Oh yeah not only that but now I have major intergestion!

I don't know why your doctor keeps increasing your Cytomel when your FreeT4 level hasn't been optimized.

And, whether or not your doctor doesn't think she needs the FreeT3 result, you do.....and you are the consumer. I think she should run the test just to humor you :)

Finally, you should not be hearing any comments about your TSH except to note patterns. People who are optimally medicated on any form of T3 (Cytomel being one) will have suppressed (below-range) TSH.

Bottom line, your FreeT4 level is too low. Since most people need their FreeT4 level around 75% of range (or higher), that should be the treatment goal (subject to finetuning later).

Based upon your lab's ranges, 75% of range is FreeT4 1.34.

So, instead of increasing your Cytomel, your Synthroid should have been increased.

You are not going to feel well until your doctor stops guessing....and starts making logical meds/dose decisions based upon your labs.

You can help move this process along by learning how to interpret your labs and push your doctor for dose adjustment based upon those labs.

Please realize that going back to what worked on paper doesn't mean it works for you. Meds/dose decisions should solely be based upon optimizing levels.

Optimal levels = no thyroid symptoms.

And, also please realize that our dose(s) will not necessarily be the same all the time. Our bodies and environment change so that means our dose needs can change..

What doses were you taking at the time of the labs you posted? What was the date of those labs? How much time was there before your last intake of any thyroid med and the actual time of the labs?

Once we get the answers to those two questions, I will make some suggestions for things moving forward.

I was taking 112 synthroid and 12.5 cytomel. Thanks for always helping me and this is the seventh endo I have gone to in my area and they all go by my TSH being low and it's a nightmare.

She did suggest 125 synthroid and 5 cytomel but the cytomel seemed to low.

Thanks for your help

oh and as of yesterday I was on 88 synthoid and 15 cytomel and felt terrible yet skin and hair are soft and silky...lol

She did mention last time going to 125 synthroid and 5 cytomel???
What do you think?

She is guessing and I know she's trying but I know in two weeks if I'm on the right dose or not.

I think doctors get confused when trying to figure out doses and, most especially, seem to miss the obvious.

If you were taking mega-doses of T4 and were dealing with a high-in-the-range or over-range FT4 level, then it's appropriate to reduce the T4 when starting or increasing T3.

Your FT4 level needs help, plain and simple so, your T4 dose should have been increased. 125mcg is the next step up from 112mcg so, yes, your doctor should have increased you to 125mcg.

Since some of that T4 could get converted into T3, it makes sense to lower the T3 dose.....a little. Going down from 12.5mcg to 5mcg is overkill.

Just as you increased your T4 up to the next standard dose size, your doctor should have reduced your T3 down to the next standard dose size......10mcg.

Your thoughts about the Cytomel being too low were right-on......I think you would have benefited from trusting your gut, pushing your doctor for the appropriate dose sizes......and assuring her you would be back for labs in 6 wks.....and be sure to be back for labs in 6 wks.

How the heck did you wind up on 88mcg Synthroid and 15mcg Cytomel now? Did I miss some labs in between?

You are headed in the opposite direction of where you need to be.....so sorry!

Amazing to me that your doctors are obsessed about your TSH yet keep bumping up the Cytomel......T3 causes suppressed TSH. (insert rolling eyes here :)

I just wish I could find a thyroid doctor! i may have to go to the Bronx which is far put they are down there so I'm told. I would go to south Yonkers but you waited four hours for the guy! He too wanted to lower the T4 I don't know and I felt terrible on the 125 synthroid and 5 cytomel and I knew it wasn't enough cytomel! I don't convert well.

Then we went to 88 and 15......she just is trying and I don't wait the six weeks. I donlt have the time.

How are you? I don;t get on much and you are always such a huge help! Thank you!!!!! :)