I have never posted here before and I will try to tell you all what has gone on with me over the years. I started in 1990 following a hysterectomy with hyper thyroid symtoms. I was diagnoized with Graves disease. I was first put on PTU to bring me down to a normal or hypo level so that I could take the radioactive iodine. I was given one dose of the rad iodine and then 9 months later was still checking hyper in blood work so they gave me another dose of the rad iodine. After the second dose my bloodwork kept showing hyper thyroid but my body kept acting hypo. I could not get a doctor to listen to me over the years and still cannot seem to find one. I have gained so much weight that I am now like 80 pounds over weight. Since all this started I have literally gained 100 pounds. The doctor I have now only checks my TSH levels and this time he checked they were like 3.89........I do not feel good cannot loose the weight or anything else. My doctor tried to increase my meds and it took me to a hyper stage where I had the palpitations and such and I could not handle that. Right now he has me on synthroid breaking a 125 in half to come up with 62 1/2......since doing this my thyroid went from the 0.1 back up to 3.89. Does any one have any ideas as to what I can do to feel better and get this worked out where I feel good like I did before they starting playing with me 15 years ago????? Any help would be greatly appreciated... Thanks J. Rogers
I don't have graves, but am hypo with thyroid nodules....but my TSH was never higher than 1.7 which shows you can have hypo symptoms without elevated TSH! I gained 60 lbs and had a host of other hypo symptoms....I am on synthroid not 137 mcg and cytomel (t3) 10 mcg a day. I have lost 35 lbs and have had some improvement on some symptoms - I am not a doctor and don't know what to tell you except my own experience and that was to change doseages very slowly and carefully - when I started synthroid at 25 mcg, my TSH immediately when down to undetectable - and my T4 and T3 went up out of the range - but my doc monitored my BP and pulse rate etc...and kept me at each doseage for several weeks if not months. I started in Aug 03 at 25 mcg and was up to 150 in Jan 05. I had some anxiousness with each increase, but that was usually temporary - a week or two - however, heart palpitations are nothing to fool around with so always have that sort of thing checked out - I don't know if this helps any - maybe someone else can add their experience. I'm sorry for all you've been through and hope you will find help and feel better soon....
Hi and welcome! So sorry you are not feeling well. I, too come from Graves and RAI and am now under treatment for hypo and on Armour. Lots of good people on this board...hopefully between all of us we can help you figure this out! Many of us in the same boat (hopefully it is not sinking!)
First, your TSH is high, but you really need the FT4 and FT3 values to help you determine the best treatment...that and symptoms. Perhaps you could call around doctors in your area who treat thyroid problems (even some GYN do) and ask about how they treat from the nurse. You would want to hear that they also checked the free Ts and that they were open to other types of meds like Armour and T3 meds in case you need them.
However, even if he goes only by TSH the American Association of Clinical Endocrinologist are recommending a range of 0.3-2.5. Most people seem to feel best at 1 or even below.
Hyper symptoms of palpitation can be worrisome and bothersome. It is possible to experience transient hyper symptoms while getting adjusted to new dosing...for this period perhaps the doctor can give you a beta blocker for your heart until your body adjusts. Another way, since you may be a bit sensitive to increases but you may find that you just need to increase at a slower pace...go up very small bits at a time and hold for a couple of weeks and then try again. You might also want to discuss changing to a different brand of meds like Armour or another type of T4..there are several or adding Armour to what you have. There are many options. Well, hope this helps a bit!
Thanks for all the replies I have received here. I guess I need to see my family doctor again and ask him to refer me to an endo. I have been eating nothing but salads and slim fast for the last week and cannot drop an ounce. This is so frustrating. I just feel so tired. I feel best when I am around a 1. I never had the palpitations till all this started and have been on a mild beta blocker since this all started. I do not have them unless I start fluctuating with my levels. I know this 3.89 I am now is not good. lol Thanks so much for the help I will see if the doctor will do a complete thyroid panel and find out what all the levels are then let you know......J. Rogers