It's all a bit confusing really, what's going on with me. I'm definitely not symptom-free but I am a LOT better (overall) than I was last summer, before starting thyroid meds. I did also notice a huge improvement in symptoms when I first began T3 and when I first began T4. I didn't retain that improvement totally, but the fact that what I did affected the symptoms I had, was enough of an indication for me to think that thyroid is somehow behind this.... (I've tried so much else - B12 shots, iron infusion etc - and nothing else has 'influenced' the symptoms at all. So I feel like I'm mucking around with the right things when it begins to do something, even if it's not very clear yet what is going on.)
My symptoms, by the way are:
Inner tremors, worse at night - can just be a buzzing or fizzing in my feet when minimal, when at max my whole body feels like it's shaking the bed
Heart beating hard (can see aortic pulse in my chest, hear it in my ear) and faster than usual (resting pulse can be 95bpm, taken just after being woken from sleep)
Hypnic jerks as I start to fall asleep (either my body jerks or my mind startles and I feel totally awake suddenly) - until I just stop being able to fall asleep
Insomnia from all the above, resulting in sometimes 3 hours light sleep...
So they are really neurological symptoms which happen mainly at night...
I am thinking it's not just about estrogen or just about thyroid, but about some kind of interaction between them and both need to be optimal. I'm currently on 6 pumps of gel but that only gives me 334pmol so I might be changing to Sandrena in the next couple of months. (I've got my Newson follow up at the start of March.) I'd like to try getting estrogen to 400-600pmol and seeing what that does to symptoms.
And with thyroid, I never really had energy problems or fatigue. Even when I couldn't sleep I was so wired-but-tired during the day, I was just pumped with adrenaline. My metabolism is definitely faster and I can eat more than the ridiculously small amount I could eat before.
My T3 is actually slightly low, because if you're on only T3 or mainly T3 then you need it right at the very top of the range if not slightly over - and mine isn't there yet. But if my rT3 shows that I can convert T4 when I finally get the result this week, then I will try to increase T4 instead of T3. I also will have zero understanding of why my body can do that but couldn't convert my own T4...