Caze, FT4 often drops when taking oral T3 because there isn't the need for higher levels to convert to T3. Your TSH and FT3 results on 50 T4 and 20 T3 looked fine. The extra 10mcg T3 should push FT3 further up the range which may improve tiredness. I found *feel good* lagged behind good blood results by about 8 weeks, so hang in there.
Are your ferritin, vitamin D, B12 and folate good? Low/deficient levels can cause musculoskeletal pain, fatigue and low mood. Has the leg and foot neuropathy subsided on T4+T3? Neuropathy can be a sign of B12 deficiency.
Neuropathy improved greatly with addition of T3. Hve posted re this to tell others. B12 above rge. Ferritin was low but is improving with supplements. Vit D good.
In the past I tk as much as 150 thyroxine and I was fine fr yrs - lots of energy.
Then gradually thgs began to go wrong. Followed yrs of extreme stress. As my health deteriorated my T4 level shot up and my TSH became suppressed.
Now my TSH is suppressed on just a low level of thyroxine when both T4 and T3 are low. That's why I am wondering if I shd be on slightly higher T4
On 50/30 I initially had bad h/aches but had fr mre energy. The improvement fell away after a cple of wks at the same time the h/aches eased. I've noticed I dream a lot on T3.
I thght my T4 both before adding T3 looked on the low side - not optimal.
Am hoping to get a cc of my latest blood tests later. I'll post.
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