Today I saw an endocrinologist, whom I saw privately back in August and had been waiting to see at an HNS hospital. He agreed to let me have 3 months of T4/T3 combination therapy. He did say he was not sure it would make a difference but worth trying because my quality of life was so poor. Did say if it does not improve then T3 will be stopped when I see him again in March next year. So relieved he agreed to the trial but apprehensive that it might not work and also about having to take it.
I am on 100 mcg Levothyroxine (brand Almus similar to Actavis). He prescribed 75 mcg Levo and 10 mcg Liothyronine to be taken twice/day so 75 mcg Levothyroxine and 20 mcg Liothyronine (to be collected from the hospital pharmacy, which I did).
They gave me 50 mcg Levo (Actavis brand, so that's a good brand for me) BUT 25 mcg tablets from Mercury Pharma. I have read Mercury Pharma is not that good a brand. So anyone having experience of this brand, good or bad, please let me have your feedback. I know we are all different and will react to brands differently.
A BIG problem is that the Liothyronine tablets they gave me are 20 mcg tablets that need splitting in half. I have tried to cut them in half with a laser knife and they don't really split equally. Am supposed to have 10 mcg in the morning and 10 mcg in the evening. This is going to be a nightmare and I will never take 10 mcg exactly each time. Wondering is that will skew the treatment somewhat? I did not know I would get these tablets in 20 mcg, the consultant did not say so, otherwise, I would have asked him about that problem. To be honest I was surprised he would prescribe it.
I take my levo at 6.30 am and the endo suggested taking the 10 mcg Liothyronine half an hour before breakfast, then 10 mcg at tea time about 6 pm. Does that sound right to you? I have decided not to start tomorrow, awaiting your useful suggestion/experiences.
Tomorrow,I will also phone the hospital pharmacy to enquire whether they could provide 10 mcg liothyronine tablets... (doubt it) and also whether WORCKHRDT still manufacture 25 mcg Levothyroxine tablets because I am not keen on the Mercury Pharma ones and in the past when I was on 75 mcg Levo I had 50 mcg Actavis brand and 25 mcg Wockhardt and these 2 brands worked best for me.
Can anyone tell me about their journey when they first started taking Liothyronine in combination with Levothyroxine? What side effects did they get if any... was your heart racing? I read about this from people who were taking it. Also how soon did anyone feel any positive benefit, and in what form?
Yes, I feel quite nervous.... So any helpful comments will be truly appreciated.
The endo did explain T3 can make osteoporosis worse ( which I have). I told him I accepted the risk. It's a problem having osteoporosis and taking steroids (prednisolone). So, does anyone having osteoporosis and taking T3 has noticed any serious problems/worsening of the osteoporosis?
While I am here, I need to find out the best Vit D3 to take (my Vit D level went down to 50 so time to increase the level in my blood.
Previously, I was taking Natures Plus (organic) Vit D3 (5000 IU- 125 ug) and Doctor's Best Natural Vit K2 MK-7 with Mena 100 mcg/veggie capsules. I understand there is a Vit D3 spray, which one is it and would it be good enough, giving me 5000 IU? Would it still be necessary to take Vit K 2 MK-7? So again would welcome your feedback.
My latest thyroid function test on 14 November are:
Serum TSH : 0.58 miu/L (0.3-5.5)
Serum Free T4 : 19.8 pmol/L (12.0-22.0)
Serum Free T3 : 3.2 pmol/L) (3.1-6.8)
Many thanks if you feel able to help me.