I can't seem to find the 'right' proportions of t3/t4 to keep me on an even keel.
The t4 gives me some stability, so as the t3 fluctuates throughout the day, my energy never dips too low before my next dose, but it is the t3 which gives my energy 'brightness' and allows me to be effective. On a higher proportion of t4 I am always vague and tired; on a higher proportion of t3 I have periods of feeling really good but I experience highs and lows depending on how I time my dose.
Recently - suddenly - I seemed to go hyper on the dose which has been feeling pretty good for about a month. This keeps happening to me and every time I have to rejig the doses I feel absolutely pants for ages.
I'd be interested in hearing if anyone else is having these fluctuations (both the daily energy fluctuations and the long-term fluctuations which mean adjusting doses) and how you handle them.
To deal with the hyper symptoms (and avoid reducing my energy-giving t3 too much) I reduced my t4 a little and I feel really dazed today. And by the bye, for those fellow tinnitus sufferers I can confirm that reducing meds sends mine through the roof.