Help with dosage from the experts on here? - Thyroid UK

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Help with dosage from the experts on here?

ThyroidObsessed profile image
23 Replies

So i now have some tiromel t3 tablets 25mcg from turkey, im really gonna try and take it in the morning with my levo if im brave enough, today has been a bad day... just wanting help with dosage...

Results from 9th jan on 87.5 cannot tolerate 100mcg without mental side effects only just coping on this dose...

TSH 10.1 (0.27- 4.5)

FT4 20 (11- 23)

FT3 4.03 (3.1- 6.8)

Symptoms are

Depression

Anxiety

Detached feeling

Brain fog

Breathlessness

Pressure feeling in temple

Palpatations

Physically fit slim weighing 8 stone 11 pound.

Height 5 foot 7

Thank you

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ThyroidObsessed
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23 Replies
Clutter profile image
Clutter

ThyroidObsessed,

Quarter the 25mcg tablet into 6.25mcg doses. Take 6.25mcg with your Levothyroxine.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Thank you im very sensitive to any kind of medication even paracetomol send me to sleep lol.. do u think a quarter will be ok?

Clutter profile image
Clutter in reply toThyroidObsessed

ThyroidObsessed,

I doubt you will be able to cut the tablet into eight but you can try.

6.25mcg T3 is equivalent to 18.75mcg Levothyroxine.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Should i reduce levo at all? X

Clutter profile image
Clutter in reply toThyroidObsessed

ThyroidObsessed,

No, it's not high.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Also what is 6.25mcg equal to in levo?

Rapunzel profile image
Rapunzel

This may help

thecompounder.com/thyroid-c...

read across. I copied and pasted into my own document so I could enlarge it.

ThyroidObsessed profile image
ThyroidObsessed in reply toRapunzel

Thank you x

Mamapea1 profile image
Mamapea1

Good luck ~ hope you will soon feel better x

ThyroidObsessed profile image
ThyroidObsessed in reply toMamapea1

Me too thank you x

silverfox7 profile image
silverfox7

Try not to worry. Lots of us have been where you are now with either T3 or NDT but keep it low and slow to start with and tell us if you get any symptoms and we can help. It can take a few days to settle down and your body to get used to it, the reason we tread carefully. Plus we can be very different as well but we won't know until we take that first step how we will react so pass on what is happening if that helps you and many will be able to comment on your progress! Here's to improvements!

ThyroidObsessed profile image
ThyroidObsessed

Thanks i am such a fool, i still didnt have the bottle to take it this morning im so scared, its because i havent had that approval of an endo it worries me (gp says i need a bit) if im doing the right thing and whether i will have some sort of massive panic attack if my body doesnt actually need it.. but then im sat here again with a foggy head tinnitus and feeling so depressed and anxious and feeling guilty that im just not my normal self for my little boys :-(

McMurtagh profile image
McMurtagh in reply toThyroidObsessed

I think it’s wise to have medical oversight. I know only too well how difficult it is to find a sympathetic GP/Endo but they are out there.

Chances are that if you’re nervous about taking it you’ll get into a state afterwards and won’t be able to tell if it helped or not.

ThyroidObsessed profile image
ThyroidObsessed

To be honest i would be able to cope with certain side effects like headaches and palpatations, just not the feeling of a panic attack where i cant breath and think im gonna die thats horrible..

McMurtagh profile image
McMurtagh in reply toThyroidObsessed

You shouldn’t expect to have headaches and palpitations.

ThyroidObsessed profile image
ThyroidObsessed

I wouldnt mind headaches or palpatations or anything to be honest im pretty tough in that way.. its just the panic attacks that i dont want :-(

tallulah100 profile image
tallulah100

Hi, have you had vit D, B12, foliate, ferritin all checked. This may explain some of your symptoms.

ThyroidObsessed profile image
ThyroidObsessed

Yeah vitamins are all great now i supplement and eat liver x

ThyroidObsessed profile image
ThyroidObsessed

The depression and anxiety only came when tsh went up and ft4 still high and ft3 low to mid x

eeng profile image
eeng

You might have a panic attack, but it's unlikely. You might, on the other hand, fell as though someone had switched the light on in a dark room. Or you might feel nothing at all. You don't know till you try, do you? Just go for it and see what happens. Your GP says you need some, you have gone to the effort of buying some, so just do it!

Eelaines profile image
Eelaines

Yes, I'd just go for it (slowly of course). Give it a chance, I feel so much more 'normal' on T3.

Increase very gradually. Good luck.

Chunipet profile image
Chunipet

I’d agree with the advice here, try 6.25mcg, which is quite a small dose, and see how you feel. I definitely felt better within days. When you’ve been on Levo for a while it stays in your system for weeks but t3 lasts only a day or so, so if it really disagrees with you, stop taking it and it’ll be gone quite quickly.

QUE6T-33 profile image
QUE6T-33

Hi ThyroidObsessed - look, if you want to feel more assured in starting to add T3 at smaller dose than quarter tablet, you could crush quarter into powder & split in two. The above is quite right that quarter grain is small dose, but you might feel more confident in taking smaller dose initially. You can then take the quarter tablet in day or two can't you. 😊

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