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Old 11-06-2008, 12:31 PM   #1
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Question what does clinically euthyroid mean?

as the title says....

on a letter sent to me by my consultant it indicates that i am now clinically euthyroid..

what does this mean?

 
Old 11-06-2008, 12:33 PM   #2
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Re: what does clinically euthyroid mean?

It means normal---neither hyperthyroid, nor hypothyroid.

 
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Old 11-06-2008, 01:01 PM   #3
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Re: what does clinically euthyroid mean?

so if i'm clinically euthyroid why would i need to continue my meds?

 
Old 11-06-2008, 01:10 PM   #4
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Re: what does clinically euthyroid mean?

Are you on HypoT meds? If you are euthyroid on meds usually the only way to stay euthyroid is to stay on the meds - often the situation changes over time so you need to adjust accordingly.

 
Old 11-06-2008, 01:12 PM   #5
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Re: what does clinically euthyroid mean?

i am hyperT....docs arent sure if its autoimmune or subacute thyroiditis...started on 20mg carbizamole...4 weeks later im down to 10mg....my T4 is 19.4 which is in the normal range ....

 
Old 11-06-2008, 01:19 PM   #6
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Re: what does clinically euthyroid mean?

Quote:
Originally Posted by stuart1971 View Post
i am hyperT....
Ok, so you are somewhat on top of things so far.

 
Old 11-06-2008, 01:23 PM   #7
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Re: what does clinically euthyroid mean?

so far...not sure what the next step is though?...if my T4 goes down again will it mean i can come off the meds???...otherwise i'm worried i'll become hypo....

just a bit confused by what's in store and what the consultant could be looking for in my next blood test

 
Old 11-06-2008, 01:34 PM   #8
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Re: what does clinically euthyroid mean?

Quote:
Originally Posted by stuart1971 View Post
so far...not sure what the next step is though?...if my T4 goes down again will it mean i can come off the meds???...otherwise i'm worried i'll become hypo....
Often one starts to balance with both the HyperT med and HypoT meds when one starts to go in the HypoT direction. One usually needs to stay on HyperT meds for a while (usually 1,5 years tops - or so I've heard - not a HyperT expert myself ) before one tries quitting them totally.

Last edited by FinnMaid; 11-06-2008 at 01:35 PM.

 
Old 11-06-2008, 01:42 PM   #9
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Re: what does clinically euthyroid mean?

so although i'm down to 10mg's a day already after only 4 weeks i am looking at taking this for at least a year !!....even if my results return as normal..???

 
Old 11-06-2008, 03:46 PM   #10
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Re: what does clinically euthyroid mean?

The medicine didn't "cure" the hyperthyroid condition. It's only helping to hold the production of the excess thyroid hormone in check. If you stop taking it, you will greatly risk the hyperT symptoms (and excessive hormone levels) to return.

 
Old 11-07-2008, 08:37 AM   #11
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Re: what does clinically euthyroid mean?

so if it's holding it in check...does that mean that whenever i come off the carbimazole i will become hyperT again?

or does the thyroid effectively "heal" ?

 
Old 11-07-2008, 09:07 AM   #12
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Re: what does clinically euthyroid mean?

It depends on your situation. It may be that it will pass and never come back or that it will pass but returns after some time or it may seem you're not going to get rid of it over time. Sometimes HyperT turns into permanent HypoT over time. To predict the future more you need to have thyroid antibodies checked (stimulating and suppressing).

 
Old 11-07-2008, 01:37 PM   #13
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Re: what does clinically euthyroid mean?

I was called "euthyroid" by a Doc who wasn't up to date on proper thyroid levels (thought anything under 5 TSH was ok).

 
Old 11-08-2008, 04:26 AM   #14
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Re: what does clinically euthyroid mean?

There's also a distinction between clinically euthyroid and chemically euthyroid. When they refer to clinically, they're referring to your state of being and whether or not symptoms are present. Chemically euthyroid would mean that your labs look ok but that you might still be bouncing off the roof.

Euthyroid literally translates to "good thyroid". Clinically euthyroid means that your thyroid may not be normal but it's behaving itself on current treatment. Catch there is "current treatment". Thyroids can be unpredictable. Since you aren't sure what type of hyperthyroidism you're dealing with, there's really no way to predict the future of it. Have they performed any tests besides the thyroid hormone levels? An ultrasound, a scan, antibodies or anything like that? I know it's kind of hard to convince them over there that you need those tests and a definitive diagnosis, but for the sake of peace of mind of the patient, I think it's pretty darned important to place a name to the disorder. If it turned out to be graves disease, it would be important to have your eyes examined. If it's subacute thyroiditis, you'd be looking at a temporary problem. If it was toxic multinodular goiter, perhaps surgery would be a good option.

Your best bet would be to get a definitive diagnosis if you want us to be able to tell you much more. You also have the option of watch and wait and see if it doesn't just clear on it's own after taking the anti-thyroid meds for however long it takes. But as long as you remain clinically euthyroid and you actually feel alright, things should be ok.

 
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