Monthly Archives: April 2011

Suzi’s Amazing Blood Pressure Response to Cytomel (t3)


Suzi has hypothyroidism and high blood pressure. She sends the following story describing how t3 treatment appeared to help normalize her blood pressure. This is the first time I have come across this effect and thought it would be helpful to share her story on the main blog. Does anyone else have a similar (or contradictory) experience?

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Hi Dr. Pepper,

I was diagnosed hypothyroid 2 years ago and given levothyroxine. On diagnosis I had lots of symptoms and my BP was 175/115 despite my whole family having low BP. After some months on T4 I did feel an improvement in a lot of ways and my BP got better. Then after a year, things started going wrong, as if my body didn’t like T4.

I tried reducing my dose of T4 back down to 75µg but went hypo. But each time I increased above 75µg my BP increased again, then on 112µg it became a serious problem, especially the diastolic. I still had fatigue, constipation, red eyes, swollen legs and so on.

About 3 weeks ago I started on 10µg T3 and reduced my T4 from 112 to 75µg and pretty much immediately felt clearer headed and more energy, the constipation went etc….. My BP has gone down by an average of 20, which I know because I check it regularly myself. I’m doing a 24-hour BP monitor this week too, because my doctor put me on Amlopidine 6 weeks ago after being shocked by the monitor results from then while on 112µg T4 (only took Amlopidine for 2 weeks after terrible side-effects incl. overwhelming fatigue and massively swollen legs).

So, it looks as though my body goes weird on T4 tablets when the dose is above 75µg, but if I stuck to that dose I’d be really hypothyroid. The T3 has changed my life completely!!

Now I’m wondering what the ideal balance T4 / T3 tablets would be? Is that possible to say or does it depend on each individual body and genetics? My typical BP now is around 120/ 95; it goes down after eating, and gets worse when I’m hungry or tired. The T3 reduced my BP so much more than the Amlopidine did, and on T3 I feel great whereas on Amlopidine I felt half dead. I’d like to get my BP back to before I got hypo, so that’d be 110/70.

All I need to do now is find my ideal dose of T4 and T3, could you possibly advise me on that? If I started 20µg T3 instead of 10µg, would you advise a reduction in T4 from 75µg? ( I’ll be doing a TSH, fT3 and fT4 test in about 5 weeks’ time, maybe I should wait till then?).

Thank you so much!

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How Greg Stopped Smoking and Overcame His Weight Gain Issues


In this emotional blog posted to metabolism.com, Greg (from Tampa) shares insights from his personal struggle to stop smoking and deal with the weight fluctuations that accompanied those efforts. Not everyone can achieve this kind of success but, according to Greg, by keeping your eye on the prize you can get through the worst of it.

Greg writes:

I hope what I am about to write will be an inspiration for those who are truly serious about quitting AND losing weight. I have now been almost five months without a cigarette (the longest I have EVER lasted) and unlike every other time I tried quitting, this time I FEEL its for good. Truthfully, no temptations other than a quick subconscious glance (like noticing cleavage on a woman)!

Every time I quit in the past, I gained at least five pounds, then lost it as soon as I started smoking again. This time I tried a different strategy overall and it has made a world of difference. Instead of making my goal “quitting smoking and holding weight”, I made my goal far more ambitious: “quitting smoking and losing weight..gaining muscle, and looking 100% better overall.”

I am now 42. About ten years ago (while I was still smoking), before I met my wife, I lost about 20 lbs (and 12% bodyfat) in four months by simply using a bodybuilder’s type workout (3-5 set pyramid, every five days upper body and lower alternating), light-medium cardio two to three days per week, plus eating on the “Zone Diet” (40 Protein/40 Carb/20 Fat) and five time per day. The results were so dramatic and so fast that one of my teachers at college thought I was sick or on drugs.

When I quit smoking in October, I started the same routine. At first, my goal was to hold weight only…not to gain. But now, four and a half months later, I went from 200 lbs to 184 lbs and over 29% bodyfat to under 22% bodyfat. Now that’s not nearly as dramatic as the last transformation when I was 32 and smoking, but hell, at 42 and no longer smoking I am beating the monster and looking and feeling better every day.

Truth be told, if I was smoking and my metabolism was up, I’d probably be losing faster. But who cares, the fact is I’m clean of smokes and feeling and looking better than I did this time last year.

This isn’t a pitch for supplements, a workout program, or any other BS. I am just saying, if you truly want to quit AND lose weight, it is possible even at 42. Just be smart about it AND totally committed. I think this time what made the big diffrence was making my mind up that I will settle for nothing less. Now, four and a half months into my quit, my goal is 170 lbs and 12% bodyfat. F#@k smoking! F$#k gaining weight! I want to breathe a full breath of air and see a six pack of abs in the mirror!

Anyone who tells you that gaining weight is the price of quitting is lying or, more likely, just doesn’t know otherwise yet. Keep the faith!

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