WOW=went on Cytomel 6 days ago and lost 4 pounds
T3 is a hormone produced by the thyroid. Cytomel is a drug used to treat hypothyroidism.
I take it periodically for Hashi's.
Cytomel is a drug used in addition to Synthroid to treat hypothroid. Your thryoid consists of T3 and T4. Synthroid is just T4 and the thyroid is supposed to convert T4 to T3 but in some people this doesn't happen and you have to supplement with extra T3 - cytomel. I have been on Synthroid for 8 years and did fine until the past couple of months things changed. I am not sure if it has anything to do with the surgery or the weight loss but now a year after surgery, I need more thyroid medication.
So I'm curious. I'm feeling tired and worn down but my levels are actually low, so my doc pulled back my Synthroid from 200 to 150mcg. I'm still tired and worn down, naturally, so how'd you know that your thyroid wasn't converting T4 to T3. What does that look like on the blood work? I'm supposed to get myself retested in a week or so now that I've been on 150 for almost a month to see if I'm leveled off, and I'd like to have this information to share with my endo. It sounds like I may have options here.

I weighed 313 pounds on December 1, 2008 the day of my RNY surgery and have lost 81%
of my excess body weight to-date. Current as of November 1, 2009
OH Mini-Challenge Goal for New Year's Day is 170 pounds. 11 pounds to go!
You said your levels were low and your Endo lowered your dose - how low were they? How is your T3? On my last TSH my TSH was low but I also have Pituitary insufficiency and that causes my pituitary to not be able to make TSH, so a low TSH on me is still considered hypothyroid.
many lab numbers are very outdated as well as some doctors. Some labs say a normal range can be upp to 5.95 for tsh range. Insane. The assoc of endocrinologist changed the normal range in 2001 to 0.3-3.1.....I feel best at 2.1-2.5.....but now that armour is off the market I need to talk my PCP into starting me on a bit of cytomel.