![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 22 of 22. This is the beginning of the thread.
Posted by loolot on October 5, 2003, at 17:10:09
I am on 25 mcg a day of cytomel as an adjunct to 450 wellbutrin and now 10mg adderall. The cytomel did seem to give me more energy but I feel like I may be getting used to it? Does this happen with cytomel? Also, what is the typical dosage for someone like me, whose thyroid is not the typical abnormal type, but maybe just a little off?
Posted by T_R_D on October 6, 2003, at 15:49:11
In reply to whats the typical cytomel dosage for depression?, posted by loolot on October 5, 2003, at 17:10:09
> I am on 25 mcg a day of cytomel as an adjunct to 450 wellbutrin and now 10mg adderall. The cytomel did seem to give me more energy but I feel like I may be getting used to it? Does this happen with cytomel? Also, what is the typical dosage for someone like me, whose thyroid is not the typical abnormal type, but maybe just a little off?
I was on 50mcg per day...seemed to be a great addition...
Posted by loolot on October 6, 2003, at 18:46:24
In reply to Re: whats the typical cytomel dosage for depression?, posted by T_R_D on October 6, 2003, at 15:49:11
Thanks. Were you low thyroid on a test or was it just a suspicion? Do you take synthroid, too? Any side effects from the cytomel?
>
> I was on 50mcg per day...seemed to be a great addition...
Posted by T_R_D on October 7, 2003, at 16:18:50
In reply to Re: whats the typical cytomel dosage for depressio » T_R_D, posted by loolot on October 6, 2003, at 18:46:24
All my thyroid screens have come back negative...however, I've heard that the basic testing that is done for initial purposes isn't that reliable. I've always wondered if there's been some sort of underlying problem--even if it's slight. I went off the Cytomel as I was trying out some new therapies...when I did, I seemed to gain weight that I didn't attribute to the drugs I was taking (all supposed non-weight gaining ADs.) My doc says I am fine...thanks buddy. Maybe he's right...who knows...?
Never on synthroid and no side effects at all from the Cytomel. It was added to my Effexor years ago as I was on 375mg and still struggling. I had augmented previously with Wellbutrin but got some kind of non-descript *rash* from it...so the doctor said let's try the Cytomel. Who knows...I may go back on it if I can't get out of this current funk (presumably caused by my Effexor withdrawal.) I'm pretty sure it could be used as an augmentation drug for Wellbutrin--my current drug of choice.
Good Luck!
Karen> Thanks. Were you low thyroid on a test or was it just a suspicion? Do you take synthroid, too? Any side effects from the cytomel?
> >
> > I was on 50mcg per day...seemed to be a great addition...
>
>
Posted by loolot on October 7, 2003, at 19:41:18
In reply to Re: whats the typical cytomel dosage for depressio, posted by T_R_D on October 7, 2003, at 16:18:50
> All my thyroid screens have come back negative...however, I've heard that the basic testing that is done for initial purposes isn't that reliable. I've always wondered if there's been some sort of underlying problem--even if it's slight. >>
I felt the same way. I have always thought something else was wrong bc I am always tired and puffy. Cytomel def. seems to be working for me, too. I wonder if I should go up to 50. All of my tests are normal too, luckily my Pdoc trusts that it is working even thought tests arent showing a prob.
<<I went off the Cytomel as I was trying out some new therapies...when I did, I seemed to gain weight that I didn't attribute to the drugs I was taking (all supposed non-weight gaining ADs.)>>
Why didnt you stay on? Sounds like you should go back on now?
<< My doc says I am fine...thanks buddy.>>
Yeah. Heard that.
<< Maybe he's right...who knows...?>>You know!~!!!
<<. Who knows...I may go back on it if I can't get out of this current funk (presumably caused by my Effexor withdrawal.) I'm pretty sure it could be used as an augmentation drug for Wellbutrin--my current drug of choice.>>
Wellbutrin is my fav, too but its wearing out. I hated effexor, I gained 25 lbs
Did you ever notice that your mood crashed worse when you were mentruating with the cytomel? I really crashed this week whe I had my period. I was wondering if the thyroid doesnt work as well at those times
Posted by T_R_D on October 8, 2003, at 10:36:56
In reply to Re: whats the typical cytomel dosage for depressio, posted by loolot on October 7, 2003, at 19:41:18
Hmmmm...I'm trying to think about my periods...I don't think so as far as the Cytomel was concerend...maybe but certainly nothing as noticeable as being "clinically depressed." Sometimes I felt a little more down than others but I think when you suffer from depression your hormone changes are kind of like playing Russian Roulette anyway!
How are you doing today? My withdrawal is making me feel really yucky. Damn Effexor! I didn't feel so negatively towards it the first time coming off...fool me once, shame on you, fool me twice shame one me? I'm almost tempted to go see my doc today and ask for some Prozac. I think you can take Prozac and Wellbutrin together.
Everything is really starting suffer. My job, my homelife, my school life. It's like, I don't have TIME to feel this shitty...I've got too much to do! That's one of the REAL downers about depression...when you feel motivated enough to keep going but not well enough actually achieve anything. It's so fraustrating!
Just picking up the phone right now...okay, 12:45 and I'm there. Maybe it is time to try this Prozac option.
I guess the reason I went off it was because I was investigating some other drugs (incl. MAOIs) that I'm assuming didn't react with Cytomel. I went back on the Effexor and seemed to be fine on only 75mg. How that could be after needing 375mg plus the Cyt. was a miracle--or so we thought. In hindsight it's an intolerance or a sensitivity...I developed all of those icky side effects (night sweats, nightmares, spontaneous orgasm, spasms, sleep paralysys, seizures or at least seizure-like activity.) No thanks.
I guess I'll have to see how I fare after this withdrawal clears up...once I normalize to see if I need the Cytomel anymore...
Take care,
Karen
Posted by loolot on October 8, 2003, at 17:17:40
In reply to Re: whats the typical cytomel dosage for depressio, posted by T_R_D on October 8, 2003, at 10:36:56
>
> How are you doing today?utter crap. You?
<< My withdrawal is making me feel really yucky. Damn Effexor! I didn't feel so negatively towards it the first time coming off...fool me once, shame on you, fool me twice shame one me? I'm almost tempted to go see my doc today and ask for some Prozac. I think you can take Prozac and Wellbutrin together.>>
Yeah, I have heard prozac helps with the withdrawal. I am really crashing and my doc is trying to find the right meds but I can seem to find anything. He is now starting me on ritalin. Ugh
>
> Everything is really starting suffer. My job, my homelife, my school life. It's like, I don't have TIME to feel this shitty...I've got too much to do! That's one of the REAL downers about depression...when you feel motivated enough to keep going but not well enough actually achieve anything. It's so fraustrating!>>Yes, lawd yes, I know....Going through that now, too
How that could be after needing 375mg plus the Cyt. was a miracle--or so we thought. In hindsight it's an intolerance or a sensitivity...I developed all of those icky side effects (night sweats, nightmares, spontaneous orgasm, spasms, sleep paralysys, seizures or at least seizure-like activity.) No thanks.>>
Cytomel gave you those???? I havent heard of that before.
Well keep me posted. Hope we both get meds that work next time!!!
cheers!
Posted by T_R_D on October 9, 2003, at 13:17:00
In reply to Re: whats the typical cytomel dosage for depressio, posted by loolot on October 8, 2003, at 17:17:40
Hey there...doing a little bit better now that I'm taking an interim dose of Prozac. The brain shocks are gone but my tummy is in really rough shape due to the Prozac...can't win for losing!
Good luck with the Moclobemide...it didn't work for me but for you it might be a charm!
Also, the Cytomel didn't give me those problems; it was the Effexor. But one thing that is interesting is this. In talking to my pharmacist yeterday (not sure about the US but Canadian pharmacists--the good ones anyway--are amazing resources...somtimes they know more about the drugs than the docs!) and she seemed to thing that the Cytomel might have worked *too* well with the Effexor and ultimately aided in me developing the sensitivity. Who knows for sure but I thought it was kind of interesting...
Take care!
Posted by loolot on October 9, 2003, at 20:24:05
In reply to Re: whats the typical cytomel dosage for depressio, posted by T_R_D on October 9, 2003, at 13:17:00
Posted by tealady on October 9, 2003, at 23:43:44
In reply to Re: whats the typical cytomel dosage for depressio, posted by loolot on October 7, 2003, at 19:41:18
> > All my thyroid screens have come back negative...however, I've heard that the basic testing that is done for initial purposes isn't that reliable. I've always wondered if there's been some sort of underlying problem--even if it's slight. >>
When you say negative, do you know what they were?
>
> I felt the same way. I have always thought something else was wrong bc I am always tired and puffy. Cytomel def. seems to be working for me, too. I wonder if I should go up to 50. All of my tests are normal too, luckily my Pdoc trusts that it is working even thought tests arent showing a prob.The cytomel effect will wear off after a while as when your body adapts it turns your own thyroid production off...so if you do ever go off cytomel,..wean off very slowly..or you wil gain back so much weight until your own thyroid kicks in...could be 12 weeks at least for this to happen
>
> <<I went off the Cytomel as I was trying out some new therapies...when I did, I seemed to gain weight that I didn't attribute to the drugs I was taking (all supposed non-weight gaining ADs.)>>
>
>Usually increasing cytomel is increased in about 7.5mcg steps up..and I guess most would be on 25mcg to 50mcg as a "typical" dose.
You are best to learn to monitor by symptoms..like your temperature, pulse, blood pressure. This is a guide to safety.
> Did you ever notice that your mood crashed worse when you were mentruating with the cytomel? I really crashed this week whe I had my period. I was wondering if the thyroid doesnt work as well at those times
>
Usually during your period your cytomel will be MORE effective, as estrogen causes a rise in the binding globulins...so please check your temps, pulse etc and make sure you are not getting too much.
PS. You can get fatigue and crash from too much T3 as well as too little.
Posted by loolot on October 10, 2003, at 6:28:27
In reply to Re: whats the typical cytomel dosage for depressio, posted by tealady on October 9, 2003, at 23:43:44
<< The cytomel effect will wear off after a while as when your body adapts it turns your own thyroid production off...so if you do ever go off cytomel,..wean off very slowly..or you wil gain back so much weight until your own thyroid kicks in...could be 12 weeks at least for this to happen>>Should I go off the cytomel before this happens? Or should I stay on it for a long time? Does resistance increase and will I have to keep raising the dose?
<< Usually increasing cytomel is increased in about 7.5mcg steps up..and I guess most would be on 25mcg to 50mcg as a "typical" dose.>>
Thanks.
<<> You are best to learn to monitor by symptoms..like your temperature, pulse, blood pressure. This is a guide to safety.
>Good idea. What should I look for?
Posted by T_R_D on October 10, 2003, at 13:51:08
In reply to Re: whats the typical cytomel dosage for depressio, posted by tealady on October 9, 2003, at 23:43:44
> > > All my thyroid screens have come back negative...however, I've heard that the basic testing that is done for initial purposes isn't that reliable. I've always wondered if there's been some sort of underlying problem--even if it's slight. >>
>
> When you say negative, do you know what they were?No, the doctor didn't tell me...I think they were "within the normal range" but I don't agree that thre still couldn't be a problem.
> The cytomel effect will wear off after a while as when your body adapts it turns your own thyroid production off...so if you do ever go off cytomel,..wean off very slowly..or you wil gain back so much weight until your own thyroid kicks in...could be 12 weeks at least for this to happenThanks for confirming this...it'w what I initially thought bu my doc' said it wasn't the cause. Did you read my other post earlier how my pharmacist thought that the Cytomel might have aided/been responsible for my eventual Effexor hypersensitivity. She thought that the Cytomel might have boosted it too much. Have you ever heard of such a thing happening?
Posted by tealady on October 10, 2003, at 21:08:38
In reply to Re: whats the typical cytomel dosage for depressio » tealady, posted by loolot on October 10, 2003, at 6:28:27
>
>
> << The cytomel effect will wear off after a while as when your body adapts it turns your own thyroid production off...so if you do ever go off cytomel,..wean off very slowly..or you wil gain back so much weight until your own thyroid kicks in...could be 12 weeks at least for this to happen>>
>
> Should I go off the cytomel before this happens? Or should I stay on it for a long time?sorry can't help . T3 is supposed to help with wiegh loss, but I doesn't work for everyone. I think you need to discuss this with a doc.
Does resistance increase and will I have to keep raising the dose?
>
It's not really resistance. The cytomel in your blood feedbacks to the pituitary and hypothalmus..and this lowers yoour TSH (thyroid stimaulting hormone)..and this means your own thyroid is stimulated less to make its own thyroid hormones. It's a part of the way all our bodies regulate themselves.
You can keep putting more and more it until you totally turn off(or almost) your own thyroid hormone production. You thyroid gland may then start to shrink as it is no longer being used?(some docs think so)
Also TSH (or perhaps thyroid hormones) and leptin have a feedback thingy too..and leptin controls appetite/ metabolism/weight etc as well..so it is currently thought by some that you should probably not lower your TSH too much (like below 0.5)..and TSH is probably also involved in many other things in body..definitely thyroid hormones are.
So what happens by the time you hit around 50mcgT3 you are probably near a total replacemnt dose for your body..so your own TSH will probably be very low..and your own thyroid production has a rest...it's very individual how much this takes..one of the variables is your weight.Now you can keep increasing from there, and some people may need to, but I really feel uncomfortable as it can be dangerous. You really need to do this with a doc's supervision...even ncreasing your dose to the 50mcg mark
> << Usually increasing cytomel is increased in about 7.5mcg steps up..and I guess most would be on 25mcg to 50mcg as a "typical" dose.>>
>
> Thanks.
>
> <<> You are best to learn to monitor by symptoms..like your temperature, pulse, blood pressure. This is a guide to safety.
> >
>
> Good idea. What should I look for?
I went looking for some references.
Have a look at this post on temperatures
http://forums.about.com/ab-thyroid/messages?msg=43007.43note perhaps , if you are trying to reset your metabolic rate, you should look at wilson's syndrome link..he takes temperature 3 times a day and averages..the Barnes school takes basal underarm
Wilson' believes in cycling your T3 up and down, but he uses a slow release T3an even steady T3 input to the body.
here's some more links on temperature
http://forums.about.com/ab-thyroid/messages?msg=48074.2Please note: Wilson did go out of practise
http://forums.about.com/ab-thyroid/messages?msg=42301.1
He also cycles to very high amounts of T3..and this can be dangerous.....
Also I only know of a couple of people who have tried Wilsons' personally and they have both had to stay on T3 meds..they couldn't get off themselves.On the other hand my own doc is on T3 SR and thinks its great, she looks great too, and is going great..she is on about 45mcg I think.
I guess what one is trying to do is get a measure of 'normal " metabolic rate..and temperature is one of these measure.. (although temperature is not just measuring T3 levels ..it also is regualted by estrogen, and other things)
Another would be pulse..if hypothyroid it can be slow(like in an athlete but you usually aren't fit..around 60'ish..it's low as your whole body is slowed down).
Normal and unfit like me is around 80-90..this is resting.
If your pulse is getting too high ..resting, like you heart is beating too fast..this is a sign of too much T3.
It will often happen when you first lie down in bed at night..so if you notice palpitations then..this is a warning signI've heard from some folk who seem to ignore this and later on end up n emergency with pounding fast heart rate
Basically the free T3 levels in blood (FT3) if elevated can cause cardiac changes, such as high heart rate, high systolic blood pressure(the top number rises)...
, whereas in hypoT the bottom number, the diastolic pressure is more likely to rise.So a high pulse is seen with too much T3 (hyperthyroidism), and so is a high systolic blood pressure.
A high diastolic blood pressure and low pulse are associated with hypothyroidism (too little T3).I can gauge a too high Ft3 level by a slight headache I get in the centre of my forehead The high systolic blood pressure seen in hyperT also contributes to headaches. I know others do this too..but I'm uncertain if everyone gets it.
If you do experience this, I find a couple of calc/magnesium tablets will make it go away...then I adjust my T3 downwards.
Take care,
Jan
Posted by tealady on October 10, 2003, at 21:13:37
In reply to Re: whats the typical cytomel dosage for depressio, posted by T_R_D on October 10, 2003, at 13:51:08
Did you read my other post earlier how my pharmacist thought that the Cytomel might have aided/been responsible for my eventual Effexor hypersensitivity. She thought that the Cytomel might have boosted it too much. Have you ever heard of such a thing happening?
>
Sorry I have no idea. I can see how it might be possible though. I have never been on pdrugs and T3 together.
Jan
Posted by loolot on October 11, 2003, at 13:09:21
In reply to Re: whats the typical cytomel dosage for depressio » loolot, posted by tealady on October 10, 2003, at 21:08:38
THANKS!! tealady you are an expert!
Are you on T3? Are you on it permanently or do you go on and off? Ar eyou hypo thyroid or is it for depression?
> It's not really resistance. The cytomel in your blood feedbacks to the pituitary and hypothalmus..and this lowers yoour TSH (thyroid stimaulting hormone)..and this means your own thyroid is stimulated less to make its own thyroid hormones. It's a part of the way all our bodies regulate themselves.>>So in that case if I just stayed on a low amount of cytomel would my thyroid be the same bc it was a little low? Or is one thyroid level always low if it is low to start, does it regulate itself to be low?
> You can keep putting more and more it until you totally turn off(or almost) your own thyroid hormone production. You thyroid gland may then start to shrink as it is no longer being used?(some docs think so)>>
Can you give me some linkds to this info? Any particular docs/studies?
<<> Also TSH (or perhaps thyroid hormones) and leptin have a feedback thingy too..and leptin controls appetite/ metabolism/weight etc as well..so it is currently thought by some that you should probably not lower your TSH too much (like below 0.5)..and TSH is probably also involved in many other things in body..definitely thyroid hormones are. >>
I wonder if adding synthroid would help balance things out?> So what happens by the time you hit around 50mcgT3 you are probably near a total replacemnt dose for your body..so your own TSH will probably be very low..and your own thyroid production has a rest...it's very individual how much this takes..one of the variables is your weight.>>
So what dose do you think is safe to stay on? Under 25?
> I went looking for some references.
>
> Please note: Wilson did go out of practise >>Why?
> Also I only know of a couple of people who have tried Wilsons' personally and they have both had to stay on T3 meds..they couldn't get off themselves. >>Why?
>
> On the other hand my own doc is on T3 SR and thinks its great, she looks great too, and is going great..she is on about 45mcg I think.
>>>Is she on permanently? Did her hypothyroidism show up on the blood test or did she just feel that way?
Is she an endo?>
> Another would be pulse..if hypothyroid it can be slow(like in an athlete but you usually aren't fit..around 60'ish..it's low as your whole body is slowed down).>>My blood pressure has always been slightly low. Is this an indication of hypo? My body temp has always been on the low side, too, not dangerous, but on the low side
Thanks so much for all of your help! This is the best info on this I have found so far, and I have been searching!
Posted by loolot on October 11, 2003, at 13:53:56
In reply to Re: whats the typical cytomel dosage for depressio, posted by T_R_D on October 10, 2003, at 13:51:08
Did your weight/metab go back to normalat some point after you went off cytomel?
Posted by tealady on October 12, 2003, at 5:44:20
In reply to Re: whats the typical cytomel dosage for depressio » tealady, posted by loolot on October 11, 2003, at 13:09:21
> THANKS!! tealady you are an expert!
not really
> Are you on T3? Are you on it permanently or do you go on and off? Ar eyou hypo thyroid or is it for depression?I'm on THYROID extract (armour (usually) in the US) plus T4..there is T3 in it. I tried adding T3 but it stimulates my appetite so much I need to sew my lips together!..so I stopped it.
>
> > It's not really resistance. The cytomel in your blood feedbacks to the pituitary and hypothalmus..and this lowers yoour TSH (thyroid stimaulting hormone)..and this means your own thyroid is stimulated less to make its own thyroid hormones. It's a part of the way all our bodies regulate themselves.>>
>
> So in that case if I just stayed on a low amount of cytomel would my thyroid be the same bc it was a little low? Or is one thyroid level always low if it is low to start, does it regulate itself to be low?
>It's individual ..occasionally adding in a little , especially T4, can make it lower..a litle T3 is safer in that way from what I've seen
BTW if one is older or has low adrenal or is unfit with heart conditions etc..they do not tolerate even 5mcg T3 added in, so I gathered you were on the young side and fit if your doc put you straight onto 25mcgT3
> > You can keep putting more and more it until you totally turn off(or almost) your own thyroid hormone production. You thyroid gland may then start to shrink as it is no longer being used?(some docs think so)>>
>
> Can you give me some linkds to this info? Any particular docs/studies?Nope..all only my opinion from observation, personal experiences of many,..oh the shrinking bit I got told of by an endo whose brains I picked for 30mins or so. My ultrasound shows mine is a bit shrunk..and she reckoned is was because of the thyroid hormones and TSH level I was maintaining.., as I didn't have an ultrasound prior to meds cannot prove or disprove this..but they do use thyroid hormone to try to shrink nodules and over enlarged thyroid glands sometimes successfully..it does make sense. Luckily thyroid glands , if healthy can regrow..
>
> <<> Also TSH (or perhaps thyroid hormones) and leptin have a feedback thingy too..and leptin controls appetite/ metabolism/weight etc as well..so it is currently thought by some that you should probably not lower your TSH too much (like below 0.5)..and TSH is probably also involved in many other things in body..definitely thyroid hormones are. >>I think they are some studies out now on TSH and leptin levels if you look thru pubmed, this is an area being researched lately.
> I wonder if adding synthroid would help balance things out?
that depends. T3 is much better for depression and weightloss usually..
but I myself feel (I think) that I needed a bit of T4 to even out my hormones...T4 should be mainly a "store" for your T3..something you can call on for conversion on demand if needed.Something that can give you a steady supply of T3.
Typical "human" ratios are 10:1 (T4 to T3)
...but then you need everything functionally optimally..especially your liver, for conversion (and this may be a problem). If you do add some T4 add in some selenium to help conversion (probably 50mcg to 75mcg for females in US is enough daily).
Some folks fo best on T3 alone..some on natural thyroid ", most women apprently need at least some T3 in their meds..and guys seem to usually handle T4 only better. This is a generalisation! Everyone is individual..and that's the difficulty..you and your doc have to work it out yurself.
I felt too "up and down" with not enough T4, but sme parts of me work better with more T3...go figure!>
> > So what happens by the time you hit around 50mcgT3 you are probably near a total replacemnt dose for your body..so your own TSH will probably be very low..and your own thyroid production has a rest...it's very individual how much this takes..one of the variables is your weight.>>
>
> So what dose do you think is safe to stay on? Under 25?no idea .. Have you ever asked for a TSH, FT4, Ft3 test..just to see where you are? When on T3 only the TSh is often a bit suppressed..so go by Ft3 and Ft4. Some do better on slow released T3 also.
>
>
> > I went looking for some references.
>
> >
> > Please note: Wilson did go out of practise >>
>
> Why?I don't know any more than in the links I gave you. If you are reading in the thyroid forum..click on "advanced mode" at the bottom RHS of page to get 20 at a time instead of individual postings..and start reading. That is where I gained most of my "knowledge".
Also the links to wilsons syndrome epages..you just have to read thru them all.
>
>
> > Also I only know of a couple of people who have tried Wilsons' personally and they have both had to stay on T3 meds..they couldn't get off themselves. >>
>
> Why?"again just read in the forum from links..why..They just can't get off as they go back hypo..so they are staying on. One used to be treated by him before he stopped practising and really like him, but she is now into Chinese medicine treatments
>
> >
> > On the other hand my own doc is on T3 SR and thinks its great, she looks great too, and is going great..she is on about 45mcg I think.
> >>>
>
> Is she on permanently? Did her hypothyroidism show up on the blood test or did she just feel that way?Yes, I guess so. Not really hypo on blood tests (myself, I was only borderline TSH and Ft3, Ft4 wewre OK'ish).
Doc was OK on blood tests too..but with her, she had a highish Ft4 and lowish Ft3 and her Rt3 was highish..so it makes sense that she would benefit from T3 alone..as that is all she needs, and it gets over her conversons problems.
And also it doesn't seem, for her, to stop her body producing the T4. Like I said, everyone is indivual.> Is she an endo?
Nope, just a GP. Into hormones though, attends conference etc on the stuff. Very difficult to find a endo who does treat with T3 or a mix..most endos are "into" diabetes more, and are not THAT into thyroid. P-docs treat more with T3 or a mix than endos.
>
> >
> > Another would be pulse..if hypothyroid it can be slow(like in an athlete but you usually aren't fit..around 60'ish..it's low as your whole body is slowed down).>>
>
> My blood pressure has always been slightly low. Is this an indication of hypo? My body temp has always been on the low side, too, not dangerous, but on the low side
>Mine was low before thyroid meds and adrenals were treated. I went from a usual 90/60 to a usual 120/80. I acually got my blood pressure UP to 90/60 by adding in lots of salt. Before then everything was always dizzy and I fell etc.
Overall I think blood pressure may be possibly be more a sign of low adrenal function..but I guess when I tried adding in 2000mg of tyrosine a couple of weeks ago for one day it sent my blood pressure up to 135/88? think from memory..so if it could go up with tyrosine...no, that could be the tyrosine affecting the adrenals too.
The blood presure comments were made based on what others have said. I don't have my own blood pressure monitor..but I try to get it checked as often as possible and what I said was experienced by others ..who do monitor their own blood pressure. The comments do fit my experiences though with headaches etc.>
> Thanks so much for all of your help! This is the best info on this I have found so far, and I have been searching!
Thanks, I was hesitant to reply as it IS complicated and not really as you say no scientific documented trials etc...but then I was concerned you might go a bit hyper
Jan
Posted by loolot on October 12, 2003, at 16:54:35
In reply to Re: whats the typical cytomel dosage for depressio » loolot, posted by tealady on October 12, 2003, at 5:44:20
Thanks tealady. I appreciate it. I am cutting down a little to see how I do, and I am going to feel it out.
Hopefully I wont get too hyper, I feel okay though.
After my period my energy level went way up again, so I need to figure out how to adjust (maybe lower or go off?) the thyroid during my period
Posted by tealady on October 12, 2003, at 20:16:44
In reply to Re: whats the typical cytomel dosage for depressio » tealady, posted by loolot on October 12, 2003, at 16:54:35
> Thanks tealady. I appreciate it. I am cutting down a little to see how I do, and I am going to feel it out.
> Hopefully I wont get too hyper, I feel okay though.
> After my period my energy level went way up again, so I need to figure out how to adjust (maybe lower or go off?) the thyroid during my periodWhen my FT3 levels were highish..I found I had to drop my thyroid hormone intake a little during periods..or I'd get dreadful anxiety(really bad around day 5, 6)..and also had to increase thyroid hormones a bit from day 18 onwards. Quite a few do
Even cutting down from 25mcg to 20mcg makes a big diff...and you could try taking the 25mcg broken into twice a day dosing..so the "hit" isn't so hard.
I used to use the extra bits I didn't take during menses as additional doses during days 18 onwards, when you have more binding of thyroid hormones due to the extra estrogen/progesterone etc. <g>.
At present I've cut back , so my FT3 isn't so highish and added in some T4..but the depression does worsen, as well as other symptoms..and I'm "fiddling" with other hormones, so I don't get this affect any moreGood luck, but if you do manage to get blood tests, get them taken when you feel bad during your menses
Jan
Posted by T_R_D on October 14, 2003, at 15:33:43
In reply to TRD: cytomel dosage for depressio, posted by loolot on October 11, 2003, at 13:53:56
>
> Did your weight/metab go back to normalat some point after you went off cytomel?Not really...I've gained about 25 pounds or so since going off it. My weight might have dropped just a tiny bit in the last couple of weeks but I think it might be because of the AD change...and it's not that significant. It sucks. I don't fit into any of my nice clothes anymore :(
Posted by loolot on October 14, 2003, at 21:06:58
In reply to Re: TRD: cytomel dosage for depressio, posted by T_R_D on October 14, 2003, at 15:33:43
> >
> > Did your weight/metab go back to normalat some point after you went off cytomel?
>
> Not really...I've gained about 25 pounds or so since going off it. My weight might have dropped just a tiny bit in the last couple of weeks but I think it might be because of the AD change...and it's not that significant. It sucks. I don't fit into any of my nice clothes anymore :(Darn! What AD did you switch to? An SSRI?
Thats scary about the thyroid going out of whack.
How long have you been off?
I take tyrosine and that seems to stimulate the thyroid a lot, too. You could try that, maybe
Posted by T_R_D on October 15, 2003, at 10:54:12
In reply to cytomel dosage for depressio » T_R_D, posted by loolot on October 14, 2003, at 21:06:58
> > >
> > > Did your weight/metab go back to normalat some point after you went off cytomel?
> >
> > Not really...I've gained about 25 pounds or so since going off it. My weight might have dropped just a tiny bit in the last couple of weeks but I think it might be because of the AD change...and it's not that significant. It sucks. I don't fit into any of my nice clothes anymore :(
>
> Darn! What AD did you switch to? An SSRI?
> Thats scary about the thyroid going out of whack.
> How long have you been off?
> I take tyrosine and that seems to stimulate the thyroid a lot, too. You could try that, maybe
>That's interesting...about the Tyrosine...I tried that years ago for the depression but it didn't do a thing. I've been on several meds over the last year so it's really hard to chart a course re: the weight gain. Some were supposed to not add any extra pounds, others...? Let's see...Effexor, Serzone, Moclobemide, Remeron...now Wellburtin and Celexa. These last two might be a good combination for loosing some weight supposedly. Perhaps once I start feeling better I might be able to exercise a bit more as well...that always helps! Thanks for all your wonderful information about the Cytomel. Who knows, maybe my Thyroid is just taking longer to get back to it's normal level of functioning?
>
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.