How do you take your hormone? Do you always take it on an empty stomach - both T4 and T3 - and leave at least an hour before eating? Do you take any other medication at the same time?
Compounded T3 because I live in Brazil. There are no T3 in drugstores here. Not slow release.
In the image, I show that when I increase my T4 med my Free T3 goes down
- in November: 70 (T4) + 10/10/10 (T3). Free T3 = 2.89
- in January: 80 (T4) + 10/10/10 (T3). Free T3 = 2.63
- in April: 80 (T4) + 10/10/10/10 (T3) (huge mistake take 4x a day!). Free T3 = 2.14
- in June: 80 (T4) + 10/10/10 (T3). Free T3 = 2.30
- in August: 100 (T4) + 10/10/10 (T3). Free T3 = 2.04
(one doctor said I had to increase T4 because it had to be equivalent to T3 dose)
Best I got was FT3 = 2.89 taking 70 (T4) + 10/10/10 (T3)
Even when ReverseT3 is not high, T4 meds can still block the effectiveness of T3. I'm thinking that T3-only treatment is my solution. I don't really know.
I almost always take T4 and T3 on an empty stomach. Just not when I have hypoglycemia and I'm really hungry.
I do not take any other med at the same time as T4 and T3.
My first thought is, how confident are you in the compounding abilities of your pharmacy, and do you know what excipients are being used? Are you in the US by the way? When I was in a couple of LDN FB groups, US members would describe the weirdest of inactive ingredients that were being added to their LDN, and more specifically, I know that Paul Robinson advises not to use compounded T3.
That's okay, I wasn't suggesting you need to go the the US I referenced the US only because compounding retail pharmacies are very common in the US (virtually none in the UK) so it tends to be more of an American "thing" to have T3 compounded. It's not unknown that conflicting excipients have been utilised when making up meds, especially when, as in your case, patients are listing quite a number of things that must be excluded, which must make the compounder's task somewhat difficult - and it's perhaps unsurprising that the make of UK T3 that is lactose-free, is one that can cause considerable problems for people. But in any case, as I mentioned, Paul Robinson for instance, recommends compounded not be used because it is difficult to manage. So whether that may or may not be part of your problem, can only be guessed at, without knowing what inactive ingredients are being used in both meds.
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I referenced the US only because compounding retail pharmacies are very common in the US (virtually none in the UK) so it tends to be more of an American "thing" to have T3 compounded. It's not unknown that conflicting excipients have been utilised when making up meds, especially when, as in your case, patients are listing quite a number of things that must be excluded, which must make the compounder's task somewhat difficult - and it's perhaps unsurprising that the make of UK T3 that is lactose-free, is one that can cause considerable problems for people. But in any case, as I mentioned, Paul Robinson for instance, recommends compounded not be used because it is difficult to manage. So whether that may or may not be part of your problem, can only be guessed at, without knowing what inactive ingredients are being used in both meds.
Blood test results your opinions and suggestions please
Graves, thyroidectomy, fluctuating high blood pressure
Lab Results 5 months with no medication
