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Old 11-03-2011, 02:10 PM   #1
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Overtreated Thyroid

I was taking 175 mcg of synthroid daily and recently had my thyroid tested. My dr. office called today and said that my thyroid is "overtreated." They changed my dosage to 175 4x per week and 200 3x per week. I'm not understanding why my dosage was INCREASED if I am overtreated?

I asked the nurse and she tried to explain it to me but ended by just saying "it's opposite with thyroids and our bodies are complicated and hard to understand."

Can someone help me understand why my dosage was increased?

Thanks!

 
Old 11-03-2011, 02:27 PM   #2
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Re: Overtreated Thyroid

Without seeing your lab results, I doubt anyone would have any idea.

A dose increase is warranted when the FreeT4 and/or FreeT3 level drops below mid-range and/or the patient is reporting hypo symptoms.
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Old 11-03-2011, 02:32 PM   #3
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Re: Overtreated Thyroid

She said my tsh level was 00.7 and my t4 was 2.0.

 
Old 11-03-2011, 02:36 PM   #4
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Re: Overtreated Thyroid

We don't use TSH for dosing purposes so your actual thyroid hormone level - T4 - is more important.

Different labs use different testing kits which result in different ranges. Your result can only be interpreted within the context of the ranges used by your lab.

Do you have the ranges available? They are usually listed on the lab report to the right of the result.

And, is that a FreeT4 result?
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Last edited by sammy64; 11-03-2011 at 02:38 PM.

 
Old 11-03-2011, 02:49 PM   #5
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Re: Overtreated Thyroid

I wouldn't make any changes until you clear this up with the doctor himself. It appears the nurse doesn't know diddly about thyroid and that she is mistaken about the dosing instructions the doctor gave her to pass on.

It appears you might need a slight decrease, certainly not an increase. The "T4" you report is probably free T4, based on the level of 2, which would be a tad high for most people.

Still, I would absolutely check with the office.

A nurse once left a message for my husband to make a dose increase in a one of his meds. The increase would have caused kidney failure. When I asked her to double check the instructions with the MD, she actually screamed at me that I dare question her. But she was indeed mistaken, didn't admit her mistake, and did not apologize. It happens.

 
Old 11-03-2011, 02:53 PM   #6
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Re: Overtreated Thyroid

I agree with Midwest, I would make sure this is cleared out before you change anything.

overtreated and increase, the wording as such, does not make sense. that much is clear.
that wording seems typical for somebody who has no clue herself, IMO
"it's opposite with thyroids and our bodies are complicated and hard to understand."
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