Re: Adding T3 after thyroidectomy?
I have been treated for thyroid disease -hashimoto's for several years now. Pursuant to testing, I was told my thyroid was virtually non-functioning(sestamibi scan).As it is nearly destroyed by the antibodies, you could say it is like having a thyroidectomy. Well, for the few yrs. I have been treated on t4 synthroid only, I have not felt good.Always cold, brain fog, not as motivated and clear thinking as I used to be. I did try t3 cytomel, just a very small amount, early in treatment and it was too much for me-made me feel tense. But......I am almost ready to try some t3 again. Also I have heard that compounding pharmacies can make up a t3 in a time release capsule that at least some say is more easily tolerated. My current endo will not script from a compounding pharmacy , though she is ok with the t3.
Also , in my experience some drs. think that t3 is not substantiated to make an improvement. As Reece said studies go both ways. Some more conservative drs. don't want to script it. My younger, though Harvard educated dr., is willing to go with cytomel and said she has seen some cases of significant improvement with it. Though she said some do not seem to benefit from it, and some can't tolerate it.
To me, it seems you need to work with someone who knows how to balance the t3 and t4 for you. Your t4 would have to be cut back some. Also I think that if you were at an ok tsh to start with maybe some time would have to pass to let your t4 lower a little in your system so when the t3 comes on board that you don't tip into hyper.
Reece--if you read this how much cytomel were you on when you went jittery??