T3 dose: I increased my t3 to 12.5mcg yesterday... - Thyroid UK

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T3 dose

JoJoloveschocolate profile image

I increased my t3 to 12.5mcg yesterday after being on 10mcg for two weeks (split doses + 87.5mcg levo ). No ill effects up to now, but after my last dose (12md) I started to feel a bit dizzy and my pulse banging at the back of my head (pulse not racing). It has lasted all afternoon. I was going to take another dose of t3 at 6pm. Should I omit it tonight and then go back to 10mcg (5/2.5/2.5mcg) tomorrow?

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JoJoloveschocolate
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15 Replies
Jaydee1507 profile image
Jaydee1507Administrator

If it were me, I'd revert to where I felt OK.

Maybe give 10mcgs T3 (split) the full 6-8 weeks, the longer the better and restest on that. Some people need relatively little.

JoJoloveschocolate profile image
JoJoloveschocolate in reply toJaydee1507

Thanks, Jaydee1507 . I’ll go back to the 10mcg and stick there. Would it be ok to miss this evenings dose off completely?

Jaydee1507 profile image
Jaydee1507Administrator in reply toJoJoloveschocolate

Its only 2.5mcg so I cant see any harm in leaving tonights dose off.

I think most people get to 10mcgs then retest and assess from those results.

Hope you feel better soon.

JoJoloveschocolate profile image
JoJoloveschocolate in reply toJaydee1507

Thanks Jaydee1507 . The gp said to gradually increase to 15mcg. But I’ll go back to the 10mcg. I’m not massively dizzy (and there maybe a bit of panic thrown in the mix too), but I’d rather play it a bit safe and drop back after just one day on the increased dose.

JoJoloveschocolate profile image
JoJoloveschocolate in reply toJaydee1507

Jaydee1507 I just checked …..I took the 2.5mcg at lunch time so there is still a 5mcg tablet in my daily pill box! Would it be ok to leave the 5mcg tablet off? So far today I’ve had 5mcg in the morning and 2.5mcg at lunch time, 7.5mcg in total up to now.

Jaydee1507 profile image
Jaydee1507Administrator in reply toJoJoloveschocolate

I'm sure that will be fine. :)

JoJoloveschocolate profile image
JoJoloveschocolate in reply toJaydee1507

Thank you, Jaydee1507 . x

TiggerMe profile image
TiggerMeAmbassador in reply toJoJoloveschocolate

That's worked out rather well then as with the half life taken into account you're back at about 10mcg 😅

It could be that after 2 weeks of T3 your fT4 might have taken a plunge and I'm thinking you were only around 70% before adding the T3... like the others say, hold steady for 6 weeks on 10mcg T3 and 87.5mcg T4 and then see where you are

JoJoloveschocolate profile image
JoJoloveschocolate in reply toTiggerMe

Hehe! Hadn’t thought of it like that! 🤣

I’ve been on the t3 about 5 weeks, starting low at just 2.5 once a day, then twice a day, then x 3 and then to 10mcg. It was all going ok in terms of no ill effects, but after feeling ok for a few days it dropped off again so I thought I’d try the 12.5mcg. I’ll bail out back to the 10mcg from tomorrow, back to 5mcg am and 5 mcg pm, I think. I think you might be right about the t4! It will also work out ok if I stay on the 10mcg for six weeks total because I’ve got a blood test and appt in Dec which will be at the six-week mark. Thanks TM!

TiggerMe profile image
TiggerMeAmbassador in reply toJoJoloveschocolate

Perfect, try to just relax into it and don't over-analyse 🤗

You'll have ups and down but I hear 'normal' people do too 😅

JoJoloveschocolate profile image
JoJoloveschocolate in reply toTiggerMe

100% correct!! That is me all over! I’ve just been worrying about taking the t3 in the morning…switching my brain off now! I’m doing my own head in 🤣 Thank you so much for all your help and advice….and everyone on here who takes time to explain, comfort, talk me down off the ceiling 🤣🤣 xxx

Rapunzel profile image
Rapunzel

Hi there. I would go back to 10mcg, get tested again and take it from there. T3 is a powerful hormone and you could be overreaching your sweet spot.

JoJoloveschocolate profile image
JoJoloveschocolate in reply toRapunzel

Yep. Agree. Thanks Rapunzel

DippyDame profile image
DippyDame

Although it's acceptable to increase T3 after 2 weeks that can be too soon for some people

I'd be inclined to split 10mcg to 2 doses, so, 2 x 5mcg ....rather than increasing to 12.5mcg split in 3. That may be more effective and with less time watching!

T3 stays in the serum for about a day but when reaches the cells it stays there for about 3 days during which time it is gradually released in waves. It's not suddenly used up after a few hours!

While the T3 is in the serum it remains inactive and is only active once it reaches the nuclei of the cells and attaches to T3 receptors.

There is a theory that multiple dosing provides more level dosing. I need 100mcg T3 daily and take it all in a single dose at bedtime with no problems....so you can decide!!

I followed the protocol of the late T3 expert Dr John Lowe

I would tend to miss your 2.5mcg evenng dose if you feel it's been too much then revert to 10mcg tomorrow

Once the 10mcg dose has had time to settle and you still have symptoms then you might slowly increase the dose

What symptoms did you have that led to the decision to increase the T3.

It's early days, be patient!

Take care!

JoJoloveschocolate profile image
JoJoloveschocolate in reply toDippyDame

Thanks DippyDame . I was doing ok on the 10mcg which I was taking 5/2.5/2.5 at first, but then changed it to 5 in the morning and 5 in the late afternoon. I was doing ok with that too, but then started to feel a kind of fatigue crash before each dose was due and lasting a couple of hours after taking the dose too so I thought adding a dose at midday might stop that. I also had a heaviness in my thigh muscles again which is a hypo sign for me - feeling the weakness/stiffness when climbing stairs. I haven’t had today. Today I felt great - felt bright, and like I had a lot of energy, but then after i took the lunchtime dose (i took the 2.5 instead of the 5 by mistake) the dizziness started and a kind of pounding sensation at the back of my head. My pulse is 76.

I was due to take a 5mcg dose at 6pm. Should I miss that off tonight?

I’ll start back with the 10mcg again tomorrow.

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