The levels suggest that an increase
in synthroid and a decrease
in cytomel would be more physiologic. We usually use 5mcg
in am and 5mcg at 2-3pm if we use cytomel. So in your case, would consider a change to 75mcg of synthroid and 5mcg 2x/day of cytomel -- this would be more physiologic for the body. If you take oral iron, it must be separated by 3-4 hours from any thyroid med to avoid absorption problems of the thyroid med.