Does anyone use both, and do you top up with t3 to symptoms as discussed, for example on STTM? Would really like to hear other people's experiences of what does or doesn't work for them.
At the moment I'm finding that my ND runs down by the afternoon and I top up with t3 to relieve hypo symptoms. I feel OK on the longer lasting effect of the NDT but I'm struggling to raise NDT for a longer lasting therapy as I feel over stimulated quite quickly and finding it easier to control symptoms with t3 and a lower dose of NDT. Maybe I just need to bite the bullet and add another NDT dose but I feel it sneakily gathers up on me and dumps when I least expect it. The lower dose of NDT does feels OK for about 6 - 7 hours then I slump, then control the deficit with small doses of t3 to symptoms. The careful multi dosing is a pain but I am experiencing better control over the short term as opposed to a wallop from the NDT. I did try t3 only but not for long enough...I think I am a bit too scared to go without t4 altogether. Or that's how it seems right now. I will try splitting my NDT soon...when I have time to rest while it kicks in because the slightest sustained dip in levels and I am straight back into pain, fog, fatigue and vile neuro symptoms.
One of the things that has brought me up short is reading Paul Robbins on topping up NDT with t3 lowers conversion of t4 to t3 because the suppressed tsh tells the liver we don't need more t3 and stores it. (I think I have got the gist of it but link at end). He concurs that a very low dose of NDT with t3 might be OK for some. STTM advise no more, or less than 1.5 grains topped up with t3 or t3 only to clear rt3. I don't think I have rt3 issues at mo...but Paul is basically saying we could create them by mixing t3 with t4.
My last test showed normal t4 and high t3 BUT, unbeknown to me, they took thyroid levels along with per-arranged fasting blood glucose, I had taken my NDT dose the same morning as the draw. I am working on iron levels and cortisol and having those tested.
Um...sorry. my post looks a bit convoluted...got a 1001 questions buzzing in my head.
P.S I note from John Lowe's last interview he used 150 mcg T3 in the morning, which, he said, served him well for over 25 years. I believe but think I'd explode.