Re: Midwest, advice needed please
Doctors are hard to convince of anything. So I make no guarantees about the argument.
The reason most people are low on T3 is that they don't convert enough from the T4 available in their systems. The main problem is that some stubborn doctors refuse to admit that there is such a thing as poor conversion, and that's why you may not be able to sell him on it. Also, some doctors deny that each person has his own set point level where they feel best, so they think that any level within the range is fine. The analogy for this idea that I've used in the past is this -- The range for men's shoe sizes is 8 to 13. Therefore, because you are a man, you ought to be comfortable in any shoe within this size range. Absurd idea, right?
Most people won't feel well until their FTs are at least at the middle of the lab range. For women, it's better in the upper third; men need generally need them about in the center or slightly above.
As I said before, your total T3 is low-normal. In case you don't know, here's an explanation of the difference between total and free hormones as I just wrote on another thread ~~
The thyroid hormones are T4 and T3. (There are others, like T1 and T2, but those are minute quantities which are never measured.) Most of each hormone is bound to a protein which transports it through the bloodstream till it reaches the receptor sites on the cells. The protein then must be stripped from the hormone to "free" it before it can enter the cells. The hormone in its bound form is T4 (or T3), and unbound is called free T4 or FT4 (free T3 - FT3).
When the total T4 or total T3 is measured by testing, the result is the sum of both bound and free hormone, and there is no way to know how much of it is free and therefore usable by the cells. That's why the best thyroid doctors consider the free tests the more revealing of the two kinds.
Because your total T3 is low-normal, it's pretty safe to assume the free portion is abysmally low. You're a perfect candidate to try a T3 drug. If you can't convince him to let you try Armour, ask for Cytomel. Cytomel is synthetic T3, and a few doctors will agree to add it to the synthetic T4 drug in certain cases.
Hope that helped. When is your appt? Be sure to let us know how it goes.