Question to Paul - too much fT3?

[Kevlin]

2. Can you explane circadian rythm and T3 and cortisol? I think I read something about the importance of circadian rythm when you take your T3? Should I consider take some of my Thyroid in the early morning/late night? Could it be vital for me?

I don't know if this is vital for you because I cannot see any data from you on the information that I usually look at.

I usually look at:
TSH, FT4, FT3
Current thyroid medication - type, amount and timings
serum iron, serum ferritin, transferrin saturation % - iron panel
B12
folate
vitamin D
cortisol - via a 24 hour adrenal saliva test or 24 hour urinary cortisol test or several serum cortisol tests
body temperature during the day
blood pressure during the day
heart rate during the day
symptoms - main symptoms someone has
their history of thyroid disease - how it started, how it developed, what medication they have used

- so I don't make random comments. Any comments I make are based on a lot of information from a person.

The circadian T3 method is explained fully in my book 'Recovering with T3'. It requires either the T3 that is found in natural desiccated thyroid or standard T3 to work. It will not work well with slow release T3.
Cortisol is produced every day. Most cortisol is made in the last four hours of a person's sleep. Free T3 also peaks around the time this cortisol production starts. So, for someone who get up at 7:00am then most of their cortisol is made between 3:0am and 7:00am. The Circadian T3 Method uses this information to add either some T3 or some NDT (natural desiccated thyroid) medication into this time period. I usually start with about 1 grain of NDT or 10 mcg of T3. I place it 1.5 hours before someone gets up and watch the results. People need to track temperature, heart rate and BP during the day - several times as well as their symptoms. If things are better but not good then it is moved back in time by one half hour earlier. This proceeds to the four hour time - perhaps to 3:00am for a 7:00am riser. If this is not enough then the process is repeated with an increase of thyroid medication. The results have been spectacular. Many people have been made completely well and others have been able to stop their hydrocortisone medication.

Hey-hey Paul

• I have used NDT since late 2009.
• And also Hydrocortisone - nearly 1,5 year.
• I don't have intrinisic factor, and take B12-injections from time to time.
• My fT3 is high (out of labs reference range) and fT4 is in the middle.

1. I wonder if my high levels of fT3 is a strain on my adrenal gland?

2. We who are using NDT or T3 (in Norway: Liothyronin): the TSH is not of interest - or do you disagree..?

• My anti-TPO has dropped from 1300 (2009) to 18 (2012)

3. Does anti-TPO dropping have any significant interest?