bit of back story, I have been on 1 grain of NDT for 3.5 years (with added t4). Every time I upped 1/4 grain I would get hyper symptoms and it would push my t3 over range. So I had no choice but to add levo in (tirosint). T4 seems to make me feel worse and worse the higher I go in doses with extreme fatigue.
I have been working on my low iron and low cortisol recently and decided to up the NDT for the 6th time in 3 years and I am finally tolerating 1 1/4 grains (2 weeks in). Usually I have to pull myself off after a week because I feel so bad.
My main current hypo symptoms are extreme fatigue, muscle aches and weakness, hair loss, weight gain etc. I actually feel no better from the increase but not worse.
My question is do I need to wait 6 weeks after bloods to up another 1/4 grain or could I try and attempt it in a week or so? The fatigue is so excessive I am unable to work, struggling to wake up, having vivid really deep sleeps. I also have PoTs and orthostatic hypertension & ME (although I still swear the ME symptoms are my thyroid). Obviously my pots etc is really bad at the moment due to the awful fatigue my body’s struggling to stand or move.
Current doses
t4: 4 days 75mcg, 3 days 100mcg
NDT 1 1/4 grain