Hi,
I am presently taking 1.5 grains NDT.
I have gradually increase but cannot get further than 1.5 grains.
Previously I was taking 125mcg. levo. and felt O.Kish but my Doctor kept altering my dose according to my TSH. and when she reduced to 100mcg. I felt worse.
I did the Genova 24 hour urine test whilst taking 100mcg. levo. which showed I was converting the T4 in levo. to T3 reasonable well but I was just not taking enough of the levo.
My G.P. would not increase back up to 125mcg. so I decided to try NDT.
I have had a pretty rough time raising to 1.5 grains and cannot get beyond this dose.
I feel marginally better at this dose than I did on levo. but still feel there is room for improvement. I did have a pretty good few weeks in the summer but this month have felt some symptoms return. I have tried an increase but got palpitations and racing pulse.
My Doctor has since spoken to an endo. and has now said I can go back to 125mcg. levo.
I think because of the slight improvement on NDT I think the T3 in it has helped and it is near top end of the range but my T4 is below range. I realise T4 can be low on NDT but I have read it should not be below range.
I am thinking of adding a small amount of levo. to the NDT but not sure whether to keep NDT at same dose for now or reduce and add the levo.
I am wondering if when adding in levo. and keeping the NDT at the same dose I will not know how much T4 in the levo. will convert to T3 and bring the T3 above range. I supposed if I feel worse and think the T3 is the culprit then I can then reduce the NDT and the T3 should get out of the system in a day or two.
Latest results on 1.5 grains W.P. Thyroid,
TSH 0.42 range 0.35 - 4.7
T4 7.6 range 7.8 - 21.0
T3 5.2 range 3.8 - 6.0
Could anyone offer any advice please.