Latest Update:
Find a Top-Notch Expert
Optimal Synthroid / Cytomel Combination
LIVE WELL WITH THYROID DISEASE: YOUR STARTING POINT
With conventional and alternative information on diagnosis and treatment, it's the only truly patient-oriented empowerment manual that covers all facets of hypothyroidism, from pregnancy, to weight loss, to thyroid cancer. Find out more now! | ||||
QUESTION
Is taking Synthroid 175 mcg plus Cytomel 5 mcg the same as taking Synthroid 150 mcg plus Cytomel 10 mcg? Which combination should make you have more energy and/or affect your TSH?
DRS. RICHARD AND KARILEE SHAMES ANSWER
Thank you for this question about the dosages of the T3-T4 combo. The
numerical equivalent of T3 (cytomel) to T4 (Synthroid or other
synthetic/generic thyroxine) is not always what is important. The two dosages
that you mentioned are roughly equivalent but some people would do better on
the former, and some on the latter. It is very individualized how much T3 vs
T4 any one person finds optimal. This is all monitored using trial and error,
blood tests, and basal temperature.
One's best energy and best healing can occur at a wide variety of possible
combinations, depending on your body's individual needs and how you respond
to these different hormones. For this reason, we feel that the art of
medicine is reflected in your practitioner's ability to help you navigate
carefully. There is no general rule of thumb. We have seen people who do very
well with a smaller amount of Cytomel with the amounts of Synthroid you
mentioned. We have seen others do better with a much higher amount of
Cytomel.
As we've often said, "the proof is in the patient". (August, 2002)
Dr. Richard Shames has practiced for over 30 years, written and lectured widely on thyroid-related topics, and is considered an expert in the field. He practices in San Rafael, CA. Karilee Shames has been an assistant professor of nursing, and has led thyroid support groups for many years. In addition to writing their popular book, Thyroid Power, they are regular contributors to Thyroid-Info.com, and provide a service offering thyroid coaching education sessions to consumers nationwide by telephone. For more information, see their site, www.Thyroidpower.com.
All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. You should seek prompt medical care for any specific health issues and consult your physician or health practitioner before starting a new fitness regimen. Please see our full disclaimer.