Given those results, I think it does. I’d wait for the MRI before taking bromocriptine though.
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@dreamz
Yes I agree. Would start with LT4 though.
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I am having that exact problem with below the range shbg which is most likely due to hypothyroidism.
@dreamz If you want to tag someone in your posts put an @ symbol in front of their name like I did with yours and it will notify them.
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Make sure when you start with thyroid medication that you use both T4 AND T3.
Thank you all for answers, really appreciate your effort.
I will probably start my T3 medication (liothyronine sodium) tomorrow morning, will wait for pituitary MRI before starting prolactin medication.
My T4 levels are in range though, should I take it as well with my T3 then?
@highpull @kratom_dumper @johann77
Do you have iron values or 4 point cortisol saliva?
Are you getting the RT3 test done?
It is a bit hard to say what you should start with until you have at least one of those tests, but I think starting with a mix of T4 and T3 sounds like a good plan.
But be prepared, if you are getting a bad reaction to the T3 than you most likely have problems with your cortisol levels.
Only a minority of patients need T3, I strongly recommend to start with T4 only and only if you dont see improvements after opfimizing T4 then add T3.
Recommending to start with T4+T3 is not based on scientific evidence.
‘Whilst trials of combination levothyroxine/liothyronine therapy versus levothyroxine monotherapy for thyroid hormone replacement have not shown any superiority, there remains a small subset of patients who do not feel well on monotherapy. Whilst current guidelines do not suggest routine use of combination therapy they do acknowledge a trial in such patients may be appropriate. It appears that use of combination therapy and dessicated thyroid extract is not uncommon but often being used by non-specialists and not adequately monitored.’
Please read
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@kratom_dumper
total T3 - 1.3 (1.3-26)
free T3 (I guess this is RT3 test you are speaking about) 3.58 (2.76-6.45)
Cortisol is in range - 432 (133-537)
@johann77
From this read, it appears T4 is much superior to T3 as well as it converts in T3 If I understood correctly.
So taking T4 solo makes much more sense than taking T3 solo I guess?
Yes exactly. You never go with T3 only (didn’t know that it actually exists) and you only go with T4+T3 in case T4 only doesnt improve your symptoms.
Free t3 isn’t rt3, that is a different test
That is not true at all.
There are a lot of people that uses T3-only
T3 only is asking for troubles.
Its very difficult to control because of the short half life of T3. Forget a dose and you may very quickly get into problems. Several studies have shown that T4 crosses the blood brain barrier much more efficient than T3 does. With T3 only T4 because low which might cause troubles.
This is why essentially no credible physician is treating her/his patients with T3 only.
If T3, than its added to T4. Chemically synthesized products are favourable since they are much better controlled. Dissicated porcine thyroid extracts are far from physiological, as the pig thyroid produces T4 and T3 at a ratio of 4:1, compared with the ratio of 14:1 in human thyroid.
This is from the American Thyroid Association:
‘While most actions of thyroid hormone are most likely due to T3, most T3 in the body comes from the conversion of T4. The conversion of T4 to T3 is normal in hypothyroid patients. T3 has a very short life span in the body, while the life span of T4 is much longer, ensuring a steady supply of T3. A preparation of synthetic T3 (Cytomel®) is available. After taking a tablet of Cytomel® there are very high levels of T3 for a short time, and then the levels fall off very rapidly. This means that T3 has to be taken several times each day, and even doing this does not smooth out the T3 levels properly. In addition, it is impossible to avoid having too much thyroid hormone in the system soon after each dose of T3 is taken. High T3 levels can lead to unpleasant symptoms such as rapid heart beat, insomnia and anxiety. High T3 levels also can harm the heart and the bones. Another concern with using T3 treatment is that the body is deprived of the ability to adjust the conversion of T4 to T3 to regulate the supply of T3 according to the body’s own needs. Thus, there is no indication for the use of T3 alone for the treatment of hypothyroidism.’
Wow, the AMA still believes T4 is the best treatment even though a shit ton of patients on T4-only doesn’t get better.
Making statements like this is pure ignorance. If you get symptoms like this after taking T3, than there is a 99% chance you have a cortisol or iron problem, not the T3 itself.
“In addition, it is impossible to avoid having too much thyroid hormone in the system soon after each dose of T3 is taken. High T3 levels can lead to unpleasant symptoms such as rapid heart beat, insomnia and anxiety.”
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Also a lot of people with hypothyroidism doesn’t convert T4 correctly to T3 and they just produce excess RT3 which makes them still have hypo symptoms.
I agree T4 with T3 is normally the best treatment, T3-only is specific cases but NEVER would I just recommend T4-only treatment.
Your FT3 is really shitty.
You still haven’t tested your RT3.
Must admit I’m a bit confused now, I already bought T3 some guy recommended me, but not sure what to do now after reading your debate :S .
Free T3? Isn’t it in range with 3.58 (2.76-6.45) ?
The usual point of view here is the low end of the “normal range” sucks. Most feel better at the higher side of it.
fT3 increases metabolism and energy, are you sure you want labs in range but closer to the bottom of the ranges?
There is no scientific evidence for your statements.
There is no study showing that a combination therapy with T4+T3 is clinically superior to a monotherapy with T4 in most patients.
And there is also no other scientific evidence showing that the majority of hypothyroid patients have a conversion disorder.
No problem in having a different opinion, but please link the evidence that backs up your statements. Studies published in peer reviewed journals.
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