According to Paul Robinson in his book recovering with T3, he states that thyroid hormone and cortisol need to be considered together. Then he states that thyroid replacement can worsen cortisol insufficiency. It's on page 316. Then he States higher cortisol/effects reduce TSH and T4 to T3 conversion. All of this is mind-boggling I will continue to study but if anybody has a word I'd like to say that's cool with me. Thank you for being here for me I appreciate everyone on this site.
Thyroid hormone and cortisol!: According to Paul... - Thyroid UK
Thyroid hormone and cortisol!
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PS at the top of this page., low cortisol increases the risk of Hashimoto's thyroiditis / autoimmune diseases
I’m sorry I don’t have a direct answer for you, but find the connection between thyroid, cortisol, insulin and metabolic health really interesting. I really don’t understand why endocrinologists ( including diabetic consultants) don’t!
I don’t have an answer for you but I’d like to share my experiences. In 2018 I had under range cortisol and very low T3 levels. I was constantly in a state and couldn’t go to work. After many months of suffering I went to see a private only endocrinologist who was recommended on here. I was treated with combined medication levothyroxine T4 and T3 liothyronine. Oh boy that made a huge positive difference. After about 6 weeks I got a host of blood tests one was a 9am cortisol to mine and my Drs surprise my level had risen from being under range at 155 to 450 (range 165-650), and since then my cortisol has been good at around 350. I truly believe this is down to T3 medication now included. Also my T3 is a healthy 5.6 ( range 3.7-6.0). T4 is good and TSH this week was 1.19 (0.35-5.50). T3 has helped just about every single thing in my body, energy, mood, hair, skin, cortisol and probably a whole host of stuff I don’t know about. My vitamins are all optimal too last tested last week.
I feel T3 is a miracle drug.
I wish I could get it. I am so happy for you. I love your reply. THANK YOU!
I only got it by going private only to see a very well respected endocrinologist in Oxford. He wasn’t expensive. He said he’d get me well. He did within a few months. Due to his influence I also got it after a successful private trial off the NHS.
His CT3M certainly works for many and then there is another angle where it is suggested that low cortisol should be treated first to aid uptake of thyroid hormones which seems necessary for others that struggle to tolerate increases up to a functioning dose... it rather depends how exhausted your adrenals have become as to which route suits you best
I agree. However, the adrenals, according to him do not get exhausted. It would be foolish to take a drug for cortisol when we can fix it with timing dose?
It's really a case of choosing a path to explore.... I tried CT3M but had no improvement to cortisol levels so tried glandular and then cortisone which has so far worked a treat... I think it often depends how many years or maybe decades your adrenals have been holding thing together
My understanding is that, in undiagnosed adrenal disease such as Addison's taking levothyroxine can precipitate an adrenal crisis, so Drs should be mindful of this. Unfortunately many/most are not. If adrenals and thyroid are considered at the same time it may reduce the advent of levothyroxine induced crisis. Levo can worsen the symptoms of Addison's disease because it will speed up clearance of the small amount of cortisol the body may be able to produce. Higher doses of corticisteroids (hydrocortisone) used to treat Addison's disease can also inhibit the release of TSH and corticosteroids can also elevate T4 and lower TBG. All a puzzle.
I am interested
Hi I'm going to have to get back to you later I'm so exhausted. I'll talk to you later okay thanks for asking those questions I appreciate it. And for your advice!
You too
Dear QUE6T, thinking of you n your kindness. Hope you have a lovely week. Easy