Follow up t3 schedule : I tried splitting my... - Thyroid UK

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Follow up t3 schedule

Coachgeorge profile image
14 Replies

I tried splitting my 7.5mcg of t3 into three doses. Didn’t feel like it was working, although it was just one day. I went back to 5 mcg at 5:00 am and did pretty well. Was feeling a bit weak, nauseous and chilly around 12:00 pm. I took 2.5 around 12:30. By 4:00, I felt like I was crashing, very very weak. Dr. doesn’t want to increase until my next draw in two

weeks. I’m thinking I need to take the 2.5 later in the day. Will that make a difference? I’ve read that half life shouldn’t be an issue because it’s about attaching to the cells. Would someone clarify? Thank you!

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Coachgeorge profile image
Coachgeorge
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14 Replies
Greekchick profile image
Greekchick

Coach, You can’t tell from one day. It seems you need your T3 later in the day so you may want to take the balance of your meds in the early evening if that’s when you are crashing. You really need to be patient - sorry if I sound like a broken record , but you are changing things up too much and you are not getting any results . You need to stick with something for a little while before deciding. Wishing you all the best.

Coachgeorge profile image
Coachgeorge in reply to Greekchick

You’re right. Patience 🤦‍♀️

Greekchick profile image
Greekchick

You’re getting there - it’s just taking longer - so hang in .

Coachgeorge profile image
Coachgeorge in reply to Greekchick

Hanging! The crashing is scary

Greekchick profile image
Greekchick in reply to Coachgeorge

But you know why it’s happening now, so you need to tell yourself that and accept it as part of your recovery process. You will not be so scared that way. 🤗

Coachgeorge profile image
Coachgeorge in reply to Greekchick

Good point. Thank you

Greekchick profile image
Greekchick in reply to Coachgeorge

And you probably need more of T4, T3 or both. So you will have to wait for your doc to up your dosage and see your bloodwork. In the meantime, I know , it is not fun .

Coachgeorge profile image
Coachgeorge in reply to Greekchick

It just amazes me. This has been a learning experience. It’s life altering. Can’t imagine being in public or much less driving and have this stuff happen. There needs to be more awareness

Greekchick profile image
Greekchick in reply to Coachgeorge

I can tell you it is very hard . I went to work today for a meeting and was so exhausted I could barely speak afterwards. But at least I made it to work and interacted with people and was coherent! So there’s progress. Not ready to teach a class yet - but that will come eventually. Baby steps ..... and for you too.

Coachgeorge profile image
Coachgeorge in reply to Greekchick

I work in schools. Have so much respect for you

Greekchick profile image
Greekchick in reply to Coachgeorge

Back at ya!

GKeith profile image
GKeith

How much T4 do you take? 7.5 mcg of T3 is awful small; there's no reason it would make you feel so bad. How about your bloods? What do they say? You provide too little information for anyone to guess at what your problem is. Peace be with you.

SilverAvocado profile image
SilverAvocado

Coachgeorge, deciding whether to split your dose is a trial and error thing. I agree with Greekchick that one day is too soon to be sure of results. Stick with a dosing schedule for a week or two and then evaluate how you're getting on and adjust.

My experience is that on a low dose I got away with taking only one morning dose. At some point as I raised I noticed that I felt better in the morning and at my worst later in the day. I'm making that sound clear cut but with thyroid symptoms nothing is simple, it was a slow realisation over several weeks or months.

I split my dose into two, having one in the early afternoon, and again slowly realised there was no longer a difference between my symptoms in the morning and afternoon.

I now take my hormone in three separate doses, and it was probably a year or more later that I split off the third dose. For that one I've adjusted it loads over the years. At one time all three doses were similar in size, now I take my larger dose in the morning and a small one as the third. I moved my third dose from bedtime to 8pm and then to 7pm. I'm now considering dropping it altogether. And probably a lot of other little adjustments I don't even remember.

Each change was because of little things I noticed in the timing of my symptoms, for example I made my morning dose larger because it became apparent I now felt at my worst all morning and I was just hanging around waiting for that 2nd dose and then eating an hour later before I perked up and started getting on with my day.

There is no right or wrong answer with these things, it's all trial and error and making judgement calls. If you're still on a low dose and waiting to raise up to your optimal dose, it's inevitable that you will feel rubbish at least some of the time, and all you can hope for is a least worst situation. It's always easier to take just one dose, because with additional doses you are juggling eating, fitting in other meds and supplements, and clock watching a chunk of the day.

Coachgeorge profile image
Coachgeorge in reply to SilverAvocado

Thanks for sharing. I think I’m experiencing what you did. I took Greekchick’s advice and stuck with the same schedule. I do feel like rubbish waiting on my next draw. I spoke with my internist and she was clear that I shouldn’t make any changes until we know where I stand. The more I read it on this forum, I’m beginning to appreciate understand my body. I think I need more t3 and T4 but I don’t want to just assume that will work. I’m anxious about the whole situation. I’m almost eight months of illness but I see improvement. I think I’ll be more confident about doses and schedules after this next draw. Thank you for encouraging me.

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