I am currently on 62.5 T4 and quarter of a 5mg T3 pill which equals 6.25 of T3, I was previously on 75mg lactose free T4 Only and have been on T4/T3 combo since November time as requested by my Endo who I next see in Feb.
I am still feeling tired on this dose above, the quarter T3 I have found easier to tolerate than half the T3 Pill as I am very sensitive to drugs and don't do well on large doses. However my Endo prescribed me to take 50mg T4 along with the full 5mg T3 Pill which I found I couldn't tolerate. Recent labs from last Friday 26th Jan are as follows (didn't manage to get free T3 tested on the NHS as they usually don't do it):
T4 16 Range (9-21)
T3 1.5 Range (0.9-2.4)
TSH 1.3 Range (0.2-4.3)
I usually feel better on a lower TSH than this, feel better below 1 so for me this TSH reading is high and could be contributing to my Hashi Flares/Readings and current lethargic state in particular in the evenings.
What should I do regarding doses? if I take any more T3 than the quarter of the 5mg pill, I feel Hyper and wired and can't sleep as take T3 in afternoon, if I take T3 in morning I feel it is too strong and I don't tolerate this well. If I put my T4 higher, this also makes me feel ill and wired as I also tried adding another quarter of T4 to the above ratio and felt ill and wired again.
Many thanks, I know this sounds complicated!