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Addison's Disease Message Board

Addison's Disease Board Index

You are on Ft4 and Ft3 supplmentation. How were your levels before the Ft3 was added? Alright you do have an FT3 to FT4 imbalance. This can be due to high cortisol.. or poor ACTH/pituitary function.. or iodine/selenium/B12 imbalance. Your blood cortisol at 8 am is on the high side.. how is it the rest of the day. You need a saliva test/urine test to see what things are doing cyclically. Now your ACTH levels when tested may be revealling. If you have high cortisol you treat the ACTH levels.. you do not add more cortisol. If ACTH and cortisol are fine.. you need to look to your iodine/selenium/B12 balance. I question whether T3 supplementation is needed at your level. You definitely need more T4 supplementation. The urine test maybe the cotisol rhythm of choice. Selenium and iodine can be tested in the urine as well. Something is off and now we just need to keep poking about til we uncover it.

You need more meds either way.. your imbalance is ~34%. Optimal levels are when FTs are with in 5-10% of each other and in the 50-80% range of normal where your symptoms are negligible. So IMO you are undermedicated in the T4 range. You should get a boost to 75 mcgs and maybe cut back the cytomel to 2.5 instead. Because you are on the T3 supplement your TSH will be suppressed and the Ft3 levels will rise. How much T3 you need is another individual niche. What you need, you and your MD will need to figure out. You may need an FT3 and Ft4 level in the 60% range. I can not tell you what is optimal for you.. your body and blood will though. Investigate the pituiitary gland.. because something is up for it to be that low when your FTs are that low. Also get that PTH as well. YTou should also look into the aldosterone, progesterone, and testosterone levels. Something is going on and i can not put my finger on what.. so i recommend the shot gun analysis route and see what hits. Keep up with it.. something is going to come out of this.


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