Rate of Increasing t3

[SmilingAnyway]

What tends to be the rate that t3 taken should be gradually increased so as not to stay at an under medicated dose too long? 2 weeks? More? Less?

[Lalatoot]

Depends what stage you are at. Initially it is 5mcg or quarter of tablet every 2 weeks until you reach 1 tablets worth total per day. Then wait 6 to 8 weeks and do blood test If you are on an established t3 dose the increase is 5mcg only then wait 6 to 8 weeks and test.

[SmilingAnyway]

Right now I’m at 2 grains of NDT (120 mg total) plus 10 mcg T3. Resting pulse of 67, BP of 113/70.

[tattybogle]

but you don't know you're undermedicated on 2 grains NDT + 10mcg T3.

You were on 1 and a half grains last time you were on NDT ..in your earlier post greygoose suggested to try NDT again but with an increase . healthunlocked.com/thyroidu...

surely it's a bit too soon to have added 10mcg T3 yet .. let alone thinking of increasing it by 5mcg every 3 days .

You need time to see what 2 grains NDT feels like first.. which will take a few weeks at the very least ..and then if you did add 10mcg T3 , you would need time to see what that felt like and to have a look at blood levels of FT3 before knowing if you needed to increase it further.

Sounds like you are going too fast.

[greygoose in reply to tattybogle]

Increasing by 5 mcg every three days is insanity, anyway. Especially when already taking 2 grains of NDT plus 10 mcg T3.

It's all very well testing body temperature, blood pressure, and heart rate - although even that is debatable - but they won't be able to keep up if you increase so fast. And, you know what the end result is going to be? You'll make yourself ill and have no idea what to do about it, so will have to stop everything and start again. More haste less speed as they say. And it was never more true than when treating hypothyroidism.

[SmilingAnyway]

Thank you both for being the voice of reason. After years of struggling and a sudden weight surge, I’m certainly anxious to feel better. But I certainly don’t want to sabotage myself. Thank you for your comments. Information tends to be all over the spectrum so determining “slow and incremental” appears to be very subjective. I’ll prepare myself mentally for the long battle and slow things down.

[greygoose]

There are quite a few people - so-called 'thyroid experts' and others - that don't believe that monitoring your vitals is a good way of finding if you're on the right dose of thyroid hormone. Temperature, for example. There are some people whose temperature never rises, even when everything else is good. Things like that mean that a lot of people 'debate' the utility. Obviously it's necessary for some things, just not for dosing hypothyroidism.

Changes in these vitals are not instant. They take time to move and settle. If you are increasing your dose ever 3 days, they won't have time to change and settle, so they're always going to be too low, or too high, no matter what dose you're on. Which is just one of the reasons we have to go slowly.

[greygoose]

Well, thing is, you see, I wasn't talking to you, so I wasn't suggesting you would increase your T3 at that rate. But, the OP did suggest doing it. I was telling her it was a bad idea.

Plus, you are not disagreeing with me - and Paul Robinson is not disagreeing with me - because I haven't stated an opinion. I was just telling what I've read. So, you are both disagreeing with other people whose names I cannot remember for the life of me. I just said it was 'debatable', meaning 'it has been debated'. So, make of that what you like.

[Hidden]

Would you mind telling us exactly what Paul Robinson says? I take it from your statement that you consider him an expert on the subject so it would be interesting to know what he says.

[greygoose]

I replied to your post to answer your questions, not to talk about your dosing, because I don't know anything about that. I said the OP had suggested increasing every three days.

Well, if you think that's an opinion, why ask me? But, I wasn't talking about my opinions, because I honestly don't have one. I have never tried the method. But, I was explaining that some people don't believe in dosing that way. Please stop twisting my words.

[greygoose]

The internet is replete with his information.

His information? Or his opinions?

[Hidden]

Thank you for making it simple for me! I do have a pretty low IQ (although not low enough to be officially diagnosed with retardation) so I prefer people to sum things up for me.

[greygoose]

You've completely misunderstood just about everything I've said. But, I think you've done it deliberately.