Do I need cytomel. Please help

[Kingsway1]

My endo isn't listening to me. Been exhausted for a month. Endo keeps on sayin TSH is great!!!! Sleeping most the day. Had total TT 3 years ago.  On synthoyd 112 mg.   Here are my levels

T4.        1.75.    ( levels are. 0.82-1.77)

TSH.      1.070.  ( levels are 0.450-4.500

Reverse T3.  18.5. ( levels are 9.2-24.1)
Triiodothyronine free serum.   2.4. (Levels are 2.0-4.4

Hope somebody can help me

[gimel]

Yet another doctor that doesn't know that hypo patients frequently have low or suppressed TSH when taking  thyroid med adequate to relieve symptoms.  By only paying attention to TSH and dosing you to keep it in range, the result is that you are hypothyroid.  

A good thyroid doctor will treat a hypo patient clinically, by testing and adjusting Free T4 and Free T3 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results, and especially not TSH results.  You can get some good info from this link written by a good thyroid doctor.  

http://www.hormonerestoration.com/Thyroid.html

There are studies that have shown that since our bodies evolved to expect a continuing low dose of T4 and T3 from the thyroid gland, when a single large dose is taken it can suppress TSH levels for up to 24 hours.  Also there are studies that show that TSH frequently becomes suppressed when taking doses of thyroid med adequate to become clinically euthyroid.  bottom line is that TSH is a wasted test when already taking thyroid med.  

In addition, many hypo patients find that their body does not adequately convert T4 to T3, resulting in high Free T4, but Free T3 that is too low to relieve symptoms.  Studies have also shown that hypo symptoms correlated best with Free T3 levels.  Many members have found that Free T4 should be at the middle of its range, at minimum, and Free T3 high enough to relieve symptoms, which is typically the upper third of the range.    Your Free T4 is much higher than needed, but not being adequately converted to T3, as evidenced by your Free T3 being only 17 % of its range.

Also, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin.  Deficiencies in these can cause symptoms.  Low D or low ferritin can also adversely affect metabolism of thyroid hormone.  D should be about 55, B12 in the upper end of the range, and ferritin should be about 70.  If not tested for these you should do so and then supplement as needed to optimize.