I am a 45 Yr old male with Hashi’s and have been on thyroid medication for about 6 months now trying to dial in a good dose.
I started on T4 only and now to T4/T3 combo. I'm currently at 75 mcg T4 and 12.5 mcg T3 per day. I have experimented with higher 25 mcg doses of T3 and feel very good energy, but have noticed the following symptoms: occasionally my heart seems to pause for a second and then thump really hard for one beat and then return to normal, and the other is that I have gotten significant butterflies in my stomach.
I like the energy and feeling productive again but I'm wondering if the T3 at 25 mcg may be a bit too much or too soon.
As for blood results, they are a bit odd. From May – Sept this year:
TSH (.35 - 4.94) - 2.4. 1.4, 0.9, 0.2, 0.01
T3, Total (58 - 159) - 98, 95, 96, 118, 81
T4, Total (4.5 - 12) - 4.1, 4.8, 4.8, 6.2, 4.8
Reverse T3 has been well within the normal range, antibodies have actually increased while on thyroid, and free T4/T3 have corresponded with the Total T4/T3.
Dosages from May - Sept
75 mcg T4
100 mcg T4
100 mcg T4 / 5 mcg T3
75 mcg T4 / 25 mcg T3 (although I've reduced on my own to 12.5 mcg with symptoms)
So, here is what is odd to me…my TSH seems to be dramatically suppressed, but my T3 and T4 values seem to be low! How could that be? I was hoping to be toward the middle-upper end on T3 and T4.
These results are going to puzzle my doctor. My last prescription was to move from 100/5 Levo/Cytomel ratio to 75/25 Levo/Cytomel ratio...but as noted above, I have been taking a bit less T3 than prescribed due to the symptoms. I am concerned that he will want to reduce my dose and I feel that I’m getting closer to finding a good dose.
I am considering asking my doctor to switch me over to NDT to see how I feel. I would ask for a prescription for 2 grains of WP Thyroid.
I’m looking for any coaching regarding my situation. Thanks so much!