Hypo as your ft4 is at the top of range I would reduce levo first either by 12.5mcg or 25mcg per day. Wait 1 week on reduced dose to allow levels to drop.
Add in a quarter tablet liothyronine T3. Wait 1 week. If all ok add in a second quarter either as a second dose or added to the original dose. I take mine on waking and bedtime.
You can stop there wait 8 weeks do bloods and see results. Or you keep adding in quarter table every 2 weeks until you reach a daily total dose of 1 tablet. Then you stop wait 8 weeks and do bloods.
I only need 7.5mcg of lio t3 added to my dose of levo so it is possible to manage on a small added dose or doses.
It can be taken at the same time as levo. Generally we treat lio T3 the same way as we do levo re vitamins , food and drink. It is important with lio t3 however to take the same dose each day.
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