I came off T4 3 weeks and 5 days ago. An Endo I am seeing via health insurance (very reluctantly) put me on a start dose of half a grain (I had been on 50mg/75mg alternate days of T4). Initially had great reaction, but as it faded I emailed him to ask for an increase of half a grain (8 days after starting on Armour). He agree to quarter of a grain increase only. Again, I felt the benefit but that wore off within a week. I knew I needed to keep raising the dose in the early weeks up to around 2 - 3 grains. I saw him yesterday and despite my symptoms returning and a TSH of 4.4 he would only increase my dose by a quarter, to one grain daily.
I am actually feeling a little hyper, despite being cold. My energy levels seem more erratic within a given day than they have in the past. I initially lost 4lb but am feeling that weight loss is now going back on again.
So, in effect nearly 4 weeks after starting I am still only on the usual starting dose of one grain. He has asked to see me in 4 weeks! I asked for sooner, explaining why but he refused.
He is not at all open to my input!
I have a great relationship with my GP so am probably going to ask if he will take over monitoring my Armour so that I no longer need to see the Endo. However, I strongly suspect I have adrenal issues as I have symptoms of aldesterone insufficiency. I have a saliva kit and am going to do it tomorrow and post on Tuesday. I am wondering whether to address any adrenal issues first before asking my GP for more Armour?
Does anyone have any advice on the best course of action? I don't want to delay getting my thyroid correctly treated but don't want to push for more Armour if I need to address the adrenal issue first.
Very much appreciate any input. Just wondering if Paul Robinson could advise?