Your tsh suggests you are a tad hyper. Maybe you are just having issues with synthroid? have you tried a more natural thyroid medicine like Armour?
Also, if you still feel bad and your numbers are mostly ok, it might not be the thyroid bothering you, but something else. Check for vitamin deficiencies and other hormones as well.

Thank you!

The doctors won't try armour because when they put me on 15 cytomel I had chest pains?

I like to be a tad hyper, i don't have any symptoms but feel much better. I only go to my pcp. I have been to two endo's and they were both worthless. the first wouldn't address the thyroid and second thought my tsh was fine even though it had doubled in a year.

A low TSH by itself does NOT mean the patient is hyper.

Thyroid status is always confirmed by the actual FT4/FT3 thyroid hormone levels and not pituitary hormone TSH.

People who are optimally medicated on any form of T3 (either Cytomel or as part of Armour) will have suppressed (below-range TSH)......and I'm talking TSH .02 or lower.

Chest pain is a hypo symptom, cute1.

I suspect that you had it not because of a too-high dose of Cytomel but due to imbalanced levels.

If those labs you shared are your most recent ones, it's clear you need an increase in both your Synthroid and your Cytomel.

Since we can feel the effects of Cytomel more quickly, I suggest asking your doctor about going up to 15mcg (divided into two 7.5mcg doses/day).

Then, after your next set of labs, you'll probably still need a Synthroid dose increase.....

After all I've been through with clueless doctors, there is no way I would rely on any doctor to treat my thyroid disease.

Only we live in our bodies.

The best I hope for is a doctor willing to work with me.

Cute1 - I hope you check in with us more frequently. We can help you get on track and stay on track.

new labs a week later....

free t4 2.8 1.5 -3.8

free t3 3.8 2.5 4.3

TSH 0.117 .270-4.2

My regular doctor said it looks good and endo said hyper...:(

There driving me crazy!

I feel better on 112 synthroid and 12.5 cytomel but said said it's too much

Endo said iI'm hungry because I'm hyper and want to eat more...I just don't know anymore. :(

Thank you all and I just get so depressed and upset! I've gained 30 pounds and they say it's because I'm hyper??????

cute1

Firstly, based upon the ranges you listed, I think the result you are calling FreeT4 is actually a FreeT4 index which is a useless test.

Your FreeT3 level would have most people feeling awesome ***as long as you didn't take your meds within 6 hrs. of the blood draw***.

Your endo is only looking at your TSH and declaring you hyper. Thyroid status is always confirmed by looking at the actual thyroid hormone levels - FreeT4 and FreeT3.

Your regular doctor is saying the levels look "good" because they are in-range. He/she doesn't seem to be aware of the fact that each of us has his/her own optimal range of levels....within the normal range.

For most of us, this means FreeT4 near the high end of the range (the RIGHT FreeT4 test) and Free T3 around 75% of range.

Here's some info from a doctor who knows how to medicate for hypothyroidism:

http://www.mercola.com/article/hypothyroid/diagnosis_comp.htm

Please understand that it isn't a particular med or dose that necessarily makes us feel better - it's our actual FreeT4 and FreeT3 levels.

I suggest that you work towards understanding your labs - then you'll be able to rally for the proper care.

Please help us help you.....you shared labs "a week later".

Are those your most absolutely recent labs? Can you check for and share a *real* FreeT4 result? (as in "thyroxine, free, direct")

What doses were you taking that corresponded to those labs?

Finally, please tell me what time(s) you took your Synthroid and Cytomel before having your blood drawn.

If you want to feel better and stay that way, these are the questions that need to be answered so we call help you make that happen.

Thanks CD! I wish I could get on here more and I will try.

Yes it was the free t4 index

free ft4 1.18 .83 - 1.62

i take synthroid 100 with 5 cytomel in the morning and then 7.5 cytomel in afternoon.

The labs were before the second dose of cytomel if I remember correctly.

cute1

I'd really like to see you achieve wellness. If, at the minimum, you come on here to share labs, we can help keep you moving in the right direction.

You will need to do some work, though. You need to make sure *any* doctor checking your levels is checking the FreeT4 and FreeT3.

Unfortunately, the FreeT4 index is a useless calculation.

As I mentioned earlier, your FreeT3 level would have most people feeling really good so, whatever dose of Cytomel you were taking should be the one you continue with.

It's anyone's guess re Synthroid dose size - sorry. You need a FreeT4 test to know what should be done with that.

And, if you want accurate labs every time, you should NOT take your Synthroid within 12 hrs. of the blood draw and NOT take your Cytomel within 6 hrs......and you should try to get your blood drawn around the same time each day.

These are the things I learned were necessary for success with thyroid treatment.

I think it's worth the effort.

I was feeling really good at .3 TSH..
Now she has reduced my dose these last 2 months and I feel wretched..
Worse than before treatment, when I had a TSH of 15..
Th endo's don't get it..
What a puzzle it all is!!

I would ask to go back to the previous dose that you were feeling good on. Tell her that you come to see her because you feel bad, NOT because your labs are off. I hope she will work with you.

She's such a B***H last time she told me "we don't speak the same language"..and that she's the doctor..
I obviously have to change..I am going back next visit to get my TSH checked again..then it's over with her..I know it will be much higher!

@cd3764
Thanks for the great tip..I always take my Synthroid just hours before my TSH test..next time I will skip it till after.
I am also asking the lab to run my Free T3 I pay with my private ins. I will post my results when I have them ..she has never run a Free T3 she refuses to prescribe it!

You all are wonderful!

Cd you are great!