A am a male, age 45 with Hashimoto's (diagnosed a few months ago). Following are my lab values (and reference ranges) as of Oct 18 2014, Jun 15 2015, and July 14 2105, respectively.
TSH(.35 - 4.94) - 2.4. 1.4, 0.9
T3, Free (2.3 - 4.2) - 3.2, not measured, 3.2
T3, Total(58 - 159) - 98, 95, 96
T4 , Free - (.7 - 1.8) - .95, not measured, .75
T4, Total- (4.5 - 12) - 4.1, 4.8, 4.8
Reverse T3 (8 - 25) - 19, not measured, not measured
Thyroid Peroxidase Autoantibodies (<9) - 42, 60, 60
Thyroglobulin Ab(<= 1) - 376, 422, 429
I started at 75 mcg T4 (Levothyroxine) on May 15, and had follow-up labs on June 15. I then increased dose to 100 mcg on June 15 and had follow-up labs on July 14. I added 5 mcg of T3 (Cytomel) this week. I have been 100% gluten free for over a month.
I see that my TSH has come down nicely to .9, but that T3 and T4 levels have not really improved and seem to be toward the low end of the range. I'm hoping that the 5 mcg of T3 will help bring up the T3 levels and make me feel better. To date I haven't noticed any difference in the way I feel from the supplementation.
My antibodies have actually gotten a little bit worse since going gluten free, but I will stay gluten free for now.
Some questions I'm struggling with:
How long should I wait to see if T3 has an effect given its quicker action?
Could I increase the dosage by 2.5mcg every few days until I feel relief or start to feel hyper?
Since I haven't felt any better, I'm tempted to try switching to Westhroid-P. What would be an equivalent dose and a good way to transition from 100mcg T4 + 5 mcg T3 to a NDT?
Any advice/coaching would be greatly appreciated! Thanks very much.