Introduction of T3

[Tessica]

Have been reading recent posts of others who have recently been started on liothyronine meds. My Endo reduced my levo from 125 to 75 mcg a week ago and prescribed me 20 mcg of T3 which I started immediately.I have felt so unwell this week with severe headaches and severe fatigue whereby I have had to lie down several times a day and sleep. I was just about to stop taking the T3 until I read these helpful posts. I will now introduce the T3 more slowly and see if that helps.

[Lalatoot]

Endos don't have a clue about adding T3. Mine tells me their is a protocol she must follow. I haven't yet explained to her how wrong that protocol of reduce levo by 50mcg and add 20mcg in one go is! Which is unusual for me as I am mouthy.

[SlowDragon Administrator]

That’s too much T3 too soon ...and unless your Ft4 was significantly over range perhaps too much of a reduction in levothyroxine as well

Suggestion

Initially 5mcg T3 as single dose.....or can even cut into 2 x 2.5mcg (speck of dust) . Only reducing Levo by 12.5mcg

After week, add second 5mcg dose T3 and reduce levothyroxine by another 12.5mcg

Hold at this for 6 weeks and retest

Or can add in another 5mcg after 2 weeks

Then add last 5mcg

Then retest 6-8 weeks later

Personally I would retest after only adding 2 x 5mcg and wait 6-8 weeks before testing

Your vitamin D was a bit low in previous blood test

healthunlocked.com/thyroidu...

As you have hashimoto’s are you on strictly gluten free diet?

[Tessica in reply to SlowDragon]

Thank you for this. My T4 was about 27.

[SlowDragon Administrator in reply to Tessica]

So you did need to reduce levothyroxine....keep close eye on Ft4 over coming months, if it drops too low you may need to increase levothyroxine back up a bit

[SlowDragon Administrator in reply to Tessica]

Exactly as predicted.....Ft4 is now very likely dropping too low

[Tessica]

Thank you. My Levo was reduced by 50.