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Old 05-12-2008, 07:11 AM   #1
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Exclamation Thyroid Care and Concerns Around the World - Week 5!

Alright, instead of being lazy and rolling week 5 into week 3.. like I did week 4.. *smacks the back of my hand* Bad MG. Here is the continuation of my thread series for all to join in and participate!

First things first:
My relevant Threads Summary:


Week 3 and 4 of my Thyroid care and concerns thread series:
[url]http://www.healthboards.com/boards/showthread.php?t=599141[/url]

This thread has a lot of discussion on the mental(cognitive), genetic probabilities, and physical effects (cardiological and pulmonary to name a few) of thyroid disorders. Look into it if you are interested.

Week 2 of my Thyroid care and concerns thread series:
[url]http://www.healthboards.com/boards/showthread.php?t=597479[/url]

This thread is jam packed with information on my ideas and opinion of what optimal and basic thyroid care should be.. accuracy of testing.. necessity of testing.. TSH suppression.. TPOAb and TSI effects and mechanisms.. Latest TSH range.. change in 2006 to 0.3-2.5! It is a lot of good stuff. It is a must read for all you getting started and questioning, “Am I getting the care I deserve?” For most the answer is “NO, I am not!”

Week 1 of my thyroid care and concerns series..
[url]http://www.healthboards.com/boards/showthread.php?t=595898[/url]

you can read a bit about me and my story.. it continues on in the following weeks.. as well as others. It also goes into why I feel and will keep up with these weekly threads as long as I am permitted.

Here is a thread that I am trying to get people to post there good and bad Mds on. It is nice to have personal referrals and experience talking on Mds and their level of care.. a degree is just a piece of paper that allows you to write a prescription, experience and actual care and commitment vary greatly from MD to MD.
[url]http://www.healthboards.com/boards/showthread.php?t=592743[/url]

My search and adrenal insufficiency discovery, questions and research are detailed in these threads for those interested and curious:
[url]http://www.healthboards.com/boards/showthread.php?t=590339[/url]
[url]http://www.healthboards.com/boards/showthread.php?t=585294[/url]

This is just one in a series of facts dealing with being pregnant and hypoT or having Hashimoto's. If you are of childbearing age and want to have children in the future I feel this is a must read.
[url]http://www.healthboards.com/boards/showthread.php?t=585150[/url]
It took three Obs, a MFM, Neurologist, and an Endo to get these facts. I hope they help you all out.

Sleep apnea and misdiagnosis threads:
[url]http://www.healthboards.com/boards/showthread.php?t=491421[/url]
[url]http://www.healthboards.com/boards/showthread.php?t=485553[/url]
These have a list of symptoms and questions you can ask your self that will help you determine if you may have a sleep disorder as a bonus to your thyroid issues. Sleep disorders and thyroid issues do go hand in hand. They are very similar one is tailored to ADHD miss diagnosis the other a general please look into this for the sake of your children tone.

This is my interpretation and sharing of the must follow at all cost sleep hygiene guide my sleep specialist gave me. If you are having sleep issues this is a good thread to read and see if it is habit versus anatomy.
[url]http://www.healthboards.com/boards/showthread.php?t=486943[/url]

Whew! That was long enough.. now imagine if I rewrote it all to start off each thread! I hope that you all will join me for Week 5 and together we can learn even more about ourselves and treatment options.

Sincerely,
MG
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Old 05-12-2008, 10:44 PM   #2
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Re: Thyroid Care and Concerns Around the World - Week 5!

OK MKG-Ready set go and blast off to week 5! Do we have a topic? or is it a general free for all? Please let us know the game plan for week 5. Until you let us know the focus, --I wanted to update you on the TT saga from this side.
I dropped off the spread sheet with the endo that had my tsh, free t3 and free t4 and antibodies as well as other stuff she is watching like pth , vit d, serum calcium. But the biggie is the tsh and totally vacillating levels between 6.8 and 0.18 during the last 12 months of hashi's hell while being treated and tested on a very regular basis.Again I don't think docs do the spread sheet so they can lose the big focus on what is happening and just see the latest results. I indicated in my cover sheet to the spread sheet that the fluctuating is taking its toll on me and that it seems we are failing to stabilize levels . I asked if graves antibodies could be tested and was told my fluctuating levels are due to stress and the tpo antibodies. I don't know why she didn't just say due to the antibodies. But anyway, I think I clearly expressed that I am coming to the limit. First yr. of treatment was more steady but second yr. fell to pieces. I see my pcp to go over this , in a few days and I know she will loop in with both the endo and the ent. And, then in 2 wks I will see the ent. Again, if it was just fluxing levels that would be one intolerable thing but the 7 nodules (2-8mm) and 3cm hashi reactive lymph node and I have hit my limit. Sure cancer would be worse , and I feel for those with cancer -that is so hard. But, I can't take this roller coaster, it erodes my sense of well being and really does a job on my emotional stablity.I got my TPo ab today-1100. and TG antibodies 48 (not bad there)
My question of the day is-given the above MESS---
I am assuming that when thyroid is gone ,that stabilization will come easier RIGHT or WRONG? She says stress is playing a role here in instability of the tsh-but how can you have a life without stress-I don't think it happens. So, given normal stresses, and a relatively high strung person, still wouldn't getting thyroid out and the TPO's not having a thyroid to destroy be better?
Can you explain again how even if you are hypo, when the tpo's do their work you can feel hyper/anxious-I believe you said as they destroy the thyroid tissue T4 is released in spurts into the system giving you surges--Did I get that right?? So , then with TT, that would no longer be happening . Right? And, that should feel better.
Waiting for next installment in your TT saga-what's next on your end?

 
Old 05-13-2008, 04:41 AM   #3
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Re: Thyroid Care and Concerns Around the World - Week 5!

Osteoblast - you really are on top of things!! I'm still getting used to all the abbreviations and thyroid 'language' and also wondering whether the T3 Thyronine medication i'm taking is ok to take along side iron. My doctor beleives it's ok to take close together and the iron wont make the Thyronine any less effective. He only said to take the Thyronine 15 - 30 mins prior to eating so it has time to do it's stuff. It's just that i'm taking the Thyronine, cortisol and the enzymes and then at work i forget to take the iron at some point inbetween times and i don't want my ferretin dropping again.

MG - Week 5 already, where has the time gone!! I'm intrigued about the sleep issues mentioned at the end of your starting thread.

I don't have sleep apnea, but i always appear to wake 4 hours after first falling asleep, no matter what time i go to bed. If i need to visit the toilet i'm not allowed to turn any lights on or i'll never get back to sleep. I used to sleep the whole night through or even if i did wake i'd fall asleep soon after without dramas. Then i began noticing that i would have 'phases' of good sleep nights for about 4 or 5 weeks approx, then i'll have 1 or 2 weeks of disturbed sleep, bad quality, torturous sleep which ended up leading to nights of waking, feeling tired, yet a sort of restless energy running through my legs. In the end i'd get out of bed in the dark, walk to the kitchen and back and then i could fall asleep, as though i'd walked off someof the energy. Maybe it was my cortisol levels activating at night or perhaps the thyroid causing the disturbance. At any rate it was a resonable pattern of approx 4 weeks good sleep, then a week or so of bad, then back to good. At least i knew the cycles and virtually could time their coming.

Now.............since starting all these meds, i don't have such distinct cycles. Instead i'll have random nights of decent-ish sleep or i'll have decent sleep and wake one and a half hours too early and not be able to fall back asleep and interspersed in amongst decent-ish sleep nights i'll have nights of simply crap sleep. I'll fall asleep reasonably well, but after waking during the night i'll simply be torturing myself.

Last night i had good sleep and today i felt great, really alert, eyes felt clear and i felt good. Another night i can have good sleep yet feel groggy and lethargic the next day, like i need a nap. 2 mornings ago i nearly called in sick and didn't go to work, but ended up feeling half ok at the very last minute so went in to work. The mornings are the worst and i need more time than i used to need to get myself organised for work. Simply packing a few food items to take for lunch, which you would think was simple, in the end appears more like rocket science and i find i can't decide what i'm supposed to take.

Am wondering whether i should start a chart to see whether a pattern occurs over the months, but then again it could all be random and then a waste of time.

For the record i still haven't gotten my HUGE appetite back since beginning my meds. I was eating a lot more before. I wonder what's going on in that department. I figure it's either the Thyronine or the cortisol as i didn't begin taking the enzymes till a few days laterf and the "not hungry" feeling had already set in. I wake up in the morning and my stomach turns at the thought of forcing a piece of toast down my throat. At morning tea i manage a banana and i drink a cup of sustagen powder mixed half with milk and half hot water. By lunch it gets a bit better and i can manage a small lunch. I'm not hungry in the afternoons anymore and i eat a normal dinner, no more big dinners. The thing is i believe i've lost a little weight around my middle, but i can't afford to lose a big amount of weight. My mind used to revolve around food before and now it's something i 'have' to do. Not sure what's going on here.

 
Old 05-13-2008, 07:01 AM   #4
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Re: Thyroid Care and Concerns Around the World - Week 5!

UGH! For the record since you brought up a good question, nope no specific theme other than thyroid and endocrine dysfunction -r- us this week. I tend to run with what I see and what is of interest to me and others.

So Audrey here is some general T4 and T3 medication facts:
Taking T4 and any mineral (Iron, Ca, Mg, etc) WILL EFFECT ITS ABSORPTION! DO not take vitamins with in 8 hours before your thyroid medications or 4 hours after your thyroid medications. taking vits and minerals too soon before and after your T4 medication will bind with the T4 and cause you to poop out the mineral and T4.. what a waste.

As to T3 supplementation the FDA drug interaction warnings are for the following:
Oral Anticoagulants - Thyroid hormones (T4 and T3) appear to increase catabolism of vitamin K-dependent clotting factors.

Insulin or Oral Hypoglycemics: Initiating thyroid replacement therapy may cause increases in insulin or oral hypoglycemic requirements. This is normally the result of your metabolism coming back on line and your body just needing more of everything to keep up.

Cholestyramine: Cholestyramine is known to bind both T4 and T3 in the intestine, preventing absorption. FDA recommendation here is to allow 4 to 5 hours to elapse between administration of cholestyramine and thyroid hormones.

Estrogen, Oral Contraceptives: Estrogens tend to increase serum thyroxine-binding globulin (TBg), I miss my BCs *sniff* They helped alot with the monthlies and I seemed more stable. So shifts in estrogen levels by changing BCs or going through menopause and using HRT can cause teemporary spikes and shifts in normal functioning thyroid patients. In the case of hypoT's? Well it often causes a need for an increase in T4 in your system.

Tricyclic Antidepressants: For all of the hypoTs that are tossed anti-depressants because their MD is too scared to medicate you optimally. Use of thyroid products with imipramine and other tricyclic antidepressants may increase receptor sensitivity and enhance antidepressant activity. This makes hypot's more susceptable to experiencing transient cardiac arrhythmias on anti-Ds. Thyroid hormone activity may also be temporarily enhanced as well. This could lead to a false thyroid boost and make one stay on the Anti-D longer than necessary.. in addition you can not ignore that the addictive properties of anti-Ds are amped in hypoTs and just mask hypoT symptoms. SO MY STAND ON ANTI_DEPRESSANTS: Treat the hypoT first.. when you are optimal then worry and eveluate the need for an anti-D.

Digitalis: Thyroid hormonal replacement increases metabolic rate, which requires an increase in digitalis dosage. SO in the cause of kidney dysfunctional patients that are hypoTs many are undertreated to prevent digitalis toxicity issues.

Ketamine: This requires careful monitoring and adminsitration to thyroid supplemented patients. Ketamine is a parenteral anesthetic and may cause hypertension and tachycardia in people with higher thyroid hormones in there system. So when using Ketamine one should look out for and be prepared to treat hypertension.

Vasopressors: Thyroxine is known to increase the adrenergic effect of catecholamines, Catecholamines are better known as epinephrine and norepinephrine.. there are others but those should trigger the dim bulb to click on for us. So injections of these agents into patients receiving thyroid medications T3 and or T4 increases the risk of initiating a coronary insufficiency state. Risks are increased in patients with coronary artery disease. So once again careful observation is required when medicated hypoTs use this in treatment.

Well that covers all the T3 interactions.. so the vit's can be taken with T3.. but not with T4.. if you are on a T4/T3 combination you must take care in when you take your supplements.

Here is a neat fact I picked up trolling the FDA pharmokinetic data base on cytomel. So directly from the Cytomel Official FDA information pharmokinetic warnings list:
"Severe and prolonged hypothyroidism can lead to a decreased level of adrenocortical activity commensurate with the lowered metabolic state. When thyroid-replacement therapy is administered, the metabolism increases at a greater rate than adrenocortical activity. This can precipitate adrenocortical insufficiency. Therefore, in severe and prolonged hypothyroidism, supplemental adrenocortical steroids may be necessary. In rare instances the administration of thyroid hormone may precipitate a hyperthyroid state or may aggravate existing hyperthyroidism."


Just thought I would share that gem for all the unbalanced adrenal and thyroid suffering people out there. I do not think I will ever understand why MDs wait so long to treat people with thyroid issues... and they call us lazy! Well at least metabolically we have a reason.

MG
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Old 05-13-2008, 07:03 AM   #5
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Re: Thyroid Care and Concerns Around the World - Week 5!

I will do a stint on sleep effects and the thyroid.. yes that will be a good topic. I am researching and gathering my old info up now. Be prepared.. it will be a biggie.

MG
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Old 05-13-2008, 07:23 AM   #6
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Re: Thyroid Care and Concerns Around the World - Week 5!

I noticed you said you missed your BC...LOL OK well I was on that roller coaster for 3 months and only because they said it takes time for you body to adjust. IT was awful. I ended up with big brown ugly patches on my face and other areas. It made me sick, sick, sick and I didn't get my menz at all. It took 2 years for the brown spots to disappear. Did you have any trouble when you started. Did I not wait long enough to reap the benefits??? I am so nervous to ever try anything because it just seems to make it worse. I looked up some old results from2005 when they said I was "NORMAL" and The Cortisol and ACTH was done then. I am posting both. Please if you can let me know if you think I had problems back then.

Results from 2005 results from 2008

tsh 5.3 1.1348 .35-4.94 .
free t3 4.6 3.9 2.63-5.7
free t4 19 28.7 9.1-19
cortisol 613 80-690
ACTH 5.5 2-11.4 233
antibodies 247
prolactin 17 8.4 1.2-29.93
s fsh 5.1 6.3 1-10

sodium 139
In 2005 the endo said levels are good. He upped my synthroid from 112.5 to 125 just cause i feel bad. My GP ended up increasing my meds to 137 over time. Was good there until now. I wish I had more of the ranges for 2005.

 
Old 05-13-2008, 07:27 AM   #7
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Re: Thyroid Care and Concerns Around the World - Week 5!

Gosh what a mess sorry , I can't even make out what i wrote. It scrunched it all together.

Kathy

 
Old 05-13-2008, 07:50 AM   #8
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Re: Thyroid Care and Concerns Around the World - Week 5!

2005 TSH normal range was 0.3-3.0.. in 2006 the range changed to 0.3-2.5 with 2.0 considered high in patients with antibodies. It took me six months to track down the latest 2006 TSH range adjustment.

Birth control pills helped me stay regular and seemed to improve my thyroid function. Coming off of them means irregular cycles and bad cramps.. REALLY bad cramps. I will not go into the mood swings.. but my cat walks softly around me during cycle time and the fish stay on the back side of the tank. Hubby hides too! My son is fearless, and can always cheer me up. I have been off since January. I am finally beginning to stabilize. I have freckles.. didn't notice any brown spots that were new. It can take 6 months to come back on line.. being hypoT things can take even longer. No cycle should have been addressed with a 10 day steriodal cycle flush. they have meds that will make you purge. Your MD shouldn't have left you to suffer so long.
I looked up some old results from2005 when they said I was "NORMAL" and The Cortisol and ACTH was done then. I am posting both. Please if you can let me know if you think I had problems back then.
Test ** 2005 ** 2008 ** range
tsh ** 5.3 ** 1.1348 ** .35 - (3.0 ->2.5) You definitely needed the medication.
free t3 ** 4.6 ** 3.9 ** 2.63-5.7 *** Your levels are dropping from 64.6% to 39%. This is not good. You are not converting your T4 to T3 well and need supplementation.
free t4 ** 19 ** 28.7 ** 9.1-19 *** You were at 100% and then 197%. This is a clear cut case of need T3 supplementation and an MD unwilling to give it driving your hyperT in T4. Too much T4 can cause systems like the pituitary and hypothalamus to miss fire.

cortisol ** 613 ** 80-690 This is high normal. Your body is responding to the need to suppress the hyperactivity. Normally this would be accompanied by a higher ACTH. What supplements are you on? DHEA, pregnenolone? These can artificially inflate cortisol levels.
ACTH ** 5.5 ** 2-11.4 Humm.. not bad a bit low.. but mine runs high and my adrenal's refuse to put out, but this still doesn't support the cortisol level and makes me wonder why it is so high.

233 antibodies 247 I am assuming these are Hashimoto's TPOAb and TGAb. Nice.. you have a decent case of thyroid destruction going on.

prolactin 17 8.4 1.2-29.93 This is dropping. But then it can cycle with respect to your cycle. But this is lower than I would like to see if it were me.

s fsh 5.1 6.3 1-10 This is looking good.

sodium (Na) 139

I think you need to look at your liver conversion of T4 to T3. You need a T3 Uptake and rT3 run.. did you have those on the other thread.. someone did.. humm.. well if you haven't taken them you need to. You also need someone willing to prescribe T3.. be it Armour or cytomel. You need to back off the Te and get that T3 Up. More T4 is just going to aggravate your unbalanced thyroid levels.

MG
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Last edited by mkgbrook; 05-13-2008 at 07:53 AM.

 
Old 05-13-2008, 08:29 AM   #9
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Re: Thyroid Care and Concerns Around the World - Week 5!

MG

I do not take any suppliments because everytime the give me any kind of pill or antibiotic it seems to make me severly ill.I have a very sensitive system. I am now taking the 150 synthroid up from 137. and personally I feel like I am 1/2 and 1/2 hypo/hyper. the antibodies are just tpo 247 in 05 233 in 08.I get a b-12 injection every 3 weeks or so and that really has been working. they say there is no medical reason but I don't care...IT HELP ME FUNCTION!! My B-12 was 115 and lower. in 05 would that affect the cortisol tests? At the time that was drawn I was only on 112.5 of syntroid. MY MD thinks the problem is elsewhere and the thyroid is the symptom, from what I understand.

 
Old 05-13-2008, 08:44 AM   #10
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Re: Thyroid Care and Concerns Around the World - Week 5!

Low B12 and vit D can affect many things especially the adrenals and their output. They are interlinked.

I think it is tied to the HPT loop as well. I suspect that you are inproperly converting your active T4 to rT3 versus T3. You can see that you are half hypoT and half hyperT.. Your T4 levels are hyperT and your T3 levels are hypoT. You need T3 supplementation to augment your T4. When you add T3 you will need to cut back on the T4. I would see if I could swap to 50-75 mcgs of synthroid and add a grain of Armour and keep on with the Armour until the T3 and T4 balance. The ratio of Armour to T4 may have to shifted about some.. but I truly think your main issue is you need T3 and your body just isn't making it.

MG
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Old 05-13-2008, 09:40 AM   #11
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Re: Thyroid Care and Concerns Around the World - Week 5!

OH MY OH MY...OK I phoned pharmacies and asked. GUESS what not available here at ALL. They said sometimes IF it is an emergency a hospital will order it in from the USA BUT otherwise........ITS T4 baby

 
Old 05-13-2008, 09:50 AM   #12
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Re: Thyroid Care and Concerns Around the World - Week 5!

MKG-Could you look at the second post on this wk 5 thread-I think as you launched into AudreyB's and Orchid's responses,my post got overlooked.
Basically, my deal is that the endo said with the hashi's tpo's(1100) I would not have graves ab-so that would not account for my tsh fluxing.I know you think otherwise and you have both. It was her nurse that conveyed the question and answer, so I couldn't question further . But the endo said it is the stress that is causing tsh instability over the past 12 months--but isn't it really primarily the antibodies (and then stress does play an additional role) ? She really wants me on the anti anxiety med to deal with this. To me this seems ridiculous even if stress plays a role , I don't want to be on an anti anxiety med daily - She is making me think that every time I get stressed, I am giving the antibodies a message to multiply and attack.

My question to you is after TT-as you have said probably TPO ab slow down because nothing to destroy. Then I would not be having the surge of whichever it is t3 or t4(?) when thyroid tissue is destroyed. Which is it though t3 or t4 released from tissue? OK so without the destruction/t 3or 4 release then I should have less of these surges and therefore less fluxing, less anxiety. Is that correct?

AudreyB-Sorry but I am worrying about your docs knowledge base when he is not allowing adequate time for separation of your supplements from thyroid med. Also as I mentioned before I had read that fooling with iodine when you have hashi's is contraindicated and I believe MKG is saying same. Maybe time for a second opinion.The endocrine system is supercomplicated and you need as MKG says a thyroid savvy doc .

Last edited by osteoblast; 05-13-2008 at 09:59 AM.

 
Old 05-13-2008, 10:10 AM   #13
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Wink Re: Thyroid Care and Concerns Around the World - Week 5!

Well i have nothing great and wonderful or informative to add... I still haven't checked my endo results. I was going to go to the clinic and get them today, but surprise!!! I fell asleep! I just got my period and I am so much more tired. Does this happen to everyone? I guess Iona said that having period makes levels even lower?? Funny how everything is so connected. I really want to know what the results say though, so I will go check tomorrow, before I even come home and have a chance to lie down. Then I can ask for help interpreting them! So tired, so tired, so tired.

I feel bad at times like I'm being lazy and wonder what my husband thinks. He seems not to mind, but I wonder. My son is so cute and says that he loves me and knows my thyroid makes me tired. Today he asked, what's a thyroid anyway? And where is it? So cute... but I feel like such a bad mother. I just pass out on him and he just tells me it's ok mom, you rest. He's only 7. It makes me cry. I want to play with him and run around with him, but I can't. I just don't want him thinking I don't want to... one day....

I started taking 100 mcg on my own. Luckily I had 50 mcg pills from when I had that dosage. I think with the period and all it doesn't seem to be helping at the moment. But last week I felt a burst of energy I haven't had in a while. I can't get an appointment until monday, which is also the day I have surgery for endometriosis... so I'm taking matters into my own hands.

Well, I'll write tomorrow with my results! Thanks for listening!

 
Old 05-13-2008, 11:57 AM   #14
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Re: Thyroid Care and Concerns Around the World - Week 5!

Osteo,
Not trying to ignore you.
Do we have a topic? or is it a general free for all?

Always a free for all with specific requests tossed in.. thyroid care can not be uniform or you might as well be trying to shove a square peg in a round hole.

I wanted to update you on the TT saga from this side.
I dropped off the spread sheet with the endo that had my tsh, free t3 and free t4 and antibodies as well as other stuff she is watching like pth , vit d, serum calcium. But the biggie is the tsh and totally vacillating levels between 6.8 and 0.18 during the last 12 months of hashi's hell while being treated and tested on a very regular basis.


Sounds good and thorough. I am not sure the MD liked your effort and tracking of your levels. I do not understand why they don't want us involved.. it doesn't make sense. I would think an informed and aware patient would make catching things earlier easier.

I asked if graves antibodies could be tested and was told my fluctuating levels are due to stress and the tpo antibodies. I don't know why she didn't just say do the antibodies.

Oh! This is a rip. I guess she is the type you need to be firm, state what you want, " Dr. X please humour me.. and prove me wrong. I don't want to add Graves to the MESS.. but I know others with both Hashi's and Graves and my symptoms are matching theirs. Please, help relieve my stress by running the test and making sure it isn't there." If that doesn't work, go around her. You can ask your PCP to run it. An Endo is not needed to sign the script.. just an MD.

But anyway, I think I clearly expressed that I am coming to the limit. First yr. of treatment was more steady but second yr. fell to pieces. I see my pcp to go over this , in a few days and I know she will loop in with both the endo and the ent. And, then in 2 wks I will see the ent. Again, if it was just fluxing levels that would be one intolerable thing but the 7 nodules (2-8mm) and 3cm hashi reactive lymph node and I have hit my limit. Sure cancer would be worse , and I feel for those with cancer -that is so hard. But, I can't take this roller coaster, it erodes my sense of well being and really does a job on my emotional stablity.

You know my stand. Yank it. It is going to die anyway, why drag out the agony. Hashimoto's is such a pain in the neck.. adding Graves just increases the pain in the neck.

I got my TPo ab today-1100. and TG antibodies 48 (not bad there)


Well both are down for you. That is a good thing.

I am assuming that when thyroid is gone ,that stabilization will come easier RIGHT or WRONG?

Well are you assuming that it will be better? We can not know for sure. Most on here speak highly of their TT's, especially those with Hashimoto's or nodules first. My Aunt and mom are much more stable now. Taking out the thyroid eliminates the instigator for your thyroid antibodies, thus theoretically as long as damage does not occur during the TT... things should only get better and medication should only be easier. But this is only the case if your MD is willing to be flexible and work with you on medications.

She says stress is playing a role here in instability of the tsh-but how can you have a life without stress-I don't think it happens. So, given normal stresses, and a relatively high strung person, still wouldn't getting thyroid out and the TPO's not having a thyroid to destroy be better?


Stress affects adrenals.. adrenals affect thyroid conversion.. etc. If the thyroid is gone and you ar e optimally treated the antibodies are not going to affect things.. but fluxing cortisol will still effect your level balance.

Can you explain again how even if you are hypo, when the tpo's do their work you can feel hyper/anxious-I believe you said as they destroy the thyroid tissue T4 is released in spurts into the system giving you surges--Did I get that right??

You got it right. Your thyroid is your bodies T4 hub or warehouse. The tissue can and does produce about 20% of your T3.. but it mainly produces and holds T4 in storage. T4 is more stable and best for that purpose. So when a thyoid tissue cell is destroyed the retained T4 is released into your system. If enough of these cells are destroyed in mass then you have a spurt of T4 flooding into your system and being converted to T3 resulting in the hyperT physical anomolies.

So , then with TT, that would no longer be happening.. Right?


If the MD takes all of you thyroid in a TT and leaves nothing behind to grow back, then in theory you will have no more T4 spikes or flares because there is no tissue to destroy. As long as you get optimal medication treatment post TT then things should definitely be better.

Waiting for next installment in your TT saga-what's next on your end?

Me? Well my skin issues are getting bad and annoying again, but I will survive. I am hands on with two other living breathing friends dealing with Hashimoto's and my MD. So I can dig into their issues and ignore mine while waiting on my Neuro appointment on the 21rst to discuss Hashimoto's encephalopathy. So nothing is new for me. I will share as my saga continues. I am contimplating asking for Armour. I need to dig into T3 supplementation effect on T3 conversion. I am wondering if taking Armour and adding T3 to my system that way will surpress my natural T3 production that is in overdrive. Crazy huh? It is the old fight fire with fire philosophy. *snort* I am getting a bit desperate as well. I also have a June 26 - ENT consultation US/FNA. I am trying to move up the ENT US.. we shall see on that one. I will go back and get more blood work before seeing my ENT, June16th or so to see if my TSH has recovered of if it is still in the cra.. out house.

MG
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Old 05-13-2008, 11:59 AM   #15
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Re: Thyroid Care and Concerns Around the World - Week 5!

Orchid,

I would think that your case is an emergency.. they have no cytomel or no Armour? If you can not get Armour.. go with cytomel. Some are a more sensitive to the cytomel.. but you need T3.

MG
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