likeadiamond, I have the tremors too. I have always thought it was from my anti-depressant. Do you sweat a lot too? I recently got bumped to 210mg of Armour & hope it helps. I would like to get off my AD for good, but not holding out too much hope for that. I also developed PMR & now take steroids. I think they not only help with the inflammation & pain, but I think they are helping my adrenal deficiency. I take 10 mg melatonin at night to sleep, & it helps a lot. That may be worth considering. Your profile doesn't say if you are a man or woman, but depending on your age, a few hormones may help too. If you are like me, you don't want to take another pill, but sometimes, there is no other option. Ive had Hashi's my whole life, but didn't get diagnosed until I was 35. When I think of all those years feeling like crap, telling the doctors I felt like crap, & it didn't occur to any one of them to check my thyroid. I hope you have a Merry Christmas & that we ALL have a better 2015.

I am female LOL and in the change so to speak! Thus the hopes for progesterone.

I did take Melatonin for about 6 months. I recently read that it is a dopamine antagonist so I have stopped. I heard that Melatonin causes or exacerbates restless leg syndrome so am trying without it. I don't know what to call my shakes or tremor or numbness.

I don't often have trouble sleeping just during dose changes for about 3 weeks n and off depending on my cycle. I find titration difficult. I take gravel and hope I can sleep when I have to go to work.

Here to hoping a better year is around the corner.

Happy to hear my sponge analogy was helpful.

Sorry to hear about your ongoing issues!

If you find that you still have symptoms after being on your new Erfa dose for 4 wks. or so, it would be a good idea to get labs and take a good, hard look at your FT4 level.

While many people feel good on desiccated thyroid products such as Erfa, others taking them find that they need a little T4 (thyroxine) to eliminate any residual symptoms.

Most people feel best when their FT4 and FT3 levels are closer to the high end of the range.

Based upon your lab's ranges, this means FT4 at least 18 or higher and FT3 at least 5.75 (and possibly higher). These levels would be without meds in the system.

Starting progesterone could very well affect your thyroid levels (in a positive way).

I think it would be prudent to get thyroid labs done before starting it and maybe hold off on any thyroid meds dose adjustments until you get thyroid labs done after being on progesterone for around 4 wks.

No matter what, best wishes moving forward and Happy New Year!!

Sorry for the length in advance!

After 3 weeks of going from 105 erfa to 120 erfa my numbers are:
FT4 14 (10-22)
Tsh 0.13
FT3 4.8 (3.5-6.5)

I have had a backwash of symptoms; the vibrations tingling and numbness are worse. My heart rate goes up at bedtime . On day 2 my heart rolled over in my chest( Very scary) probably a pre ventricular contraction. I am slightly hot. I have trouble falling asleep.

Symptoms lessened: seem less tired,anxiety has lessened, I am no longer cold although my extremities are sensitive to cold.

The private pay GP has added progesterone cream. I got blood work after only 3 weeks because I wanted to start this asap. I will hold on 120 erfa for another 4 weeks and test. Also added was a soil based probiotic and glucosamine supplement. ( I am on 14 supplements now)

This Gp believes that thyroid disfunction is related to adrenals and I put out too much cortisone when stressed so I need to cool things down before I can expect response from thyroid medication. She also thinks my liver is slightly off because ferritin saturation is high normal.

She however does believe in T3 only therapy and would willingly stop all other thyroid medications and start cytomel 2.5 twice a day. I asked her about simply increasing all meds until at 70% FT4 and FT3 she said no that the meds would not be let into my cells so my symptoms wouldn't improve. She does not believe FT4 has any function other than storage. ( I believe a low FT4 results in hair and mental disfunction which I already have)

I dont see my endocrine Doc for another 3 months. As all endos, he will be concerned my TSH has bottomed out. He may fire me as a patient if I dont drop my dose.

My plan is to reassess in 4 weeks and then possibly add straight t4 if needed.

Please tell me what you think. I appreciate all feedback and welcome differing opinions.

Oh one more thing this private pay gp said: she believes the numbness and tingling are nerve damage and that giving my blood more thyroxine won't make it go away only time and creating a balance within my systems will help.

It's really too bad that some of the doctors treating us haven't studied thyroid as much as their patients.

I think you recognize that your FT4 level needs help.....and your FT3 level would have many people feeling good (if accompanied by an appropriate FT4 level).

It's possible you need more time to adjust to your new dose but I definitely agree with your thoughts about adding thyroxine in 4 wks. if labs continue to show the need...../especially since it's good to see what effect the progesterone might have on your labs.

Such a delicate balance....

Best of luck to you moving forward!!

Thank you CD

You give me hope...