Hello Paul! I have some questions I hope you have time to answer.

[Paul Robinson]

Also I am not used to seeing natural thyroid in milligrams - it would be easier for me to see it either in grains or ideally converted in to the equivalent mcg of T4 and mcg of T3. Thanks again. If we can optimise the CT3M dose fast then we can make you much better very quickly!!

On these threads I am struggling to work out WHO is the poster - which person I am speaking to - could the person posting put their name clearly first- I find this forum structure hard to follow. Much harder than Facebook.

[Vigdis]

I am sorry you get confused here Paul! You see my name and the picture of the dog and the cat to the left. Then it is me who are the author. But I posted something you said in another tread whith a link to the tread, because I felt it had a lot to do with my problems.

I wake up today 6 15, I took my nightdose at 3 30 in the night. 1.5 grain. Ca 13.5 mcg T3 in 1.5 grain, isn't it?

I write grain/mg because some of us who have been using NDT (Thyroid) for a long time are used to the term "grain". But the new Erfa Thyroid is sold by mg, but they are in fact sold by grain, 30 mg (0.5 grain), 60 mg (1 grain) and 125 mg (2 grain). So I try to inform everybody. You know Paul, right now you are the teacher, I am the new kid in your class. But this tread will be read by a lot of people later.. They will learn by reading. I just try to be a little bit pedagogic by making it simpler. At least I try....

I took a new, small dose of NDT 0.25 grain at 10 o'clock because I went to my gym (first time in a week, I felt so much better today!).

My plan is to take 1 grain NDT later this day. I am afraid of taking to much. But on the other hand, I have been undertreated for some time, but I rather do not want to have too little..

Iron: I take 25 mg. You mean this is a too small dose? Should I take 100-200 mg?
B12: I use liquid B12, ca 1000 -2000 mg each day now. it contains also some of the other B-vitamins

[Paul Robinson]

I am sorry you get confused here Paul! You see my name and the picture of the dog and the cat to the left. Then it is me who are the author. But I posted something you said in another tread whith a link to the tread, because I felt it had a lot to do with my problems.

I wake up today 6 15, I took my nightdose at 3 30 in the night. 1.5 grain. Ca 13.5 mcg T3 in 1.5 grain, isn't it?

I write grain/mg because some of us who have been using NDT (Thyroid) for a long time are used to the term "grain". But the new Erfa Thyroid is sold by mg, but they are in fact sold by grain, 30 mg (0.5 grain), 60 mg (1 grain) and 125 mg (2 grain). So I try to inform everybody. You know Paul, right now you are the teacher, I am the new kid in your class. But this tread will be read by a lot of people later.. They will learn by reading. I just try to be a little bit pedagogic by making it simpler. At least I try....

I took a new, small dose of NDT 0.25 grain at 10 o'clock because I went to my gym (first time in a week, I felt so much better today!).

My plan is to take 1 grain NDT later this day. I am afraid of taking to much. But on the other hand, I have been undertreated for some time, but I rather do not want to have too little..

Iron: I take 25 mg. You mean this is a too small dose? Should I take 100-200 mg?
B12: I use liquid B12, ca 1000 -2000 mg each day now. it contains also some of the other B-vitamins

Yeah - I'm familiar with grains but it is easier if grains and the T3 content in mcg is used to be certain we are clear.
Is your BP OK now? (if it was you that had it higher yesterday). The 1.5 grains is about 13 mcg T3 yes. Your first dose can move to 2:15am IF we have to but you may be fine at 3:30am - we have to leave it stable now for some days and watch the result. This is the cool part when the adrenals begin to work and you feel better again!!! I am very hopeful!!!

25 mg of iron is a drop in the ocean and is not enough to raise iron. You need 200-300 mg of ferrous gluconate or ferrous fumerate twice a day to get your levels higher. Ferrous sulphate is harder on the digestive system. It can take 6 months to move iron up. It is like pushing a ten ton truck - very hard to move it. My book has a list of the key supplements. Here is what I recommend for the thyroid and adrenal pathways:

B complex (50mg of B1-B6) - twice a day with food.
B12 - 500mcg-1000mcg - once a day with food (you already have this covered).
C - 500mg four to six times a day - with or without food
D3 - 2500 - 5000 IUS a day - once a day if no kidney problems (higher if low)
a chelated multi-mineral - once a day with food
200-400mg chelated magnesium (has to be chelated) - twice a day with food.

Enjoy!!!

[Paul Robinson]

Yeah - I'm familiar with grains but it is easier if grains and the T3 content in mcg is used to be certain we are clear.
Is your BP OK now? (if it was you that had it higher yesterday). The 1.5 grains is about 13 mcg T3 yes. Your first dose can move to 2:15am IF we have to but you may be fine at 3:30am - we have to leave it stable now for some days and watch the result. This is the cool part when the adrenals begin to work and you feel better again!!! I am very hopeful!!!

25 mg of iron is a drop in the ocean and is not enough to raise iron. You need 200-300 mg of ferrous gluconate or ferrous fumerate twice a day to get your levels higher. Ferrous sulphate is harder on the digestive system. It can take 6 months to move iron up. It is like pushing a ten ton truck - very hard to move it. My book has a list of the key supplements. Here is what I recommend for the thyroid and adrenal pathways:

B complex (50mg of B1-B6) - twice a day with food.
B12 - 500mcg-1000mcg - once a day with food (you already have this covered).
C - 500mg four to six times a day - with or without food
D3 - 2500 - 5000 IUS a day - once a day if no kidney problems (higher if low)
a chelated multi-mineral - once a day with food
200-400mg chelated magnesium (has to be chelated) - twice a day with food.

Enjoy!!!

Vigdis I'd like to see your BP,heart rate, body temperature and main symptoms being recorded in your daily notebook with the exact natural thyroid dosing you are using. Record these every day. Sometimes it is necessary to take 3-5 sets of readings to really understand how things change over a day. Don't be fooled just by how you are feeling - symptoms sometimes lie. Getting the BP/heart rate and temp readings is very important when combined with symptoms.

Sometime over the next few days you could post some results here for me/others to look at - they will see also what I mean by recording then. When you post any results also precede it with: get up time; thyroid medication doses and times as I have already discussed - then all the useful information is available.

[Vigdis]

I already take some of the other B's in my B12 liquid.
D3=35 000 IE per week right now
2 grams of Esther C every day
4-1200 mg magnesium every day
100 mg selen
I also take B6, niacin, 100 mg every evening for my sleep aid

I have ordered a thermometer, it will take some time before it arrive. The BP is still high, but better than yesterday, when I did it all wrong: 132/90

So from now on I will eat a lot of iron, thank you for your kind help

[Paul Robinson]

I already take some of the other B's in my B12 liquid.
D3=35 000 IE per week right now
2 grams of Esther C every day
4-1200 mg magnesium every day
100 mg selen
I also take B6, niacin, 100 mg every evening for my sleep aid

I have ordered a thermometer, it will take some time before it arrive. The BP is still high, but better than yesterday, when I did it all wrong: 132/90

So from now on I will eat a lot of iron, thank you for your kind help

The big issue above is lack of B1, etc in 100mg per day level - B1,B2,B3,B4,B5 and B6 all need to be taken twice a day with food at around 50mg each. These are components of many enzymes and processes - lack of B1 for instance will cause very rapid heart rate which can make T3 treatment look like it is failing. I want BP to 120/80 in the next few days if not then we re-think dosage/timing. Safety is always the priority - it has to be with any thyroid hormone.

[Vigdis]

I take 1.5 grain (ca 13 mcg T3) Thyroid 3 30 in the night.
17.03 BP 132/90 pulse 69 morning, middle of the day 148/98 pulse 76, evening 128/79 pulse 80
18.03 BP 123/82 pulse 84 morning, middle of the day 134/89 pulse 85, evening 121/78 pulse 66
19.03 BP 121/79 pulse 76 morning, middle of the day 119/79 pulse 73, evening 129/85 pulse 77
20.03 BP 110/72 pulse 84

I have not got a good thermometer yet, so my temperatur is missing.
I have a little trouble with sleeping. Not much now, but I wake up too many times during the night.
Before I started taking Thyroid in the night, I used a too mall dose of Thyroid (2.25 grain). I use 2.75 grain now. It feels good, changing of mood: more positive thinking, a bigger wish to fight, not give up and see the hopelessness. It is a nice dope this T3 ha-ha! I feel warmer. I have more energy through the day and in in the evening. So my doctor was underdosing me. And I feel like an idiot who let him do it. I was looking for the reason of my fatigue everywhere else that in the most obvious place.

I was at 22.5 mg hydrocortison last week. yesterday I used 17.5 mg. I am a little afraid I went too fast. So today I will try 20 mg. I had two periods of dizziness through the day yesterday. For me the dizziness have to do with too low cortisol.

I also observe that I need several doses of Thyroid though the day. So I take Thyroid in the night, the next around 10-12 o'clock, and one around 14 and on in the evening.

The BP this morning is too low. Can you read anything out of that Paul?

[Vigdis]

BP now at 15 40 o'clock: 111/73, pulse 80. It is a little low today. Why? Is it my adrenals?

[Paul Robinson]

I take 1.5 grain (ca 13 mcg T3) Thyroid 3 30 in the night.
17.03 BP 132/90 pulse 69 morning, middle of the day 148/98 pulse 76, evening 128/79 pulse 80
18.03 BP 123/82 pulse 84 morning, middle of the day 134/89 pulse 85, evening 121/78 pulse 66
19.03 BP 121/79 pulse 76 morning, middle of the day 119/79 pulse 73, evening 129/85 pulse 77
20.03 BP 110/72 pulse 84

I have not got a good thermometer yet, so my temperatur is missing.
I have a little trouble with sleeping. Not much now, but I wake up too many times during the night.
Before I started taking Thyroid in the night, I used a too mall dose of Thyroid (2.25 grain). I use 2.75 grain now. It feels good, changing of mood: more positive thinking, a bigger wish to fight, not give up and see the hopelessness. It is a nice dope this T3 ha-ha! I feel warmer. I have more energy through the day and in in the evening. So my doctor was underdosing me. And I feel like an idiot who let him do it. I was looking for the reason of my fatigue everywhere else that in the most obvious place.

I was at 22.5 mg hydrocortison last week. yesterday I used 17.5 mg. I am a little afraid I went too fast. So today I will try 20 mg. I had two periods of dizziness through the day yesterday. For me the dizziness have to do with too low cortisol.

I also observe that I need several doses of Thyroid though the day. So I take Thyroid in the night, the next around 10-12 o'clock, and one around 14 and on in the evening.

The BP this morning is too low. Can you read anything out of that Paul?

110/72 is normal for many people. 148/98 isn't though - it is high. The BPs/pulses all look better now. Slow weaning of HC is very important - very slow. You will need a cortisol test at some point. One of my recent blogs shows how to use a saliva test for cortisol when still on HC. You need a thermometer!!!

[Vigdis]

I know, but I have to order thermometer from abroad. I do not think I can get that kind of thermometer in Norway.
I am going to ask my doctor tomorrow about a new cortisoltest.

I have seen your post about testing, I made a tread in this forum https://www.stofskifteforum.dk/showthread.php?t=14367. This is important for many of us!