I won't start otherwise than with a big thank you, you are, at least for me, THE source for real life experience in approaching the thyroid hormone replacement therapy (after TT in my case)
I am asking for your experience in dosing the meds considering tests and symptoms. as a short overview, after TT in 2013 and two years on T4 (initially well but in the end plagued with hypo symptoms, mainly related to cognitive function) had switched to combo T4/T3 meds that I have adjusted a few times.
Now, while now I am stable with the medication, 125 T4 25 T3 split in two daily doses, results of the tests are fluctuating (morning drew blood, before dosage, 10-12 hours after previous dosage);
While on the same dosage and, though not impeccable, rather decent absorption conditions (20 min minimum from meds to coffee
TSH dropped from 1.5 to 0.38 and then rise a bit to 0.46 (interval 0.27 - 4.2)
FT4 fluctuates significantly from 16 to 19 and then 14 (interval 12-22) To be mentioned that personally the FT4 under range is affecting me significantly on energy levels, I've experienced that already
Same trend in FT3...6.2 - 8.7 - 5.8 (interval 3.1 to 6.8)
TT3 is more stable...2.2 - 2.7 - 2.1 (interval 1.3 to 3.1)
Symptom wise I'm quite constant and functional, apart some joints discomfort that I can't put the finger on...the bad old days of terrible brain fog, inability to think clearly, depression and energy fatigue seem over, thank me!
1. How do you adjust your meds to target test results and symptoms?
Clearly, between symptom and various tests results, there is a balanced priority to addressing the symptoms.
2. Do you see such variation on test results when everything else constant? Do you do something about it or simply monitor it with symptoms status in mind?
3. this one is complicated - How do you know when your dosage has reached the maximum potential of relieving symptom? After messing up with everything for such a long time I am somehow unsure where the "normal" is...
Thank you for your time and willingness to share your experiences, I need again real life advice and guidelines.