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First thing I would address is her high RT3 and low T3.  Mine was at 28.1 after a bout with flu/sinus infection due to low iron/ferritin.   Maybe hers is low as well only blood testing can tell.  Cytomel can fix her elevated RT3.  Here are a couple of good links:

https://www.restartmed.com/reverse-t3/

https://stopthethyroidmadness.com/reverse-t3/

It was probably the worst I’ve felt since I had the flu many eons ago.  Tired, cold, wanted to nap, mental fog, just to name a few.  Good luck and keep us posted


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