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Old 05-16-2012, 02:02 PM   #1
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Lab results and dosage adjustment

I have been on thyroid medication since 1989. I started out on synthesis and 6 yrs ago discovered Armour Thyroid. When they stopped making it my doctor switched me back to synthroid. Then two years ago I discovered a compounding pharmacy. I was doing great on 180. I had a Rouen Y bypass within a month my doctor wanted a TSH. I insisted on a free T3 and T4 also. The results came back with .03 (.4-4.5) TSH, 1.1 (.8-1.8) FreeT4, and 2.7 (2.3-4.2) FreeT3. Doctor lowered my dessicated thyroid to 120 and I feel terrible. These labs are from 3/16/12. I'm going Monday for another round of labs and looking for a new doctor. I argued with the doctor that I felt great but he insisted that the dose was too much and suppressing my thyroid, making it dependent on the medication. Ugh!!! What do you think?

 
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Old 05-16-2012, 07:18 PM   #2
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Re: Lab results and dosage adjustment

I know my endo likes to keep TSH above 1. She says anything under increases the risk of osteoporosis???? I hate when they only go by #'s and not how you feel.

BTW Armour is back on the market.

 
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Old 05-17-2012, 06:59 AM   #3
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Re: Lab results and dosage adjustment

Thanks for the info on Armour. I have developed a wonderful relationship with my compounding pharmacy for thyroid meds and supplements that I will just stick with them. My pharmacist is a wealth of information. BTW, anyone can have their scripts sent to the compounding pharmacy or your doctor can call it in. I only live 10 miles from Natural MedApothecary in Herrin Illinois and they mail me my monthly script like clockwork. Yet I can drop in any time I'm in the neighborhood. Nice!

 
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Old 05-17-2012, 11:03 AM   #4
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Re: Lab results and dosage adjustment

Grandma.... When we take a T3 med, like Armour or Cytomel, TSH is expected to be suppressed. My own TSH hasn't been higher than .02 in the past 8 years. But my free T4 and free T3 are well within range, and I have no hyper symptoms at all. My doctor understands what Armour does to TSH and disregards it altogether. Your doctor ought to know that; maybe you'll have to educate him. If he's a cooperative sort, he'll investigate for himself and correct his error. But if he isn't, you may have to find a different doctor in order to get your dose restored. Why put yourself through misery just because your MD is a dolt?
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Old 05-17-2012, 11:33 AM   #5
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Re: Lab results and dosage adjustment

Grandma

The treatment section of the Armour website says that Armour is indicated as a "pituitary TSH suppressant" so, any doctor prescribing Armour should be aware of this.

Studies have shown that there is no danger associated with low TSH - the only dangers are associated with either too-high or too-low thyroid hormone levels.

Unfortunately, doctors that haven't kept up with things are the ones that make us sick.
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Old 05-17-2012, 01:28 PM   #6
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Re: Lab results and dosage adjustment

Thanks for the info. I knew I felt great before he bottomed out my dose. I see on here that some people are adjusting their own doses
How do you do that without a script?

 
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Old 05-17-2012, 01:56 PM   #7
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Re: Lab results and dosage adjustment

I am not aware of people adjusting their doses on their own unless the doctor has given them the leeway to do so and has prescribed appropriate amounts of thyroid hormone.

We do not advocate self-medicating on here - it can be dangerous.
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