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Dr. Bob is Robert Hsiung, MD,
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Posted by michael on February 20, 2003, at 21:38:26
Just wondering if anyone has had a successful experience using Cytomel to augment an AD?
And if so, what AD? How much cytomel? How long until you noticed a difference? etc.
(tried it once - w/wellbutrin, I think - didn't seem to make a difference. thinking about trying it w/partial response to mirtazepine/remeron)
Thanks.
Michael
Posted by dennison on February 20, 2003, at 22:17:46
In reply to Cytomel - augmentation, posted by michael on February 20, 2003, at 21:38:26
Hi- yes I've used cytomel -T3-version thyroid. I've also used T4-version "synthroid" or "levoxyl". My experience is that to get a robust response a T3 & T4 combo is the route. I've used them singlely and in combination and the combo is where it's at. They have a T3-T4 combo called armour thyroid, you can use that or take cytomel & synthroid separately and simply add them together, which is what I actually do. The cytomel I use very very small amounts 5 micrograms,and I actually break that into halves and take divided doses. The T4-I add approx. 25 micrograms again in divided doses. I take the divided doses a few hrs. apart. I personally get a considerable boost in mood and energy, and I've been doing this probably 10 yrs. so it doesn't poopout. The cytomel works extemely fast in 30 mins but it last only a day at most, yes I know the half-life is a bit longer than that but as we know 1/2-life doesn't always correlate with the actual physiological and resultant behavior effect. The T-4 takes a couple hrs in my experience to start to manifest a effect. If you can only use the cytomel I"d recommend staying around 15>>25 microgram range. That might seem small but remember T3 has 4 times the potency of T4,though a much shorter 1/2 life and isn't really cumulative as T4 is. Good Luck -!!!
Posted by michael on February 20, 2003, at 23:27:39
In reply to Re: Cytomel - augmentation, posted by dennison on February 20, 2003, at 22:17:46
> Hi- yes I've used cytomel -T3-version thyroid. I've also used T4-version "synthroid" or "levoxyl". My experience is that to get a robust response a T3 & T4 combo is the route. I've used them singlely and in combination and the combo is where it's at. They have a T3-T4 combo called armour thyroid, you can use that or take cytomel & synthroid separately and simply add them together, which is what I actually do. The cytomel I use very very small amounts 5 micrograms,and I actually break that into halves and take divided doses. The T4-I add approx. 25 micrograms again in divided doses. I take the divided doses a few hrs. apart. I personally get a considerable boost in mood and energy, and I've been doing this probably 10 yrs. so it doesn't poopout. The cytomel works extemely fast in 30 mins but it last only a day at most, yes I know the half-life is a bit longer than that but as we know 1/2-life doesn't always correlate with the actual physiological and resultant behavior effect. The T-4 takes a couple hrs in my experience to start to manifest a effect. If you can only use the cytomel I"d recommend staying around 15>>25 microgram range. That might seem small but remember T3 has 4 times the potency of T4,though a much shorter 1/2 life and isn't really cumulative as T4 is. Good Luck -!!!
Dennison -
Thanks for your reply. 4 more Q's that I have, if you don't mind:
- can I ask what AD it is that you're augmenting?
- when you say that you notice the mood/energy effects of the T3 w/in 30 mins, was that from day 1, or was there a period of time time necessary to get to that point (as often is the case w/AD's)?
[As I noted in my orig post, I didn't notice anything in terms of augmentation of wellbutrin when I first tried augmenting w/ctyomel - don't remember how long exactly, but had to be at least a few weeks...]
I've got some Cytomel (T3) left over from my previous trial... 25mcg in the a.m. for a week, then 50mcg/a.m. are the directions with the script.
- from your description, it sounds as if the effects you get are similar to what one would expect/experience from augmenting w/a stimulant, such as ritalin or d-amphetamine...? - in that there seems to be a noticeable change in mood/energy shortly after taking the medication, except that the benefit seems to have a longer duration... Am I getting that right?
- would you say that the T3 alone was a noticeble difference for you... or would you say that you really needed to take both T3 &T4 to have a "noticeable" improvement?
Thanks again for your feedback - & I'm glad it works so well for you!
michael
This is the end of the thread.
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