Tremors/heart palps on armor subsided. Shall I increase ?

[sandandsea]

I had posted about two months ago. I was struggling with heart palps on 60 mg. I dropped down to 30 mg, after seven weeks I had my labs done again. The doctor is willing to let me increase another 15. I would then be at 45. He does say since I am feeling good that I might just want to stay on 30. But I think my labs are not optimal and perhaps I should increase. Opinions please.

[SeasideSusie Remembering]

Sandandsea

With NDT it's about how you feel rather than test results. However, when on NDT one would expectt to see a low in range TSH, lowish FT4 and FT3 in the upper part of it's range.

Your TSH is way over range and you FT3 is very low in range.

[sandandsea in reply to SeasideSusie]

Yes I saw that too. So I am thinking I should probably raise my armor 15 and get labs again in another seven weeks. Hopefully, my labs will Show an improvement. Or at least give me a better idea of what to do. Do I need to be concerned about cortisol or adrenals at this point?

[SeasideSusie Remembering in reply to sandandsea]

sandandsea

It's something that you could rule out, or in, if you wish. Make sure that if you do a test you include Cortisol plus DHEA, not just cortisol alone.

[jamesal0]

@sandandsea It will take you time to get used to NDT.

There is no rush to increase dose (years).

Listen to your body.

Temps are ok - you may be fine

Hair is lush and grows well - you may be fine

Face skin is normal - slightly moist/oily - you may be fine

Weight is under control - normally slight loss or level - you may be fine

Are you abnormally cold through the day or night - take more

Heart Pulps - take less

Tremors -take less

Numb finger tips, foot soles, burning tongue, crawling scalp - take less

Sore joints - normally more, but if you really get it wrong - too much.

Head ache -take less (although it's normal to get a brief light (60min) headache or head spins after taking dose)

Dry eyes - take more

dry skin - take more

low heart beat - take more

High blood pressure - tooo much

Massive weight loss - tooo much

Kidney function poor (Levo) - take NDT

High cholesterol (Levo) - take NDT

Shortness of breath (Levo) - take NDT

Bleed easily, don't clot well (Levo) - take NDT

Hair falling out (Levo) - take NDT

Finger nails have lines or cracked (Levo) - take NDT

Supplement B12 - you want to be 800-1200 ng/mL . Inject once a month. Very important you cannot optimize NDT dose without B12 . I cant say this strongly enough.

You need to sort D and Iron also

Just experiment with NDT dosing - add 15mg extra for a few days, do you feel better or worse. If you feel worse go back to the base dose (60mg in your case) and wait a few weeks then try again.

I'm 6'2 male and my base is 60mg. I throw an extra 15-30mg in most afternoons. And 50mcg of Levo in every 3-4 day. The Levo keeps my temps much more stable compared to NDT.

If you force things you will just become "resistant to thyroid" or get T4 pooling in your peripheries ( Numb finger tips, foot soles, burning tongue, crawling scalp )

Good luck

James