I can't help but be impressed with all of the different meds that you've cycled through to get to the root of your issues.He ended up coming off everything after playing around with MAO inhibitors like I am and attributed all his issues to stress and a bad cutting cycle when he was a kid. He also tried to take down everything he wrote in most places as I recall, presumably to avoid leading people down the rabbit hole he fell down and for legal reasons. Everyone should always exercise a lot of caution when reading the accounts of others doing a bunch of things as we’re all different and learning when it comes to this.
Having played around with everything and more than most people can get access to, at least in my case I got a lot of the same benefits as being on T4 + cortisone as I did when simply doing a low carb diet, and being potentially ketogenic some of the time. In my case I couldn’t keep doing that, however, because it lowered my T3 too much and made some debilitating gut issues a lot worse and ruined my already poor sleep at the time. Sleep now is great, though depending on my thyroid and diet I might be a little too tired in the morning. Originally my experience with T4 and cortisone made me think the cortisone caused some massive issues but I found out much later that it was something else.
Right now I’m actually trying to go down on T3 again and get by with just T4 and go lower carb again. Lower carb and higher fat seems to up dopamine levels, and since that’s my general trend that I’m going for, I want to see if I can make it work now that some of my gut issues are healed. I also want to do it because T3 ruins my already ruined glycogen retention as I’m really sensitive to it, and carbs in general require a lot of hydration that my body sucks at after finasteride. Carbs using up water to process is probably why they bring so much water into the body, but I suck at that right now. If I eat more without T3, I get dehydration marks on my face and my skin gets really dry and bad.
Cortisone and T4 together raised my fasting insulin without lowering my cortisol, which for me is good, and I’m trying to see if I can do that with T4 and adrenal glandulars as just the cortex didn’t really work well for me. Even on T4 and T3 with the whole glandular my glycogen retention starts shooting up and my A1C is more normal, before having been too low. Last time it was 5.1, which for me is probably the highest it’s ever been. Pregnenolone didn’t help my A1C at all and I still had a low 3’s A1C on it back in February. My experience being on levothyroxine and even just a little bit of the lowest dose of Pure brand Adrenal Glandular was similar to being on a low dose of cortisone with levothyroxine in a way that built up day over day. It’s not from the aldosterone in it as fludrocortisone actually makes things for me a lot worse, especially if I eat potassium as it just shoots it out of my body. There is likely dopamine in the glandular but for me and the other issues it helps with, it might be that it has cortisone in there, or that I’m able to deactive the cortisol in it in a way that my body can’t do with hydrocortisone. Or something completely different I’ll learn years later if ever, but that’s where I’m at.
It also helps me tolerate DHEA, which competes with cortisol. I dropped it because it helped with some things but mine is really low despite all the preg and HCG, and I do like the mental benefits I got from 50mg a day in the morning, so I’m also back on that.
The adrenal glandular also gives me a normal person’s body odor, which cortisone was one of the only other things that allowed that. Without that even if I can get myself to sweat there’s no odor. Sounds weird as a positive outcome but I’m always happy with anything that brings me closer to being human again.
I'm also jealous of your A1C. Even when I was doing very low carb, the lowest I got down to was 5.5. And I am a very lean person, clocking in at 8.8% body fat on one of those "In Body" machines. I did low carb for over 2 years. I have since gone more moderate carb, and my A1C is up to 5.7. I'd like to see it down to 5.3 or 5.4 at most. But I have done about all I know to do and nothing got me down that low. If I could tolerate Metformin I would take that. Sadly Met does not agree with my gut at all.