Just got updated thyroid hormone results — see why I'm tired.

[Joyya]

Well, I can see why I am so tired.

The iron panel is certainly much better, but not as high as I think it should be, but since this is my field, I will keep working on it. Serum zinc will take about a week to get back. B12 and vitamin D are very good / optimal for hypothyroid, so it's not low nutrients.

I am thinking (from recent discussion based on the previous lab work) that it still makes sense to increase the Synthroid, and leave the Cytomel stable. If I convert it, the T3 should increase.

Currently taking 0.75mcg Synthroid (half at 6 AM, half at 4 PM) and taking 12.5 mcg Cytomel (half at 6 AM, half at 4 PM).

I am not convinced that 0.88 mcg Synthroid will be enough, and that 1.0 mcg will be too much.

I am open to suggestions!

Thanks,

Joy

[Danielj1]

Hi, there are greater experts than me in this group, but in my experience diet/yoga/exercise/magnesium supplements have made all the difference in conversion terms - I not sure how you have incorporated these into your regime ?

Best of luck -I am finding it is near a full time

Job to sort these out

[Joyya in reply to Danielj1]

Thank you. Diet, including supplements (yes, I supplement magnesium) are well covered as this is my field, and I have incorporated all the testing and supplement protocols gleaned in this group) for the past 6 months. Retesting today shows ongoing improvement in nutrient levels and will continue to supplement and retest.

I am trying to incorporate just a little light weight / resistance exercise, but my muscles feel like weighted with lead currently. Hoping a medication adjustment will enable that to occur daily.

[SlowDragon Administrator]

Yes increase to 88mcg synthroid and retest again in another 6-8 weeks

[Joyya in reply to SlowDragon]

Thank you. I understand not wanting to overshoot the Goldilocks dosage.

[Nfeeney]

When first diagnosed I took 1.25 Synthroid. After a few months it was changed to .88. The doctor said I could take two .88 on Sunday to keep the numbers up a bit.

Also, the pharmacy service kept changing to the generic version even though the doctors prescription said Synthroid. I fought for months to make them give me the drug as written. I found the generics did not work the same. I felt Synthroid was more consistent with dosage.

I have been taking thyroid meds 35 years.

[Joyya in reply to Nfeeney]

That's helpful, thank you.

[Gustie88]

results actually look pretty good. Slight increase to T4 as you mentioned should help. Verify good adrenal function.

[Joyya in reply to Gustie88]

Well, free T4 decreased 8% from October and free T3 decreased 28%. and I am ready for bed at supper time. The only change was increasing cytomel by 2.5 mcg.

Hoping inceasing Synthroid to 88 mcg does it, if not will lower cytomel back to 10 mcg from 12.5.

[Gustie88 in reply to Joyya]

T3 (cytomel) typically increases the clearance of cortisol leaving you with lowish cortisol and feeling fatigued. Get those adrenals tested (cortisol and dhea). Good Luck!

[RedApple Administrator in reply to Gustie88]

Gustie88, Please don't refer to T3 as Cytomel. Cytomel is simply a brand name for liothyronine. Calling T3 Cytomel is confusing for people who take other brands of liothyronine.

[Gustie88 in reply to RedApple]

That seems a bit picky. Hopefully people aren't that dim, but OK.

[RedApple Administrator in reply to Gustie88]

Gustie88 'That seems a bit picky. Hopefully people aren't that dim, but OK.'

This is Thyroid UK. Whilst we do have members from all around the world, the vast majority of our members are in the UK. We don't even have the Cytomel brand of liothyronine in the UK.

[Gustie88 in reply to RedApple]

That’s fair. Point taken. Have a good day RedApple.