This is patient-specific information and should only be followed depending on the individual instructions given to you by the physician.
"PATH A" Scenario:
One year post surgery and radioactive iodine treatment, ready for whole body scan (WBS) after withdrawal, but we want to use Cytomel as a bridge
Preparation during clinic visit for "Path A"
a. Instructions to stay off synthroid
c. Printed cytomel (liothyronine). dosing instructions
d. Call backs dates
e. Lab slips (pre-treatment labs only). Where to go for labs.
f. Thyroid Nuclear Whole Body Scan order email to Baylor
g. Schedule FU appt
Proper steps to complete Path A:
STOP Synthroid and BEGIN Cytomel (liothyronine) twice per day for the next 30 days
STOP Cytomel on DATE______
START "low iodine diet" to the best of your ability for the two weeks prior to treatment (See our website for detailed instructions)
Do blood work at Labcorp 2 weeks you have stopped Cytomel (liothyronine) on DATE ___ . Call our office to tell the Thyroid Nuclear Coordinator you have completed this blood work.
Call ahead to schedule Thyroid Nuclear Whole Body Scan at 6620 Main Street DATES____ 713 798 2300
Come back to see the doctor 2-3 days after scan. Don’t re-start synthroid until the office visit since a decision may be needed for another radioactive iodine treatment and you would need to be off thyroid hormone for 3 weeks.