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I take 150 mgs levoxyl and 10 mmgs cytomel. The levoxyl wasn't doing the job as far as symptoms are concerned, do the endocrinologist decided I wasn't converting the t4 to t3 properly.

Even withe the cytomel added in, I still have days when the old motor keeps misfiring. And, I have to be very careful to stay away from carbohydrates. I have gotten most of the thyroid weight gain off, but still have some to go.

I am enjoying the diet, that is the most important thing!!! No more carbohydrate cravings trying to get my energy level up!

Did you have Graves and residual myxedema from the radioactive iodine treatments or is your myxedema primary?

My endocrinologist here in Nashville much like the one I had in Miami tests usually only for TSH. The pituitary feedback hormone which if too high tells us that my thyroid supplment is low or if the TSH is low then my supplement is too high. I've yet to suffer the latter.

Plus they watch your weight and lipids and insulin etc. I don't think I've had my T3/T4/T7 tested in years. I feel ok...maybe it's because with the secondary post Graves myxedema I have that they don't worry about the T levels so much.

Oddly, Synthroid by Flint has some batch inconsitency at times and I can tell somewhat if that months supply is a bit weak or strong....like if I lose or gain weight for no apparent reason. I just live with it.

Funny....I was hyper for year before I knew when I got super thin 6'5"/180 pounds and my eyes started to bulge...BUT I felt great....lots of big energy and very very sharp and quick but needed lots of naps. Sex drive...off the charts..lol. Then I noticed my eyes and trembling hands and a bit of nervousness. I read up on my symptoms and talked to relatives and we figured that yep I had the family curse too (less in common in men) and I went to the endocrinologist. He put a piece of paper in my trembling hands, looked and my bulging eyes and gaunt figure and swore that if I didn't have Graves he's resign his license to practice..lol

Everything since after the second radio-iodine treatment has felt a but slower....you get used to being hyper and like it...I did. I was 32 or so when I first got diagnosed.

My little brother at the same age started the symptoms last year....I could see it right away and it took me about 6 months to get him to the doc. He now takes syntroid .125 after his first treatment knocked him out.

Good luck...it's a malady to be sure but they've come a long way with it.