Back with another update and labs! It's been six weeks on compounded T4 / T3. I'm taking 30mcgs T4 and 70mcgs T3 daily in one time-release compounded dose.
Here are the labs:
T4, Free – 0.8 (Normal: 0.76 - 1.44)
T3 Free – 4.0 (Normal: 2.4 - 4.2)
RT3 – 9.7 (Normal: 9.0 - 27.0)
TSH – 2.10 (Normal: 0.52 - 6.25)
My initial reaction is that my RT3 definitely came down – 9.7 from 27! So the protocol has worked. My FT4 is low, but that's expected since I'm taking less in the combo. T3 looks good, higher than it's ever been. TSH is still a tad high, which is surprising. I expected to be more suppressed.
Symptoms – I feel slightly better in some ways, but worse in others. I have gained some weight, or I'm at least retaining more fluid since starting the T3/T4 combo. That is very frustrating, as I hoped to lose weight, not gain. Energy level is unpredictable and I'm often very tired. Definitely still have Hypo symptoms.
My question is: What do I do next? Does symptom relief usually lag behind good labs? If so, how long? Could I use an increase, or a change in dose / ratio levels. More T4, more T3?