I switched from synthetic to ndt and my foot is swollen, I can barely step on it. I take anti-inflammatories but it still doesn't deflate.Now I take 2,5 grain +25 mcg levo.
I feel fine in general but my heart rate is high. I'm afraid of complications at my leg and I'm thinking of switching back to levo +t3.
Written by
adin
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adin, my guess is that you are taking too much NDT.
2.5grains is quite a high dose, especially if you've only switched a month ago. It's safer to start low and work up gradually.
If it were me, I would skip the NDT completely tomorrow, just take the levo. See how that affects your heart rate and the foot swelling. Then drop down to a lower dose the next day. (I suggest maybe 1grain NDT plus your 25mcg levo).
can you please draw a line around it and go to a local doctor if it increases in size at all.
Only a doctor will know what it is or most importantly can rule in / out the things it might be. When I had cellulitis it didn’t look so different to this but I couldn’t say what it is that you have with any degree of certainty.
If you are going to choose to ignore advice from a few forum members here to go to a doctor now, then at least go to a chemist where you are and show it to them, please.
I'm at the hotel. I'm going home tomorrow, I don't have time for hospitals. I could possibly stop in Thessaloniki, but I don't think I'll solve anything. I have metabolism and uric acid problems but no trombosis.
To adjust your dose properly you need to be on the same dose for 6 weeks. Guessing isn't good enough. If your heart rate has increased then you likely are on too much T3 but you won't know until you do bloods.
I think the t4:t3 ratio in ndt doesn't suit me. It's actually too much t3, although I don't feel tired that way. I think I will decrease ndt and increase levo and that means less direct t3 and maybe fatigue.
You need to make a slow switch from Levo else you will get adverse symptoms that might make you think you are taking too much T3. I believe 5mcg at a time is the recommendation every 2 weeks.
Now you are reducing the dose you can expect to feel bad for a few weeks until your blood levels level off.
Yes, the process is painful. I think my leg swelled from the sudden change levo to ndt. I think I will reduce the dose from 2.5 ndt +25 levo to 2 grains ndt +50 levo.
Whatever you do, pick a dose, stick with it for 6 weeks then get bloods done. You will cause yourself a lot of problems keep jumping around types of thyroid replacement and different doses.
it could be gout… or a dvt… or a localised infection that needs fast treatment - a change in dose could be a change you don’t need at the moment, but you should see a doctor. You need a scan of that leg. You can get dvt from long car journeys, or inactivity eg while resting due to gout. Although dose changes can have a remarkable effect on us, it’s never an alternative to seeking medical advice for potentially life threatening conditions. Isn’t there a hospital emergency centre you can attend? You have cover - GHIC
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