I signed up months ago, when I was first diagnosed with Hashimoto's.
I've read extensively and derived a great deal of relief from the offerings of the women (and few men) on this site.
I've struggled for seven months to achieve that 'perfect' dose and, sadly, I have failed. Blessedly, because I'm in the United States and because I have a wonderful naturopath doctor, I have access to any/all forms of thyroid replacement therapy. And, what's more is my doctor's philosophy is that I'm the 'captain' of my own health ship; she's merely the guide.
So, you'd expect me to report excellent outcomes. But I cannot. I've made too many changes, too fast. I've tinkered with t4 and t3, all in a semi-desperate, chaotic way.
Here's what I've read/learned and implemented as a result, followed by my latest test results:
I read Dr. Alexander Haskell who suggests that NDT is not a good match for Hashimoto's as the porcine thyroid can trigger auto immune response. He recommended a t4/t3 combo. He further advises to adjust the t3, by small increments, every ten days until a feeling of 'well-being' is achieved.
I've read that the t4/t3 ratio must be 4/1 and I've read that it must be 10/1.
I've read that t3 intake should not exceed 10mcgs.
Despite having attempted to incorporate variations on all of this information, since the 1st of July, I've taken only 50mcg of t4 and 12.5-15mcg of t3.
My results as of yesterday are:
TSH 0.02 [0.45-5.10]
Free T3 3.4 [2.18-3.98]
Free T4 0.8 [0.7-1.5]
I had taken 7.5 mcg of t3, six hours prior and 50mcg of t4 12 hours prior. (If that's relevant.)
My symptoms are: a general feeling of uneasiness, inability to concentrate, low body temperature, waking every 1.5-2 hours, weakness, itchy scalp and skin, sighing, etc.
My concern has been the ambiguity of symptoms in terms of hypo/hyper.
My apologies for making such a long, opening post. I appreciate the wisdom of the women who post here and I look forward to that wisdom being shared with me.