Been on T4 for a few years for Hashi's and it worked ok. But after this last year of struggling (feeling really, really bad but labs showed "withing range") I found found a doctor who found my Reverse T3 ratio was 12 (should be > 20).
So added 20mcg of T3 (Cytomel) to the 75mgc of T4 (Synthroid). And the Cytomel has helped - I am having more better days than horrible days, but not optimal. I think I may need more T3 - wondering if anyone has been through adding T3 - how much did you add? Did you reduce T4?
My basal body temp (morning w shake down thermometer) is still low (ranges anywhere from 36.c (97) to 36.5c (97.8) every morning.
All nutrients (Ferritin, D, B12, iron etc) are good and did the saliva test and cortisol is just a bit low. I went gluten free when I started T3 - 4 months ago. Any other tests I should consider like the Dio2 gene test?
Recent blood tests:
April 2018 (prior to starting 20mcg T3 daily)
TSH 1.59 (.5 - 4.5)
FT4 1.6 (.8 - 2.8)
FT3 2.8 (2.3 - 4.2)
Reverse T3 23 (9 - 24)
Reverse T3 Ratio: 12.2
August 2018 (4 months after starting T3)
TSH .014 (.5 - 4.5)
FT4 1.25 (.8 - 2.8)
FT3 3.7 (2.3 - 4.2)
Reverse T3 19 (9 - 24)
Reverse T3 Ratio: 19.5