I am glad isounds like you are on the right track with the armour. You mentioned that you were tired at first on armour. Did it feel like you were more hypo at first?
I believe at most times T4 or T3 med alone is no good...so they should go by the blood tests...T3,T4 is used widly in the sports world for weight loss..and works great...but even they take it every 3-4 hrs,to stop spikes and make it more level..the half life on T3 is only a few hrs...where most sports people take it...12.5.....12.5...12.5.....etc...
but mostly its 25mcg's at a time..for a total of 100mcgs a day.. try to get scrored tablets,and break it up though the day for steady blood levels...this is why most other people use liquid...
I wanted Cytomel to work more than words can describe. The Dr. initially started me out at 1/2 of 25mg. which I tolerated for a short while then all of the sudden the heart Jumping not palpitations. I would feel pretty major jolts, so it scared me. I gave it up asked for armour, continued to bring my Synthroid down from 125 to 112. Then I when I went back to Dr asking for armour, he said lets try cytomel 5mg and divide in 1/2. Hesitantly I tried again, and actually divided into 1/4, within a couple of hours, my heart jumped again. I just couldn't tolerate it. I have an extremely sensitive system (and that is an understatement). I was even a little afraid to try armour, but desperate to have my life back and now know that my brain re-awoke after cytomel. I felt like the movie awakening. I felt as if I could have a happy productive future again.
As for the Armour he started me at 120mg, but after reading posts and getting feedback, I realized that was probably too high too fast. I did ultimately get through the initial headaches and fatigue. I now have to 1/2 the afternoon dose, because if I take the full 60mg, I feel hyper and have some comparitively mild palpitations (nothing like Cytomel.) I have put in a call to request blood work to see where I am at. I am a little confused as to whether to test 2 hours after taking the armour to get T3 levels or test without morning dosage.
I wonder about a small t4 (synthroid) in addition to Armour to try to get more consistency in levels. I missed one day and was shot the next!
Regardless, I know I feel better even with the swings, its hard to live depressed in a brain fog with no memory.. I just want anyone struggling to know, hang in there, you have to find what's right for you to awaken your brain. Do not give up, it has taken me YEARS! Also, I do believe its imperative to find ways to reduce your stress in order for your system to be acceptable to any changes you make.
I have no thyroid and want more information on RT3 or needing T3 meds.
When you took the cytomel, how much were you taking and how were you doing it?
It could have been that you were simply not breaking up the dose throughout the day and therefor experiencing extreme T3 spikes (hence the heart palps). Could you ask to try cytomel again but split 3 times in the day? Just a thought. I hear you on the T3 thing. I have to have it.
I am so glad you took the power into your hands and found a doctor so willing to help you. I really am so happy for you.
After finding what works for many - it now becomes a balancing and tweeking of the meds to gain optimal preformance. So many give up - before the system starts to adjust. Many just decide to live with symptoms that could have been banished - if they would have given themselves the time needed to adjust things could of been so much better.
Good Luck on your journey to getting your life back after your surgery. It will happen, it just takes a bit of time and patience knowing what's best for you as an individual thyroid patient and knowing how your body acts.