Armour to t4/t3 combo

[Anna0778]

I have just seen my endo 🤦‍♀️ And I suggested I might try a t4/t3 combo which I have never tried or been offered before. I currently self medicate on armour after having a terrible time on t4 only. I feel really well on armour except my weight keeps creeping up no matter what I try (and believe me I’ve tried!). And the cost and difficulty obtaining it doesn’t help either! So I have now been given a prescription for t4 and t3. I currently take 2.5 grains armour split between two doses. I feel that I would like to slightly reduce my t3 and slightly increase my t4 intake as my recent bloods show I maybe have a little too much free t3:

Free t3 = 5.3 (3.1 - 6.8)

Free t4 = 10 (11-22)

Tsh = <0.01 (0.30-5.00)

Can anyone recommend what dosage of t4 and t3 I should take?

Many thanks

Anna

[SeasideSusie Remembering]

Anna0778

Armour contains 38 mcg of T4 and 9 mcg of T3 per 1 grain. So 2.5 grains will contain 95mcg T4 and 22.5mcg T3.

Your FT3 result of 5.3 (3.1 - 6.8) is 59% through range, so doesn't show that you are overmedicated with T3.

[SlowDragon Administrator]

Your FT4 is pretty low, but that's common on Armour

Suggest you try 100mcg Levothyroxine and 20mcg T3 (many of us need T3 as split dose - 3 doses 8 hours apart)

When were vitamin D, folate, ferritin and vitamin D last tested?

Presumably you have Hashimoto's?

Have you had both TPO and TG thyroid antibodies tested?

Are you on strictly gluten free diet

[shaws]

You might find the following link 'Safely Getting Well on Thyroid Hormones' helpful.

naturalthyroidsolutions.com/

[Jazzw]

As SeasideSusie has already said, your FT3 levels don’t indicate you’re over-replaced. Please note that a suppressed TSH doesn’t mean anything when you take medication containing T3.

If anything you might well have benefitted from a small raise in NDT dosage.

How much levothyroxine and liothyronine have you been prescribed?

[Anna0778 in reply to Jazzw]

I have been prescribed 125 of t4 and 2 x 5mcg doses of T3, even I can see that the T3 is not comparable with the Armour!