Hi - I have felt really well for 8 months on armour, after years of Levo. I am now having symptoms and very unsure about my next step. I have been on 2 grains for at least 4 months and had bloods done 2 weeks ago.
TSH 0.15 (0.35 -4.7)
T4 7.7 (7.8-21)
T3 5 (3.8 -6)
I am now having symptons of fatigue/air hunger/aches/jittery/heartbeat aware/dizziness/headaches/numb limbs/dry eyes/hearing feels a bit muffled ....only a few!!lol😓
My pulse is between 65 -70, basal temp 36.6, weight is more on the stable to losing side then gaining. I am very confused if it's hyper/hypo My iron levels are good. Any advice and suggestions would be really welcome - my t4 is low so not sure what that indicates. So hopeful I can get back on track..I was feeling really well 😢..I see my endo on Thursday and not sure what his thoughts will be but the advice on here is such a help.
Written by
LittleTom
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Itom, ignore FT4, it's often low when patients are taking T3 or NDT. TSH is low but FT3 is within range so there's room for a 1/4-1/2 grain increase. Thyroid levels dip during autumn/winter and some patients need slightly more replacement during those months.
I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.
Thanks for taking the time to reply - i was thinking that I was over rather than under due to symptoms particularly jitter/heart beat/dry eyes...or is that associated as under It is interesting that you think i should increase.
Would I not be be at risk of pooling if I increase ?
From other's experience on here - Can such a small change in dose such as 1/4 grain make a huge difference in symptom relief ? - hoping!! xx
You say your iron levels are OK - low iron can cause palpitations/jitters too.
Low levels of vital minerals can cause fatigue, but what jumped out at me was 'numbness/hearing' - could be low B12, 'aches/pain' - could be low Vit D (was for me and often reported by others) they all work together.
It is also often reported that we need more hormone in the winter months - or perhaps we just need more sunshine and eat more hearty stews to keep warm?
I'm not as clued up as many people on here but thought I'd pass on what the doc I dealt with said. He prescribed NDT, starting on half a grain and increasing by half a grain every 2 weeks, then to have bloods tested. He said if I had side effects such as palpitations, feeling jittery etc I was probably on too high a dose and to drop back to what I was on previously.
Just for me - If that does happen my plan is to stay on the lower dose till I've had my bloods checked. After that if it looked as though I was under medicated I'd just increase by qtr of a grain. I can't go by how I feel currently; just by bloods; as I don't feel ill. (Don't know what I pressed to get italics!)
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Which should I increase Levo or NDT.
Results on 2 grains compounded NDT and 60mcg T3...
After decreasing NDT because of adverse symptoms, how quickly can i increase again?
Increase in Levo or move to NDT
Adrenal symptoms from t3 increase - to ride out or to decrease? 
