re cytomel. That raises thyroid T3 level. My daughter indeed needs higher levels of both T3 and T4. She needed both anyway, and now takes Armour Thyroid. The key though, FOR HER, was that the ranges needed to be in the high end of normal rather than the low end. Even so, this was not enough. (This may interest you Here)
Provigil (now she takes Nuvigil): This has been critical to her survival in college. Some teachers insist the student’s body is in class even if the mind is not. Since college classes are mostly just 50 minutes, we managed to get her stumbling in to her seat even during sleep episodes (sometimes). She would double up on dosage and go back to sleep for another hour and then there was the start of getting her up and out. She couldn’t even walk without assistance. BUT, without the med, there was no hope at all.
We THINK (not sure) that the Provigil did help in general, but she can sleep through even maximum dosage. I know someone else who tried 1/8 of my daughter’s dose and she felt anxiety and like her head would explode.
We do know that since getting her thyroid levels up, and being on Nuvigil, she is not having sleep episodes, but there have been other changes - dietary, hormonal, food supplements - and of course, it may be coincidental. She is older (23) now. Might that be a reason? We cannot be sure.