It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Thyroid Disorders Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-25-2009, 06:52 PM   #1
Junior Member
Join Date: Aug 2009
Posts: 16
hashimom HB User
Help - 19 year old's latest labs

Based on my daughter's latest labs a few weeks ago the doctor adjusted her Synthroid from .75 down to .50. and added 12.5 cytomel.

Free T4 - 1.0 Range 0.8-1.8
Free T3 - 229 Range 210-440
TSH .08 Range .50-4.30

She has been on the T3 for 2 weeks and really showed signs of improvement in the beginning. The swelling went down in her face and her cognitive thinking and depression really improved. Unfortunately, she seems to be going down hill again. Is this a sign that her T3 needs to be increased? Also, The doctor decreased her Synthroid from .75 to .50 because her TSH level dropped from 1.9 in first labs to .08. so do you think her Synthroid needs to be raised again?

Old 08-26-2009, 06:24 AM   #2
Senior Veteran
Join Date: May 2008
Location: AZ
Posts: 2,255
javelina HB Userjavelina HB Userjavelina HB User
Re: Help - 19 year old's latest labs

It's a shame her doc is using the TSH as a guage to treat. Her T4 is still very low and she needs an increase not a decrease. Good on the addition of the T3, that will help but she also needs T4. Try to find as much information as you can about how important is is not to treat by the TSH numbers and focus on getting both Free T numbers up into upper range. Then try to convince her doctor. TSH is going to be suppressed with good thyroid therapy. Mine is well below 1 now and that's just fine, no hyper symptoms.

Sponsors Lightbulb
Old 08-26-2009, 09:26 AM   #3
Junior Member
Join Date: Aug 2009
Posts: 16
hashimom HB User
Re: Help - 19 year old's latest labs

Should I push for an increase in both her Cytomel and her Synthroid dosage or just her synthroid right now?

Old 08-26-2009, 01:39 PM   #4
Senior Veteran
Join Date: May 2008
Location: AZ
Posts: 2,255
javelina HB Userjavelina HB Userjavelina HB User
Re: Help - 19 year old's latest labs

I'm not sure what the optimum dose of Cytomel should be as I'm more of a natural thyroid (which has both T3 and T4 in it) proponant but she is very low in both T4 and T3 and needs to increase to keep her symptoms and autoimmune attack at bay. It's just wrong that the doc decreased the T4 so definitely get that raised again. Hopefully someone here who is more familiar with Cytomel will chime in on that but given her labs I'd say she needs to go up.

Old 08-26-2009, 04:11 PM   #5
Join Date: May 2009
Posts: 63
Oppida HB User
Re: Help - 19 year old's latest labs

He should not be decreasing her meds! Especially if she is not feeling hyper!!! Her t3 and t4 levels are low and she needs an increase not a decrease. I would demand that her meds be brought back to that level when she was feeling good!! Was she even having hyper symptoms?

I'm no doctor, but I change my dosage according to how I feel. I would take 100mcg of Levoxyl when I was hypo and 150 when I went hyper. It helped me. I do this with armour as well. I'm sure my doc would not be happy, but I do what I need to do to feel better! I go solely by my symptoms.

That is the thing with Hashi's. We swing back and forth, so TSH is totally useless. Our docs really needs to understand this. It's so frustrating!

Last edited by Oppida; 08-26-2009 at 04:12 PM.

Old 08-27-2009, 08:26 AM   #6
Junior Member
Join Date: Aug 2009
Posts: 16
hashimom HB User
Unhappy Re: Help - 19 year old's latest labs

The doctor's reasoning for lowering the synthroid from 75 to 50 was that he was adding 12.5 cytomel so he said he was actually increasing her dosage from a total of 75 (synthroid only) to 100 (50 synthroid and 12.5 cytomel).

Here are the labs that he based the decision on:
Free T4 - 1.0 Range 0.8-1.8 previous month's result - .78
Free T3 - 229 Range 210-440 previous month's result - 220
TSH .08 Range .50-4.30 previous month's result - 1.9

She did better on this dose for about 10 days- less depression,decrease in facial swelling and more energy. Now her face is starting to swell, stomach is bloating again and she is a lot more tired.

My daughter has been on the synthroid since July 1st., was bumped up to 75 after 2 weeks and then dropped down to 50 again when the cytomel was added first week of August. How long should we give it until we push for a dosage increase. I just don't know what to push for...Should I ask for her synthroid to be increased to 75 and leave cytomel at 12.5 or ask for an increase in both? She is desperate to get to college. The school is allowing her to work from home for a few weeks but they won't allow it forever.

Sorry to be so long winded but my daughter is at the end of her rope, She has been sick since March (got mono which covered up the Hashi symptoms and they didn't figure out the Hashi dx until late June. Any and all opinions welcome!!

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Latest labs. Please help! I'm at my wits end. tigger67 Thyroid Disorders 3 01-30-2010 08:39 AM
Can you help me with these test results, please? Lugrita Thyroid Disorders 9 01-13-2010 06:00 PM
Please Help Me, I feel like I am dying! SandieRC Thyroid Disorders 7 12-15-2009 06:29 PM
Cow patty right here...please help me one2wonder Thyroid Disorders 19 09-17-2008 07:18 PM
Need Help Interpreting New Labs daisyday Thyroid Disorders 4 07-23-2008 11:03 AM

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Join Our Newsletter

Stay healthy through tips curated by our health experts.


There was a problem adding your email Try again

Thank You

Your email has been added

Top 10 Drugs Discussed on this Board.
(Go to for complete list)


sammy64 (668), midwest1 (630), FinnMaid (311), Reece (225), lisa789 (196), Tree Frog (80), mkgbrook (72), cd37 (56), ladybud (47), Bran'sNana (44)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (904), Titchou (847), janewhite1 (823), Gabriel (759), ladybud (754), sammy64 (668), midwest1 (668), BlueSkies14 (610)

All times are GMT -7. The time now is 01:12 PM.

Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!