Mayo Clinic
mayoclinic.org › drugs-supplements › liothyronine-oral-route › description › drg-20069093
Liothyronine (oral route) - Side effects & dosage - Mayo Clinic
May 1, 2025 - The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
PubMed Central
pmc.ncbi.nlm.nih.gov › articles › PMC9330449
Optimized Replacement T4 and T4+T3 Dosing in Male and Female Hypothyroid Patients With Different BMIs Using a Personalized Mechanistic Model of Thyroid Hormone Regulation Dynamics - PMC
For validation, we compared our optimized predictions with previously published results on optimized LT4 monotherapies. We also optimized combination T3+T4 dosing and computed unmeasured residual thyroid function (RTF) across a wide range of BMIs from male and female patient data. Compared with 3 other dosing methods, the accuracy of p-THYROSIM optimized dosages for LT4 monotherapy was better overall (53% vs.
How much T3 are you guys on?
I take Levothyroxine 4 days 50mcg 3 days 37.5 mcg and 2.5mcg-5 mcg of Cytomel a day. Sounds complicated because it is. The closer I get to my period the less I can tolerate thyroid hormones without getting horrible insomnia, so this is where I've ended up after much trial and error. More on reddit.com
For those who added T3 to their Levo, what dosage did you land on?
Right now I’m on 112mcg levo and 10mcg lio and to be tested a week from now, been on this for three weeks down from 137mcg levo alone and I’m weak and tired and sleepy, but if I take the 10mcg at once and not split for a brief 1/2 hr I feel slightly less hypo. So I think I have ways to go and I hope my doctor raises my dose which will be a challenge since I had to twist her arm to even have T3 tested and then added. Good luck to you! More on reddit.com
Splitting T3/Cytomel Dose, how much/when?
What you are doing is good. See how you feel, do not rush adding more of this medication it is very very potent. I’m taking 7.5 now, 5 in am 2.5 around 2pm. I just lowered it from 10, which is was doing 5 @6am/2.5@11/2.5@3p. But I’m still working it out , like you said it’s very trial and error. If you have sleeping troubles many claim a small dose before bed helps them sleep, I cannot decide if it’s good for me yet seems to keep me awake… More on reddit.com
Anyone here taking t3?
I take a very very small dose of T3. T3 is not for weight loss, but here are the things that T3 does for me personally that helps me lose weight. I have more energy which allows me to exercise. Because I do not feel as hypo I eat less calories, which leads to some weight loss. Because my body has enough hormone it does not hold on to as much water, which leads to loss of water weight. All in my loss is less than 10 lbs. Substantial weight loss comes from eating and moving correctly which is easier to do when properly medicated. More on reddit.com
Drooracle
droracle.ai › articles › 150714 › what-is-the-recommended-starting-dose-of-liothyronine-t3
What is the recommended starting dose of liothyronine (T3) for adults with hypothyroidism?
June 5, 2025 - Medical ProfessionalStudent / TraineeNon‑Medical · The dosage of thyroid hormones is determined by the indication and must in every case be individualized according to patient response and laboratory findings. Mild Hypothyroidism Recommended starting dosage is 25 mcg daily. The recommended ...
Pfizer
labeling.pfizer.com › showlabeling.aspx
warning: not for treatment of obesity or for weight loss
Serum TSH is not a reliable measure of CYTOMEL dose adequacy in patients with secondary or tertiary hypothyroidism and should not be used to monitor therapy. Use the serum T3 level to monitor adequacy of therapy in this patient population. ... The recommended starting dosage is 5 mcg once daily, ...
PubMed Central
pmc.ncbi.nlm.nih.gov › articles › PMC5167556
Single Dose T3 Administration: Kinetics and Effects on Biochemical and Physiologic Parameters - PMC
Other limitations of our study, other than the lack of a control group, include the supraphysiologic dose of T3 that was administered, and the small, group of participants we studied who were heterogeneous with respect to sex and ethnicity. In addition our healthy volunteers were mostly young males, which contrasts to the typical population requiring treatment for hypothyroidism, which is mostly a middle aged female population.
Good Hormone Health
goodhormonehealth.com › t3-daily-dosage
Treatment Options for Hypothyroidism | Good Hormone Health
January 14, 2025 - Many providers who are not experts on proper prescribing of T3 or DTE overlook this. To overcome this problem, the T3, or the desiccated thyroid, needs to be given twice a day. The second dose is given in the mid-to-late afternoon so that the T3 will be around in the evening, and some of it will still be around in the next morning in time for the next dose.
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NP Thyroid
npthyroid.com › for-practitioners › dosage-administration
Dosage & Administration | NP Thyroid® (thyroid tablets, USP)
The appearance of angina is an indication for a reduction in dosage. Most patients require 60 to 120 mg/day. Failure to respond to doses of 180 mg suggests lack of compliance or malabsorption. Maintenance dosages 60 to 120 mg/day usually result in normal serum levothyroxine (T4) and liothyronine ...
Medscape
emedicine.medscape.com › tools & reference › endocrinology
Hypothyroidism Treatment & Management: Approach Considerations, Hypothyroidism in Pregnancy, Subclinical Hypothyroidism
Dose adjustments should be made upon significant changes in body weight, with aging, and with pregnancy; TSH assessment should be performed 4-6 weeks after any dosage change · Reference ranges of serum TSH levels are higher in older populations (eg, >65 years), so higher serum TSH targets may be appropriate; as per the ATA, target serum TSH may be raised to 4-6 mIU/L in patients aged 70-80 years · A meta-analysis of randomized, controlled trials of T4-T3 combination therapy versus T4 monotherapy for treatment of clinical hypothyroidism found no difference in effectiveness between combination therapy and monotherapy with respect to side effects such as bodily pain, depression, fatigue, body weight, anxiety, quality of life, and total LDL and HDL cholesterol and triglyceride levels.
NHS Scotland
rightdecisions.scot.nhs.uk › media › 2632 › 889-liothyronine.pdf pdf
Liothyronine (T3) in combination with levothyroxine (T4) for ...
December 31, 2023 - A reduction in T4 dose will be required when T3 is commenced and, ideally, this requires an individualised · approach. Typically, for every 10 micrograms T3, the T4 dose should be reduced by 25-50 micrograms.
WebMD
webmd.com › drugs & medications › liothyronine (cytomel)
Liothyronine (Cytomel) - Uses, Side Effects, and More
Liothyronine may also be used for other conditions as determined by your health care provider. Liothyronine, also known as T3, provides a source of thyroid hormone in people who may not make enough on their own. Liothyronine may also be used for thyroid cancer.
Reddit
reddit.com › r/hypothyroidism › how much t3 are you guys on?
r/Hypothyroidism on Reddit: How much T3 are you guys on?
November 29, 2024 -
For anyone doing combined T4/T3 therapy like me- how much T3 are you taking? And has it made a difference?
Background: I have no thyroid and the only thing that works for me historically is combined therapy. Right now I'm Synthroid 112 and Cytomel 10, but it probably isn't enough. I am an interesting case of needing a lot of hormones.
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I take Levothyroxine 4 days 50mcg 3 days 37.5 mcg and 2.5mcg-5 mcg of Cytomel a day. Sounds complicated because it is. The closer I get to my period the less I can tolerate thyroid hormones without getting horrible insomnia, so this is where I've ended up after much trial and error.
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Currently taking a total of 20mcg T3 + 100mcg T4 (1 tablet Euthyral) that I divide into 3 doses. But it is not working for me. I still feel so tired and cold. Whenever I try to increase the dose, I feel my heart pounding in my chest and palpitations while still being tired and cold. I’m curious to hear about the dosage and ratio that worked for others on combination therapy.
FDA
accessdata.fda.gov › drugsatfda_docs › label › 2018 › 010379s054lbl.pdf pdf
HIGHLIGHTS OF PRESCRIBING INFORMATION
For elderly patients or patients with underlying cardiac disease, start with CYTOMEL 5 mcg once daily and increase by 5 mcg ... Serum TSH is not a reliable measure of CYTOMEL dose adequacy in patients with secondary or tertiary hypothyroidism and · should not be used to monitor therapy.
American Thyroid Association
thyroid.org › home › thyroid hormone treatment
Thyroid Hormone Treatment | American Thyroid Association
December 20, 2021 - T3 has a very short life span in the body, while the life span of T4 is much longer, ensuring a steady supply. A preparation of synthetic T3 (Cytomel®) is available. After taking a tablet of Cytomel® there are very high levels of T3 for a short time, and then the levels decrease very rapidly in the bloodstream.
Society for Endocrinology
endocrinology.org › endocrinologist › 125-autumn17 › features › liothyronine-l-t3-treatment-in-hypothyroidism
Liothyronine (L-T3) Treatment in hypothyroidism | Society for Endocrinology
In patients where it is agreed to switch from combined L-T3 and L-T4 treatment or from L-T3 monotherapy to L-T4 monotherapy, the transition should be made cautiously and gradually, aiming to avoid under- or overreplacement with thyroid hormones. The final L-T4 requirement is likely to be around 1.6µg/kg. Any information about previous L-T4 dosage that achieved a serum TSH within the reference range will be a useful guide that predicts the individual requirement.
Endocrinology and Metabolism
e-enm.org › journal › view.php
T4+T3 Combination Therapy: An Unsolved Problem of Increasing Magnitude and Complexity
September 30, 2021 - Some physicians just replace part of the usual T4 dose by T3 at a substitution ratio of 3:1 (e.g., 25 μg of T4 is replaced by 7.5 μg of T3) [80]. A daily dose of 150 μg of T4 during monotherapy would thus be transferred into 125 μg of T4+7.5 μg of T3 during combination therapy (i.e., a ...