Originally Posted by
Vettester
Therapeutic dosages tend to range from 12.5mcg to 25mcg/day, and up to 50mcg (dependent on assay results), but like anything, starting out should be small (5mcg) and titrate up to the optimal dosage suggested by a physician. Keep in mind, women facing peri-menopausal and post menopausal symptoms will tend to have other conditions with the adrenals and iron/ferritin, which needs to factored before supplementing T3, or any natural desiccated thyroid medication. Various conditions like pooling seem to exist more in women in the peri/post meno stages, usually due to a iron deficiency and cortisol imbalance. As mentioned, supplementing products like iron at the same time with T3 can render its efficacy. A lot of female BHRT doctors will split up the dosages 2x day, 1st dose at the time of rising. Iron and B12 supplements could be at lunch time.
Labs will be crucial, and with women, I can't stress the Iron/Ferritin and Adrenal (cortisol saliva, DHEA, ..), and proper thyroid labs -FT4, FT3, RT3, Thyroid Antibodies. If a physician just goes by TSH, time to move on. To really determine what a patient NEEDS, they need to rule out Hashis, Graves, etc., and/or other possible pathologies that might be loosely related, but causing inflammation that are directly effecting these glands and the function thereof.
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