Sorry for the many posts recently, I'm just feeling dreadful and trying to work out why and what to do.
So, basically, I felt like I got no benefit from T4 when on it alone. When I added in T3 I started feeling much better. Over the last year I have been (under he supervision of NHS endo) slowly raising T3 amount and dropping T4 amount. This was all going well until recently when my symptoms (exhaustion & depression mainly) returned.
However, I was thinking my symptoms were down to an increase in my working hours and duties, but I just can't be sure and I'm seeing the endo on Thursday and don't know if I should forge on with my plan for T3 only or stop and go back to a higher dose of T4, lower dose of T3. I would really appreciate some advice.
Has anyone gone on T3 only and found they needed to add T4 back in?
Why would a combination be better if T3 is the active form?
I just don't want to go backwards, find that doesn't help, and then have to spend even longer getting to T3 only, when I'm pretty close to it now, or to mess about with my meds going up and down. But at the same time I don't want to quit my job (which is the point I'm at) and then find out it was down to my thyroxine levels.
Here's the last 3 blood results with doses :
(My Dr won't test FT3 btw)
My TSH is less than 0.01 and has been for the last 18 months
20/03/17 FT4 9.2 (Range 9 - 21) TT3 1.7 (Range 0.9 - 2.5) On 75mcg T4, 25mcg T3
18/05/17 FT4 8.7 TT3 1.9 On 75mcg T4, 30mcg T3
20/07/17 FT4 9.2 TT3 2.3 On 75mcg T4, 35mcg T3
2/08 /17 FT4 7.4 TT3 2.4 On 50mcg T4, 40mcg T3
These results are all taken after fasting and at 9.00 in the morning, having not taken T4/T3 for over 12 hours.
I take my T4 in the morning and take the T3 in 4 divided doses throughout the day (morn (between 7.00 and 9.00), 12.00, 2.00, and 5.00). I may change the routine of that in future but as that's how I've been doing it from the start I don't think that's causing the new problems that have developed.
I've been trying to work out when I really started feeling bad and it's hard to tell, but it got really bad near the end of August - around the time my hours and duties increased, but also a couple of weeks after latest T4/T3 meds change.
I have been given advice on vitamins and diet but the lovely people who have commented on my previous posts, but before seeing the endo I just really want to think what to do next regarding T4/T3 replacement.
Sorry for yet another exceptionally long post, and thank you for reading.