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Synthroid dose

I am currently taking synthroid with lots of side effects.  For example faster heart rate, heart palps, sleeping issues, short of breath, fatigue, aching arms and itchy scalp.  I have slowing increasing my synthroid dose currently at 37.5 daily.  My labs are:

Vitamin D 38
T3 total 0.73
T3 free 2.44
T4 free 1.31
TSH 2.47

Thoughts?  Also my heart is very sensitive to thyroid meds.
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Avatar universal
If you don't have anything to do this fine Saturday afternoon, print, read and keep this paper. It is the only paper that I have found that has a practical method to optimize thyroid meds...

Differentiation and Treatment of Hypothyroidism, Functional Hypothyroidism, and Functional Metabolism, by Jim Paoletti.

It can be found here:
http://www.tccompound.com/11-ZRT-Thyroid_Gradient-IJPC-Jim_Paoletti_Thyroid_Article-0711.pdf
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Avatar universal
I made an appointment with my PCP tomorrow.  I trust him and have known him a long time.  I am going to cut the specialists and stick with him.  Too many doctors.

Are you familiar with WP Thyroid?
Starting dose suggestion?
Take twice a day?

Thanks!
Helpful - 0
Avatar universal
I understand but every time I think we have a plan my body reacts.  When taking the Tirosint and cytomel.  I felt drugged no other way to describe it.  I felt light headed and   Plus the insomnia was really bad.  I was alive and a wake at midnight...felt okay but could not fall a sleep.  I have insomnia when I have taken levothyroxine generic, synthroid and Tirosint.

Also, it was like the left side of my head swelled.  It felt like I had a bump on my head and bones were sore too touch.

I know I need to pick plan and stick with it and I am leaning towards WP thyroid.

My labs from yesterday.

TSH 2.31. 0.35-4.94
T4 1.03 0.70-1.48
T3 2.70 1.70-3.70

Thanks!!!!
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
How long did try the Tirosint for?  It seems that you aren't staying on anything long enough for it work... It takes longer than "days" for your body to get used to thyroid med.  

Your "reaction" is most likely one of severe hypothyroidism, because you aren't getting enough medication and when you put anything in your body, it's a shock to your system.  

You have to get on "something" and stay on it long enough for it to work. The headaches could be caused by something else... what do you mean by "totally off balance"?

There should be someone in your doctor's office who is filling in for her.

I'm sure 10 mcg "is" too much, but I don't know what to tell you because
Helpful - 0
Avatar universal
I have had no success.  My doc put me on Tirosint 13 mcg every other day and 2.5 of cytomel in the morning and 2.5 in the afternoon and it has been awful!  Severe headache and totally off balance.

I called her back and she said stop the Tirosint and do 5 mcg of cytomel in the morning  and 5 mcg in the afternoon.  I think 10 is too much given my reaction to 5 total of cytomel in one day.  I called back and my doctor is now on vacation.  Very frustrating.
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
With your FT3 level currently at 75% of its range, I don't think you need anymore WP... I know the pills are tiny and hard to split, but I split my 5 mcg T3 pills for quite some time, so I could get 2.5 mcg twice/day.  If you get a really sharp pill splitter it can be done.

You could then try 13 mcg Tirosint in the morning, with 1/2 the WP and the other 1/2 the WP around noon or just before noon, since you're feeling best in the evening and you don't want it to disturb your sleep.

Run this by your doctor - just one of them...pick the one you trust the most.  
Helpful - 0
Avatar universal
I had just been taking the wp in the morning.  It is such a tiny pill it would be hard to split.  Do you think it would be too much to take a second WP in the afternoon?

or take Tirosint and WP in the morning.
Helpful - 0
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