T4/T3 - need a plan B and would appreciate your thoughts

[Zebra5]

I last posted 18 days ago and FallingInReverse very kindly helped me get my thoughts in order. As a result of this I came up with a plan. For reference, my post is here: healthunlocked.com/thyroidu...

You will see that the plan was to increase my T3 from 7.5mcg/day to 10mcg/day. I have been doing this over the last two and a half weeks but it is just not working and I have been feeling worse and worse. I feel I have now given it enough of a go. I do not seem to be able to manage 10mcg of Lio with 100mcg of Levo. This dose makes me feel awful: hot, puffy eyes and face, headache, tired more quickly, achy, bloodshot eyes, lacking interest, energy and enthusiasm. I just want to curl up. It is confusing as many of these are under-medicated symptoms too.

I think, therefore, that I should probably start by reducing the T4 instead. This is something deliberated by FallingInReverse and me as I don't convert particularly well and it may cause my T3 to drop. Question is, by how much? Shall I start with reducing from 100mcg to 87.5mcg every day do you think? Or just on, say, three days a week? I don't want anything too dramatic. I know how hard it is to claw your way back up once you've gone down too far. Don't we all! Thank you so much xx

[greygoose]

On the other hand, if you reduce your levo/FT4 your T3 might increase. At the moment your FT4 is so high it will be mostly converting to rT3. Bring down the level of T4 and more should convert to T3.

[Zebra5 in reply to greygoose]

Thank you for your help greygoose What would you recommend I reduce the T4 to?

[greygoose in reply to Zebra5]

12.5 mcg a day, I would say, to begin with. You might need to reduce further after six weeks.

[Zebra5 in reply to greygoose]

Thank you greygoose I will change the plan to 87.5mcg T4 and 7.5mcg T3 for the next eight weeks and then re-test.

[greygoose in reply to Zebra5]

You're welcome.