Symptoms when rise the dose of NDT but after a few days I feel great, when to stop rising?

Hi, standard advice here is to increase 1/4 grain at a time (15mg), it may prevent the symptoms you are experiencing. If you are feeling good perhaps you could hold until your blood test.

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Only by trial and error. I have taken near two years to find my correct dose of NDT and even then some days I don't feel 100%.

When I was taking 3 grains I could feel my heart race and my FT3 blood test result was 1/3 rd

over the top range. Now I am on 2.5 grains per day. I do know that taking pills when I have no thyroid does not do and never will do what my thyroid did when working properly I live with it.

I take 1.5 early morning and another one at around 2 pm like you I do become tired in the afternoom

It sounds like the increase in dosage was a little too soon too fast.

My Functional Dr, here in the states recommends 1/4 gr (NDT) until you get to optimal dose. And yes he does then confirm that with blood tests.

Hiowever - I always know long before the tests whether their will be an increase or decrease. More than the usual symptoms of brain fog, no energy, etc. - I get this fluttering sensation in my left shoulder blade - or right behind it. Quite certain it is my heart. Blood pressure steadily increases. As soon as the dose is increased and about 3 to 4 days later - all symptoms disappear. Incidentally his advice is to take entire dose at the same time and not to break it up (although I have done that for the first few days when the increase is large). Within 3 to 4 days I begin to take the entire dose at the same time.

I know when the dose must be decreased too. Sudden almost violent dizziness occurs for just a minute followed by extreme thirst and nausea (strange to experience both simultaneously). Short bouts of rapid / irregular heartbeats also occur. It is difficult to reach deep sleep as well. I do wait until the Dr advises to increase or decrease - but I almost always can predict which way it will be.

When I behave and stay away from Gluten and dairy, there are less fluctuations. Taking the medicine everyday at the same time also helps. I have confirmed Hashimotos - and am aware of the ebb and flow of thyroid hormone as it synchronizes with food choices / alcohol / regular sleep.

Hope this helps! For now and until Drs admit there is an epidemic of thyroid disorders (and actually begin to seek out a cure!!). This is as good as it gets : ).