. I have

my

> folllow-up appointment tomorrow morning and any information you can

> provide that could help me get this doctor on board is greatly

> appreciated.

>

> Thank you!

So lets put the numbers out..

2 grains of Armour = 56mcg of T4 and 18 mcg of T3..

25 mg of Cytomel = 25 mcg of T3..

So you are taking 56 mcg of T4 and 43 mcg of T3..

now 4 1/2 grains of Armour = 171 mcg of T4 and 40.5 of T3..so this

would keep your T3 steady but would raise your T4 too much,

especially too much at once..add conversion issues into this and your

T3 would go above range.

I see two options..

Swap your Cytomel for 50 mcg of T4..

This brings you up to 106 mcg of T4 and 18 mcg of T3.. you can keep

your Cytomel and slowly wean off of it over a week or two period to

prevent the T3 crash..

Drop the Cytomel and up your Armour by 1 grain..

3 grains of Armour = 114 mcg of T4 and 27 mcg of T3.

Although patience is the hardest thing it really is your best friend

when it comes to thyroid issues..

The loop system your body does when using T4 takes 6 weeks..6 weeks

for your body to adjust to that level of T4, this is regardless if

the T4 comes in the form of Armour of Synthetic.

You need to have patience, realize in 2-3 weeks you may crash a

little as the body switches from wanting T4 to realizing it has T4 to

actually using the T4..

So the general rule is labs in 6 weeks..make a dose adjustment if

needed..labs in 6 weeks and continue this until both labs and

symptoms are good..then another set of labs in 6 weeks to make sure

you hold it..

It in unrealistic although the idea is nice to hit your perfect dose

in one step..you do have an advantage of being on so much T3 that you

can do a sizable T4 adjustment as long as you lower the T3..this

allows the body to make T3 naturally and stops the swings during the

day..

Kats3boys

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Kats3boys, thank you so much for this information. It is a lot to

digest. I am glad to have this information to take with me to my

appointment. I really hope he is willing to signficantly increase

the dose if I stop the Cytomel.

Thanks so much everyone, you are all such a great help!

> >

> > Kats3boys, thank you for your reply. You provided a wealth of

> > information!

> >

> > I agree that it may be good to increase the Armour and drop the

> > Cytomel. I am currently on 2 grains of Armour and 25mcg of

> > Cytomel.

> >

> > What increase do you think would be best? Do you think this

> increase

> > would raise the T4 enough to improve the symptoms or would it

have

> > to be raised in a few steps over time with labs in-between? As

you

> > know, it is very hard to be patient when you feel so bad. I

have

> my

> > folllow-up appointment tomorrow morning and any information you

can

> > provide that could help me get this doctor on board is greatly

> > appreciated.

> >

> > Thank you!

>

>

> So lets put the numbers out..

> 2 grains of Armour = 56mcg of T4 and 18 mcg of T3..

> 25 mg of Cytomel = 25 mcg of T3..

>

> So you are taking 56 mcg of T4 and 43 mcg of T3..

>

> now 4 1/2 grains of Armour = 171 mcg of T4 and 40.5 of T3..so this

> would keep your T3 steady but would raise your T4 too much,

> especially too much at once..add conversion issues into this and

your

> T3 would go above range.

>

> I see two options..

>

> Swap your Cytomel for 50 mcg of T4..

> This brings you up to 106 mcg of T4 and 18 mcg of T3.. you can

keep

> your Cytomel and slowly wean off of it over a week or two period

to

> prevent the T3 crash..

>

> Drop the Cytomel and up your Armour by 1 grain..

> 3 grains of Armour = 114 mcg of T4 and 27 mcg of T3.

>

> Although patience is the hardest thing it really is your best

friend

> when it comes to thyroid issues..

>

> The loop system your body does when using T4 takes 6 weeks..6

weeks

> for your body to adjust to that level of T4, this is regardless if

> the T4 comes in the form of Armour of Synthetic.

>

> You need to have patience, realize in 2-3 weeks you may crash a

> little as the body switches from wanting T4 to realizing it has T4

to

> actually using the T4..

>

> So the general rule is labs in 6 weeks..make a dose adjustment if

> needed..labs in 6 weeks and continue this until both labs and

> symptoms are good..then another set of labs in 6 weeks to make

sure

> you hold it..

>

> It in unrealistic although the idea is nice to hit your perfect

dose

> in one step..you do have an advantage of being on so much T3 that

you

> can do a sizable T4 adjustment as long as you lower the T3..this

> allows the body to make T3 naturally and stops the swings during

the

> day..

>

> Kats3boys

>

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