Did your doctor give you a reason why your dose was reduced?

Truly, most doctors err when TSH goes low even though the FT4/FT3 levels are also low.

Your TSH was above-range when you were taking alternating doses of 75/100mcg. This means your pituitary gland is screaming at your thyroid to produce more hormone.

Clearly, your body needed more hormone as evidenced by your FT4 level that was below mid-range (when most people taking optimal amounts of levothyroxine have top-of-the-range FT4 levels).

Your FT3 level also indicated the need for help since it was very close to the bottom end of the range.

I'm sorry to say, your doctor's decision to lower your dose makes no sense whatsoever.....

I suspect your inability to sleep is the classic hypo symptom called "interrupted sleep" with you waking multiple times during the night and having difficulty falling back asleep - is that correct?

Were there any symptoms you reported to the doctor? Again, I cannot figure out why any doctor would lower the dose with the labs you had on the higher dosing regimen.... So very sorry.

Thanks a million!
Makes a lot of sense. I saw her today and she increased my dose to 100mg for 3 weeks. Then 75mg for next 3 weeks before we check the levels again.
Yes I told her about my lack of sleep and you described it stop on !
She recommended rescue night drops.
Can't wait to enjoy full night of sleep

While I'm glad your dose was increased, I don't understand why it will be decreased after that. Yet another dosing decision that doesn't make sense.

With all due respect, what the heck was her reasoning for this?

Firstly, going from alternating 50/75mcg to 100mcg is quite the large dose increase. (alternating 50/75mcg is like taking 62.5mcg daily).

Then, to have you decrease to 75mcg??? You already know that alternating 75/100mcg wasn't a high enough dose.

If anything, your doctor should have bumped you up to 75mcg daily with instructions for you to increase to 100mcg after doing well on 75mcg for at least two weeks.

More likely than not, labs done after being on 100mcg for 4 wks. will show the need for another dose increase.

Thanks so much, again you you making plenty of sense.

I kind of feel like we do this alot, back and forth and alot of symptoms, both ways as we over and under medicate.

Her decision, was based on the TSH being too high and she needs to bring it down drastically hence the 3 week, on 100 mg. At this point am dreading the wakeful nights.
weight gain, dry skin, low appetite, depression are some of the symptoms am having

I don't see any signs of overmedication in the labs you've shared.

And, trying to make drastic changes just doesn't work in the thyroid world. Slow and steady always wins the race .

Slow and steady dose increases are what prevents "real" overmedication - having a hyper FT4/FT3 ala meds.....not a low TSH.

Your doctor isn't living in your body and obviously has NO idea of the impact drastic changes can have.

Appropriate dose adjustments often start a roller coaster ride of symptoms.

Drastic ones throw in huge drop features - ugh!!!

There's no need for you to dread anything. You should be feeling confident about your care.

I see nothing wrong with calling the doctor to discuss the things mentioned.....let her know you were thinking about things and aren't comfortable moving forward.

Only we are living in our bodies and successful treatment requires a true partnership between doctor and patient.

The stuff I'm sharing with you is logical and should help you plead your case.

You need to keep moving forward to heal from this disease - please don't let your doctor continue to take you on side trips that are heading in the direction of your starting point.