I stopped 0,38mcg T4-only medication (tirosint), I could not tolerate even such low doze.
On the last day of t4-only I tested my blood.
TSH 3,05 (0,27 - 4,20) high
FT4 20,33 (11,60 - 21,90) high
FT3 3,96 (3,08 - 6,78) low
Thyroid peroxid. 177 (<34) higher than before
RT3 test result came a month later (see below).
My integral doctor recommended 1 grain NDT, buildup step by step. But first I was without any T4 or other meds for 12 days while waiting for NDT. Started to get extremely hypo, couldn’t wait for NDT, started low dose T3-only (cytomel).
I used 7,5 mg per day (2,5mg x 3per day). That week on low T3 dosage was actually showing the highest promis that I can feel myself good someday.
When I got on NDT, I stuck at raising my dose to 3/4 of a grain (27mg t4 + 6mg t3) . And here I got the result of my rt3:
RT3 304,9 (138,6 - 331,1)
Rt3 ratio 13 (>20)
Clearly ratio needs to be balanced out.
When I was switching to NDT from T3, did I do smth wrong? The doctor said Cytomel half life is 4 days, and I had to wait all 4 days without any of it to begin with NDT. Then to add 1/4 of NDT every 4-7 days.
I could not survive without t3 even a day. So I stopped Cytomel. The next day I started NDT 1/4 grain, after 2 days I added another 1/4 in the afternoon. After 7 days 1 more pill... and here I felt worse.
Could it be effect of RT3 building up, or I just got too fast with building T4 up?
Anyway I got the decision to go down to 1/2 grain of NDT and add t3 to it. But how much of t3 will be safe? Do I need to build it up gradually? Up to what dose then? Should I stop NDT completely or temporary or not to stop?
Yesterday I had two dosages:
8 am 1/4 NDT + 2,5 mg Cytomel
4 pm 1/4 NDT
Around 2 pm I already felt very bad, and 8 pm I was a total mess.
Please, any advice would be interesting to hear!
P.S. Can not reach my doctor. On Monday planning to draw blood to see TSH, FT3, FT4, total T3, and some vitamins.
I am so bound to home. And in a week we are going on a trip to Spain. That will be a challenge...