Discussions that mention synthroid

Thyroid Disorders board


I have being doing a lot of research and recently realized that my hypothyroidism is most likely (probably) being undertreated...I have made an appointment with my endocronologist for next Monday the 25th, and am reading "Thyroid Power" to prepare for this meeting. Can anyone help me with how to approach this topic with my doc? I am currently on Synthroid, 88mg. and would like to try something else as I still have almost all of my original symptoms back. The only thing that could have possibly changed with me is having my son last year, but my symptoms have become very pronounced within the last two months. If I need to give more information, just let me know what you need to know. Any advice would be appreciated?

Judi
I really do appreciate all the advice, and encouragement!!!!! The doctor who I am going to was the one who diagnosed me after three other doctors told me I was fine. I had to fight to get to him because he is an endocronologist, and our insurance requires a referral. This was diagnosed about 2 1/2 years ago and finally allowed me to get pregnant. I am very grateful to this doctor for what he did for me! It is hard to go in an question him now, but when I look at my symptoms, I have even more than I did before!!! Could the pregnancy have triggered something and I was just not aware of it until recently when not sleep deprived? Everyone who knows anything about thyroid that I have talked to says that I probably need something else that gives me the T-3 as well as the T-4 the SYnthroid gives me. Are there any guidelines for this? Also, I have been on weight watchers since March. By July I had lost 25 pounds, but have not been able to move any further since then. Actually I think I have gained some back as my food cravings have been unbearable...also a symptom?

Sorry to have so many questions. I guess I am finally starting to fight again. thanks in advance for all the help!!

Judi
Quote from jmhdot:
It is hard to go in an question him now, but when I look at my symptoms, I have even more than I did before!!!
It's great that you have a basis of trust with this doctor. As good as you believe him to be, he still could be mistaken about the best way to treat hypoT. If you have a good rapport with him, you could try to appeal to his sense of pride in his work. Tell him he has helped you feel better in the past, but the symptoms are now creeping back in a more troublesome way, and you need his help again. Suggest that you have read... (presumably by that time you will have) ... that many people don't convert T4 to T3 as well as they should, and you wonder if a T4/T3 med might work better for you the way it does for them. Depending on his answer, you'll know whether to find someone new. Being an endo, it's quite likely he will flatly refuse to have anything to do with T3; that's the way most of them are.
[quote]Could the pregnancy have triggered something and I was just not aware of it until recently when not sleep deprived?The major life changes that are associated with estrogen - puberty, pregnancy, and menopause - are common triggers for thyroid disease. Sometimes post-partum thyroiditis resolves on its own, without the need for long-term hormone supplements, but it usually returns later on in life and doesn't go away quietly. [quote]Everyone who knows anything about thyroid that I have talked to says that I probably need something else that gives me the T-3 as well as the T-4 the SYnthroid gives me. Are there any guidelines for this?The "guideline" would be the result of your free T3 test. If FT3 is low in its range, below midpoint, you would benefit from supplementing it. Most doctors, particularly endos, don't believe this is necessary. They think your body will convert all the T3 it needs from the T4 in Synthroid. This is untrue for most people. [quote]... my food cravings have been unbearable...also a symptom?Maybe. Appetite is closely associated with thyroid output. It can go either up or down, though, depending on the individual. When I was overtreated with Synthroid, my appetite totally disappeared. Now that my levels are better, my appetite has become slightly lower than it was when I was more hypo. [Most strange of all.... now that I've increased my calcium intake, I don't crave sugar the way I once did. Coincidence? Just don't know.]

Don't apologize for asking questions. Just take a vow right now to educate yourself as much as you can. Knowledge is power, especially in the world of thyroid.

Oh, and one more thing... No one has said this yet... Insist on the MD testing your TSH, free T4, and free T3. These are the only tests that give a clear and convincing picture of what your next step should be. When you're in treatment, the TSH is best below 1.0, and the free hormones should be in the upper third of their lab ranges. If they aren't, it explains the worsening symptoms you have.