notsoswoleCPA
Senior Member
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I was experiencing energy issues around August and I was wondering if the following labs supported being put on Cytomel?
Reverse T3, Serum 30.4 ng/dl (high)
Triiodothyronine (T3), Free 3.5 pg/mL (in range)
TSH 1.290 (in range)
T4,Free(Direct) 1.42 ng/dL (in range)
I used to be on NDT, 1.5 grains daily, and was asked if I felt worse when I discontinued it due to a shortage earlier in the year. When I stated that I noticed no difference, it was theorized that my reverse T3 was blocking the conversion of T4 into T3, hence the reverse T3 lab 8 months later, which was high. It is speculated that RT3 rises even higher when I was taking 1.5 grains of NDT, thereby negating the impact of the so called natural thyroid medication that every local doctor was pushing.
It was recommended that I start at 5 mcg per day and ramp up to 15 or 20 mcg per day over a period of time, depending on how I feel after taking it. Does this sound right based on my Free T3 being in range and my TSH being normal while being off thyroid medication for over 8 months when those tests were taken? I just find it odd that those numbers can be normal whereas the RT3 is high, when they used to tell people not to rely on the RT3 test just a few years ago.
Reverse T3, Serum 30.4 ng/dl (high)
Triiodothyronine (T3), Free 3.5 pg/mL (in range)
TSH 1.290 (in range)
T4,Free(Direct) 1.42 ng/dL (in range)
I used to be on NDT, 1.5 grains daily, and was asked if I felt worse when I discontinued it due to a shortage earlier in the year. When I stated that I noticed no difference, it was theorized that my reverse T3 was blocking the conversion of T4 into T3, hence the reverse T3 lab 8 months later, which was high. It is speculated that RT3 rises even higher when I was taking 1.5 grains of NDT, thereby negating the impact of the so called natural thyroid medication that every local doctor was pushing.
It was recommended that I start at 5 mcg per day and ramp up to 15 or 20 mcg per day over a period of time, depending on how I feel after taking it. Does this sound right based on my Free T3 being in range and my TSH being normal while being off thyroid medication for over 8 months when those tests were taken? I just find it odd that those numbers can be normal whereas the RT3 is high, when they used to tell people not to rely on the RT3 test just a few years ago.