Well, I’m not surprised. I knew my T3 felt high but didn’t expect it to shoot over range! So that must’ve been the mystery cause of my eyelid twitching all along. On 50mcg T4, 40mcg T3. Took T4 24 hours before, and T3 12 hours before.
TSH 0.01
FT4 8.3 (10.6-19.7)
FT3 6.01 (3.00-5.90)
Here were my previous results on 75mcg T4/25mcg T3. T4 was taken 24 hours before, but T3 was split into two doses of 12.5mcg T3, second dose 12 hours before test. Perhaps if I took the full 25mcg T3 the FT3 would’ve been higher.
TSH 0.01
FT4 10.6 (10.6-19.7)
FT3 4.63 (3.00-5.90) 56%
Seeing the Endo on Monday. Given I still have hypo symptoms such as dry skin, cold temperature and constipation, I must need a higher T4 dose.
I feel I need to increase my T4 and decrease my T3. I’m thinking about 88T4 with a reduction in T3 dose. Though I wonder if I should try to see if a combination that doesn’t suppress my TSH could work, before settling for a suppressed TSH. Perhaps larger T4 with small dose T3?
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Andyb1205
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Hi SlowDragon. I had titrated in increments from 25mcg T3 to 40mcg T3 at the time, as recommended here.
B12, tested 2.5 months ago, was right at top of range. Ferritin, tested at same time, 144 (24-444).
Vitamin D tested over 6 months ago, 139 (75-150). Will recheck it soon enough. Folate testing is not available here.
As far as I know, I do not have Hashimotos. Have checked both TPOab and TGab, and had a thyroid ultrasound.
My mother has shown a similar pattern of high-normal TSH, low-normal T4/T3, negative TPOab (tested just once).
My younger brother just got a pituitary scan done. He’s being treated for low cortisol (low ACTH, secondary). This will be followed by his testosterone, which is below range, with elevated LH but normal FSH. Also had low prolactin.
His TSH was recently mildly elevated, and then a bit more, like from 3.88 to 4.72, range 0.47 - 3.41 for his age group. TPOab in past year and now, negative. To make sure, checked TGab, negative. Possibly from low cortisol or Divalproex.
Any who, I definitely will need my Synthroid increased to 88mcg. Now I was thinking of seeing how I feel on a non-suppressed TSH. But it was suppressed even when I was on NDT which was equivalent to 73 T4/17 T3.
Thinking of 88T4/15T3 but might not be enough for my symptoms. Perhaps 88/20, and can further increase T4 with even lower dose T3 in the future. The Endo is cooperative.
No I did not get to retest. I think 50T4 was going to make any T3 dose fail. On 75T4/25T3 I did feel the T3 was also increasing my in attention. Best way to describe it is that with low T4 my mind is slow, with high T3 my mind is sailing in the clouds!
The Endo asked if I’ve tried NDT, which I have though never tried to fine tune it. So he agreed to change my dose to 88T4/20T3. Will give me a good idea on what I need, by comparing to the 75T4/25T3 I was on before the 50T4/40T3.
Sorry for the late reply. As I live in Canada I cannot order that. Haven’t been able to find those tests here unfortunately.
Recently, the Endo simply said that we need to work on getting my hypothalamus working again. What the cause of that dysfunction is I don’t know. There is a subset of bipolar type 2 patients with Hypothyroidism, especially so-called subclinical hypothyroidism. It could be as simple as that.
He did ask if I wanted to try NDT but I will try to fine tune the T4/T3 combination therapy first. So far I took my old 25mcg T3 tablets for a week and now am on the 20mcg T3. But I found that taking T3 in the morning didn’t suit me, as I take other medications then. So I am back to taking it before bed again with the T4.
Hoping that I’m not too far away from fine tuning this. I do think it will come down to needing 20mcg or lower T3 with higher T4, perhaps as high as 112. Wish I saw him years ago but oh well, Endos that dose by clinical symptoms are rare these days.
Hi thanks for sharing that. The last time my triglycerides were checked they were 1.88 (<2.21). That was last November, around the time I did my my previous thyroid tests on 25mcg T3.
With my T3 above range it could create eye twitching. Most noticeable symptom though is difficulty word finding and concentration. I need to get myself a new magnesium supplement since this citrate one was giving me diarrhea!
I self increased by 25mcg T4 for past two days and I can tell I feel better with more T4. It’s as if my body needs T4, but after a certain amount it builds up toxicity and creates hyper symptoms. Will ask for an increase to 88T4, with reduction in T3.
A good supplement for your brain until you get other factors in place is Phosphatidyl Choline. Several functional doctors recommended recently on the toxic mold series.
Hi Lond, they actually prefer an Iv since you will get pure P C. I had begun taking it previously and it suggests two per day and doesn't seem to matter whether with or without food. It's good for inflammation as well as a detox so they recommend taking it orally first and build up to an IV. I guess other than that it is nontoxic and well tolerated. I use Thorne.
This summit has been great, here is a link although today's talks are almost over if you click at the top Click for today's talks, you'll probably get the new session. Leave it on your screen and use that link. I've learned a lot about mold and Dr. Kauffman thinks fungus is the real killer, it overcomes bacteria every time.
If you have time today, almost everyone in this summit talks about P C. Dr. Haase's interview toward the last part I think goes into it on this. These have been very good.
I'm taking two per day but one of the interviewees says she uses two scoops so I guess you can buy the powder. Dr. Haase said you need to have healthy mitochondria and a healthy methylation system so I think that's why they prefer IV but I'm still hoping for the best. I have taken two per day and will run out quickly if I up it to three. I've been feeling very well but I measure everything by my tinnitus which can be really loud at times. I'm afraid I am just going to have to live with it.
I really liked half ndt and half T3. Maybe you should try it while you still have plenty of NDT. I think my results didn't look so weird with that either.
Hmmm, maybe. Hard to say exactly how the replacement works but you could quarter the T3 for additional and that could fill in if needed.
I only decided to watch the mold summit because my daughter was tested positive for a couple of them but it's been extremely, extremely beneficial. Do you have the genes? I didn't jot them down.
They also said something interesting about amygdala training. If you've had fatigue for a long time your mitochondria get used to it and you have to untrain. Also a building up of NADH in the brain is a problem. And how it affects the brain:
The replay is over in 15 hours. Some of the websites represented for each interviewer is listed below the video. Maybe you could book the page and check them out later.
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Results Advice Please T4 & T3 
Very odd results...
odd new results on combination 
