Graves and T3:  Hello , I am really struggling... - Thyroid UK

Thyroid UK

141,244 members166,489 posts

Graves and T3

Maryloo03 profile image
5 Replies

 Hello , I am really struggling with feeling cold . 3 weeks ago my Dr. added 5 mcg cytomel to my  175 synthroid . Still feeling cold, but have more energy .He may not knows how to dose the Cytomel /Synthroid . 

TSH

 3.82 pmol/L

T4 Free 23 pmol/L

T3 Free

 3.2 pmol/L

 

Written by
Maryloo03 profile image
Maryloo03
To view profiles and participate in discussions please or .
Read more about...
5 Replies
shaws profile image
shawsAdministrator

What a miserable 5mcg of T3 - equal to around 15mcg of levo. This is a link and go to page 80 and on the left-hand side you will see the latest combined recommendation.

Give GP the whole article highlighting the appropriate part:

tpauk.com/images/docs/reduc...

Usually in the UK, if they add T3 they reduce levo by 50mcg an add 20mcg of T3. 

Your TSH is too high should be 1 or lower, or suppressed for some of us. Your T3 looks on the low side and there's no ranges. We need ranges as labs differ throughout the UK, just to make things a bit more difficult.

Maryloo03 profile image
Maryloo03 in reply toshaws

TSH      

3.82            0.30 - 5.50 mU/L 

T4 Free

    H 23      11 - 22     pmol/L 

T3 Free

  L 3.2         4.0 - 7.8    pmol/L

Thanks Shaw . I am in Canada .

Clutter profile image
Clutter in reply toMaryloo03

Maryloo03,

You are undermedicated to have TSH 3.8 and FT3 below range.  Your FT4 is over range but isn't converting well to T3.  I think your endo needs to increase T3 dose in 10mcg increments until FT3 is 6-7.8.

__________________________________________________________________________

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.

Maryloo03 profile image
Maryloo03 in reply toClutter

TSH  

0.39  0.30 - 5.50 mU/L

 

T4 Free

 H 25     11 - 22 pmol/L

 

T3 Free

 4.8 4.0 - 7.8  pmol/L

May I have you opinion on these results ?

Clutter profile image
Clutter in reply toMaryloo03

Maryloo03,

Low TSH, high FT4 and low FT3 indicates you aren't converting T4 to T3 very well and would probably do better with more T3 added to a slightly reduced dose of Levothyroxine to raise FT3.

I think this set of results is better than the first set you posted but not optimal. 

____________________________________________________________

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.

Not what you're looking for?

You may also like...

Why would SMALL increase in T3 meds have caused fT3 to go DOWN a LOT and fT4 to also go DOWN?

Can someone help explain the mechanism? Given all nutrients of importance are optimal, why would a...
Joyya profile image

Cytomel (T3) only or along with NDT (T3&T4)?

How do i know if I'm to do Cytomel alone, or combine it with my Synthroid-S, which is a NDT...
TJC123 profile image

Graves and low end T3 and jitters

Hello I am on 1.25 mg Methimozole Graves’ disease My recent results are TSh 1.62 (.32-4) mlu/l)...
cgauthie profile image

Please HELP! Blood test results. TSh, T3, T4

I was born without a thyroid, so Ive taken synthroid for the first 34 years. Not on NDt Thyoid by...
webster0915 profile image

Will T3 help?

I've had the following symptoms for a while.. cold hands and feet, an overall feeling of being...
Steve56R profile image

Moderation team

See all
Jaydee1507 profile image
Jaydee1507Administrator
PurpleNails profile image
PurpleNailsAdministrator
SlowDragon profile image
SlowDragonAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.