Hello, I'm a post TT Graves (2013) 38 YO male, coming from T4 only to a T4/T3 combo 2 years ago.
Due to regularly crashing during the winter season, last year I have used a 10% increase of both T3 and T4 dosage for the winter, to come back to regular
So, in March, while on 150 T4/30 T3 my results were the ones on the left, while in July, after 2 months on a reduced 137.5 T4/ 27.5 T3 the results are on the right
TSH [mU/L] (0.27-4.2)0.01 / 0.009
FT4 [pmol/L] (12-22) 16.5 / 15.5
FT3 [pmol/L] (3.2-6.8) 5.48 / 4.35
In both cases, there were 24h between last dose of 100T4 / 20 T3 and morning drawn blood and since decreasing I've felt a bit lower on energy and mood.
I do supplement with D3 on a permanent basis, K2 in 2 months on and off courses, Mg+B6 and B12 and Selenium every 3 months, Vit C+ Zn every 2 months.
Now, I need to calibrate this with a 3rd party view of things; this community opinion has great value for me. While I am not particularly worried about the suppressed TSH, I wonder how the FT3 and FT4 levels would look under a regular day, without refraining the intermediary dose before blood and, of course, what actions should be taken.
My first preference would be to keep on the reduced summer dosage but to introduce a supplementary 6.25 mcg T3 in the middle of these two doses that I take.