Allycat, remind me how much Cytomel you are currently taking, how you are taking it (swallowing, sublingually, bucally), and in how many doses.
Dr. Wilson has you track your average daily temps. You start 3 hours after waking, and then every 3 hours after that, for a total of 3 readings, and average them together.
My doctor has used Dr. Wilson's T3 protocol on difficult patients with a lot of success. Until I learned that VLC increases my temperature, he was considering having me try it. I still may do it in the future, depending on how my labs look at my increased dose of Armour.
Wilson's temperature syndrome is an issue of your body getting stuck in reverse T3-making mode. When your body has T4 in it (either from your own thyroid, or from T4 meds or Armour), it can either turn this T4 into metabolically active T3 or if it can't handle it, it will turn it into reverse-T3. If it gets stuck in this mode, increasing Armour or T4 meds will only make you feel worse, b/c all the T4 gets turned into RT3. This may be why Allycat does so well on T3-only. Have you done the whole Wilson's protocol before?
I have only had my reverse T3 measured once, at my lowered dose of 2 grains of Armour this summer. My reverse T3 was in the lower part of the range, so this didn't appear to be my problem, at least not at that time, and not at that dose. My doctor will be retesting my RT3 levels at my increased dose of 2.5 grains in the next few months.
Since I do not feel optimal at 2 grains, and if my RT3 levels are elevated at 2.5 grains (with a relatively low level of free T3), I may consider doing Wilson's protocol at that time. What Wilson's does is clear out all T4 from your body, making it impossible to make RT3. You only take T3 meds.
My doctor says that after you do this, some of his patients are "cured" and no longer need thyroid hormone. Those that do, he'll put back on Armour, but they'll typically need a much smaller dose.
Interestingly, this condition apparently has a ethnic component, as it is more common in people of backgrounds that involved famines, such as in Irish. I'm Irish, my ancestors came over here during the potato famine. Lynne, I'm betting you are Irish too
At Wilson's website, there is a very interesting and comprehensive free e-book that you can download all about Wilson's temperature syndrome. It's highly controversial and dismissed by most docs as voodoo, but my doc has had good success with it, in rare patients who need it.
I should actually go back and reread it again. I remember he discusses that one of the symptoms of it is hypoglycemia, which I battle, even on VLC, though it is diminished. Wilson's protocol gives me hope that, if it is my problem, that not only may it help me lose weight and feel better, but it may allow me to be better able to handle carbohydrates as well?