Hi everyone, so my latest blood test are in as of 5/26/2021 on 75mcg of levothyroxine and 20mcg of liothyroine. TSH <0.01 ranges (0.36-3.37) T4 1.05 ranges (0.76-1.46) T3 4.1 ranges (2.2-4.0) I am feeling a bit hyper with some insomnia and a elevated heart rate sporadically thru the day but not continuing all day. So the Dr. will advise a decrease and I need a good response. I was thinking that I am finally converting properly so maybe drop the T3 liothyroine 5mcg a day or two. So maybe 75 mcg 7 days a week and the T3 20 mcg 5 days a week and the other 2 days t3 15mcg a week so I would be dropping the T3 10 mcg a week just to bring it under range. I love the energy I have and I really recover well when I have a really active day so I want to stay in the upper range. So any advise on how to stay in range but still stay on the upper end of these test results . What do you all think I should do next?
Just about at the right setting point with meds... - Thyroid UK
Just about at the right setting point with meds. What should I do next?
I was thinking that I am finally converting properly
What makes you think you're now converting properly? It's impossible to tell how well you convert when taking T3.
maybe drop the T3 liothyroine 5mcg a day or two.
I'm afraid you can't do that. If you want T3 to 'work', you need to take the same dose every day. Otherwise, you will confuse and stress your body. So, either reduce by 5 mcg a day, or leave it as it is.
Was test done as early as possible in morning before eating or drinking anything apart from water and last dose levothyroxine 24 hours before test
Day before test did you split T3 into 3 smaller doses and take at roughly 8 hour intervals....with last 5mcg dose at approx 8-12 hours before test
What vitamin supplements are you currently taking
When were vitamin D, folate, ferritin and B12 last tested
You must always take same dose T3 everyday
Hi SlowDragon, yes I follow the testing protocol and I take vitamin D and B complex magnesium and selenium . My last vitamin levels were in the optimal range. Ok thank you for telling me about taking lio constantly. What do you think about my levels and what do you suggest my next move should be?
As Greygoose says, once you are on combo you cannot tell if you are converting well or not - you can only do that on levo only.Our bodies like stability particularly with T3 so you will upset things if you take different doses of lio on different days. It needs to be same doses about the same time every day.
If you get your lio on the NHS you could see if the GP will prescribe 10mcg or 5mcg tablets rather than 20mcg tablets. It will make your prescription more expensive for them. If you had 10mcg tablets you can quarter them to get a 2.5mcg dose so you could make a smaller reduction in dose. You can argue for smaller dose tablets on the grounds that you take it in 2 or 3 doses and splitting the tablet is not reliable.
Ok thank you I have 5mcg tablets so I will see how they cut with my pill cutter.
Easy to cut in half...reduce by 2.5,cg daily
See how that is
Will do thank you.
What should I do about these thyroid levels?
What do I do next ?
What should I do with tirosint and cytomel? 
What do you think about labs not changing with meds? 
Still Clueless
