Also I am on armour 112mg and levoxyl 62.5. I guess I coul raise armour in a couple weeks if I start to feel hypo lowering levoxyl.

How are you feeling?

Dawnrose raises an important question at this juncture: How are you feeling?

You said you don't quite feel hyper, but here's how -my- thyroid works: I *feel* my numbers a few days later. On the day of the draw I may feel fine, but then a few days (sometimes a couple weeks) I'll start to feel like jet fuel is blowing through my veins (if hyper), and I have to back off the meds to get to MY optimal.

Is your energy level ok? Are you sleeping ok? Is your appetite ok? Take a close look at your symptoms journal to make sure you're not overlooking anything, K?

I raise this issue because you've been at this for a while and you're really right-there at getting to your optimal, you just need a few tweaks, but to get to YOUR optimal, you have to really, really listen to your body and observe your symptoms journal to make sure you're not missing something.

That being said: Your over on your FT4 at 146% of range. Now, a -few- people feel ok at that level. Truly not hyper at all. Which is why I brought up your symptoms journal. Be sure you're not missing something...and give it a few days if you truly feel ok at this level to see if it *sticks*.

Now, your FT3 is sitting at 75%, so you have a little room to play with there.

I'm a proponent of small singular changes when dealing with the thyroid balancing act. If I were you, if your doc will let you, lower by 1/4 NOT 1/2. And see if that *sticks*. But, if you're not feeling hyper, aren't losing weight, and no palps...and aren't in a week or so, then you might ask to stay on the dosage you're on now.

I'm one of the few that feels "well" when I'm over the top of the range. My numbers are a bit different than yours, but it's what's right for ME. I don't encourage -everyone- to go above the range (that's stupid), just like I wouldn't encourage -everyone- to be constantly hypo on too low of a dosage (equally stupid). I encourage each individual to find the right dosage for them as an individual. So, I think you might be getting there. And, you're right...if you lower theT4 and you go hypo...you have enough room to play with 1/4 dosage of your combo meds to up it again. However, slow and steady wins the race here. Don't do it in just a week or so, give it at least a month on a new dosage before making decisions, K?

Good luck! And keep us posted.

Hi Guys,
Sorry I didn't get back and thanks a lot for the advice. I had a back injury at the beginning of the week, still recovering. I ended up cutting the whole 12.5 of the levoxyl. First it was the quarter then after a few days cut the half. I'm still having lots of palps and my heart rate can get pretty high but I had that when I was hypo. Palps can occur if heart rate is high or lower. Also now I am having some constipation issues. I have a feeling the FT3 is dropping causing this. Should I perhaps raise the armour by half of 15 mg. as I said I was taking 112.5 of armour. I could raise to 120. Was taking 62.5 levoxyl now taking 50. If I put the additional armour back in the mix then it's like I lowered the levoxyl by 8 mg. How the hell can you get hypo that quickly unless it is a symptom from being so over on the FT4.?
Thanks,
Fran

Hi Franda,
Sorry to hear that you have yet another issue to deal with. So, you cut your dosage down.

"Palps can occur if heart rate is high or lower. Also now I am having some constipation issues."

Question: Are you taking pain medications? That can cause constipation, but so can inactivity. So, I wouldn't blame that on the hypothyroidism just yet.

I waited a bit to answer you because I want to make sure I consider your situation carefully. Here's what I think is going on:

You lowered your dosage and now you have inactivity on top of that. Inactivity alone can sometimes be responsible for lowered T3, HOWEVER, unless you have recent labs - you don't know that fer sure, right?

Since you adjust your meds by cutting it the 12.5, I'd stay there for a couple more weeks (for a total of FOUR weeks), then go back and look at my advice above. If you're feeling ok - leave it alone. If not, up the dosage to where you were for at least FOUR WEEKS. And repeat until you are feeling well.
Hyper isn't just a number - just a hypo isn't just a number. We must consider the symptoms journal, and at this juncture you have to have one so you don't get confused.

Don't give up...you're thisclose.