Discussions that mention synthroid

Thyroid Disorders board


Quote from midwest1:
OK, that helps. On the face of it, your FT levels look almost perfect... enough so that I can't see an obvious thyroid problem. The higher TSH could just be a quirk of your system. It's the free thyroid (FT3/4) hormone levels that are most revealing, and yours look to be around 70% of their ranges... where most people feel pretty good.
Low testosterone can cause problems like you're having... not that I know much about that, really. Have you had it measured?


Yes, that result was 20.07 for a range of 10.0-38.5.

Very confused here....I was under the assumption that any TSH over 3.0 was tell-tale for being hypo. Would a trial of Synthroid or the like to get my TSH below 3.0 have an adverse affect, being that my FTs seem normal?
I was diagnosed with TSH 4.86, but I have thyroid antibodies, and my free Ts were at the bottom of their ranges. Shortage of T4/T3 is what defines low thyroid... More's the pity that more doctors don't know that. They think TSH is the be-all, end-all of thyroid diagnosis, but it isn't.

As long as you're young and have a fit cardiovascular system, a trial low dose of Synthroid probably won't hurt. You'll know in short order if you don't need it, because you'll exhibit hyper symptoms... tremor, fast bowels, muscle stiffness, perhaps rapid weight loss, sweating, etc.
However, from what I've read here, Canadian MDs are much more strict about who gets treatment than those in the US. You might find it hard to locate a cooperative MD who'd agree to the trial.
Wishing you luck in getting a proper diagnosis.
Quote from midwest1:
I was diagnosed with TSH 4.86, but I have thyroid antibodies, and my free Ts were at the bottom of their ranges. Shortage of T4/T3 is what defines low thyroid... More's the pity that more doctors don't know that. They think TSH is the be-all, end-all of thyroid diagnosis, but it isn't.

As long as you're young and have a fit cardiovascular system, a trial low dose of Synthroid probably won't hurt. You'll know in short order if you don't need it, because you'll exhibit hyper symptoms... tremor, fast bowels, muscle stiffness, perhaps rapid weight loss, sweating, etc.
However, from what I've read here, Canadian MDs are much more strict about who gets treatment than those in the US. You might find it hard to locate a cooperative MD who'd agree to the trial.
Wishing you luck in getting a proper diagnosis.


Thanks very much for taking the time to reply to my situation. I'm seeing my GP tomorrow, and I think a full endocrine workup might be in order. I was in a mountain bike accident last year, and was knocked out for a few seconds. I shook it off, but have been reading more about post-concussion symptoms such as damage to the pituitary gland. Maybe thats where the trouble is? But again, my symptoms are identical to a hypothyroid condition, even down to the specific 1/3rd eyebrow hair loss.
Hey ranger from a fellow Canadian. Midwest1 is right...the guidelines are alot stricter here for thyroid issues.

I was an athlete before I got sick as well. I tought between 4-8 cardio kickboxing classes a week (sometimes two a day) as well as three weight lifting classes per week. I was 33 years old and totally fit....that was two years ago. I too started feeling tired, gained weight, lost hair, etc. My docs said nothing was wrong. I have since developed a goiter (really attractive). My gp still thinks nothing is wrong because my tsh is within range. She has never checked my t3 or t4. I think the goiter may be an indication that my thyroid is going a little haywire....along with the 20 pound weight gain that I just can't get rid of. A holistic doctor told me I have adrenal fatigue because my body was in "fight or flight" constantly due to excess exercise. I never took breaks because I owned my own fitness company and had to teach even when I was sick. The holistic doc said I screwed up my adrenal glands and I have to build them up again. I'm currently on natural adrenal supplements. You may want to use a search engine and check out adrenal fatigue. The symptoms are alot like low thyroid. I believe I have both. I ended up seeing an Endo about my goiter and low thyroid problems. She put me on a low dose of synthroid albeit reluctantly. I just started Sunday....I'll let you know how it goes.

Let us know how the visit with the gp went.

Cheers,

Mimi :)
Hi Midwest.

Wow-thanks very much for your information; it's really appreciated, and the link was very informative. Heres an update:

I went to my GP today, and was issued Synthroid-50mcg, with a follow-up in two months. I had blood work results from the winter faxed to where I'm working now. I didn't know it at the time, but my doctor did my TSH then and it was 4.25. Then 4.78, and finally 5.19.

My antibodies tested negative last month.

You're correct about my T3 and T4 being within range, and my doctor explained that a full endo work-up wasn't neccesary as it proves that my pituitary is in functioning order. My testosterone was fine, but I'm still very curious about what my adrenals might be. The doctors convinced me (barely) that it wasn't neccesary at the time, due to a normal full blood work up from the winter (but only TSH for endo), and the slow TSH rise. Being in Canada and all, I surely don't want to exploit our health care if this test is not needed.

Quick question about Synthroid. Any idea as to when I'll notice a difference? The doseage seems accurate for my weight and TSH level. I will be dilligent about taking it in the morning on an empty stomach, and have hopes that relief is on the way.

Thanks very much again for your reply!
Wow rangeroad! Are you ever lucky! It took me two years to get help for my condition. You've certainly perservered. Congratulations.

I too am on 50 mgs of synthroid. I just started last Sunday and I have to say today I noticed marked increase in energy. I do believe it's the synthroid because normally I'm exhausted by the end of the work day. Today I actually feel like I have some left.

The doctor warned me that I would have heart palps, and fatigue...but so far it's been the opposite. My heart palps have stopped altogether and I have a little more energy. The sun didn't break through the clouds and a chorus of angels didn't start to sing....but it is a major improvement. The only inconvenience is having to take this pill every morning and wait an hour before you eat. I'm a big vitamin person and I have to wait before I take these...that's been difficult.

I went for 5k run today at lunch and it went well. The only difference I noticed was my heart rate took a little longer to return to normal. Normally it's right down pretty quickly. Other than that...no side effects.

I'm very happy for you. Let us know how the synthroid works out!

Mimi :)
Hi Mimi,

Thanks! The doctors here in Montreal have been good-maybe because they're younger and realize that opinions and technology change over the years. They're great folks and I do feel lucky. I did bring in some print-outs of the American Endo. Assoc.(?) release stating the new consensus on TSH being normal at below 3.0., which they were fully aware of. Also, I think with my running/biking being shut down along with the other symptoms had things going my side....or maybe it was my convincing arguments...;)

Can I ask you, did you have a full adrenal work-up done, and if so, were they done in progressive stages? I'm confused as to what the correct values should be for men, but I do know that this will be the culprit if the Synthroid doesn't kick in.

Have a great weekend!





Quote from mimiblue:
Wow rangeroad! Are you ever lucky! It took me two years to get help for my condition. You've certainly perservered. Congratulations.

I too am on 50 mgs of synthroid. I just started last Sunday and I have to say today I noticed marked increase in energy. I do believe it's the synthroid because normally I'm exhausted by the end of the work day. Today I actually feel like I have some left.

The doctor warned me that I would have heart palps, and fatigue...but so far it's been the opposite. My heart palps have stopped altogether and I have a little more energy. The sun didn't break through the clouds and a chorus of angels didn't start to sing....but it is a major improvement. The only inconvenience is having to take this pill every morning and wait an hour before you eat. I'm a big vitamin person and I have to wait before I take these...that's been difficult.

I went for 5k run today at lunch and it went well. The only difference I noticed was my heart rate took a little longer to return to normal. Normally it's right down pretty quickly. Other than that...no side effects.

I'm very happy for you. Let us know how the synthroid works out!

Mimi :)
Hey Roadranger.

Apparently the docs in Montreal are a lot more progressive than the ones here in Ottawa. Congrats again on such a positive experience.

To answer your question, I don't honestly know whether or not I have had a full work up regarding my adrenals. My gp ordered cortisol tests along with a host of others and said they all came back within range. I know for a fact it could have been at the lower end of the range and she would have kept mum. That was back in the early stages of my illness. I didn't think to question her. She said that about my thyroid as well, but it was in the same range as yours. This is the same doc who said a tsh of 10 can be normal. I also have a low-normal white blood cell count and apparently that goes hand in hand with adrenal exhaustion. My holistic doctor ran more specific tests I believe they are called "vega" tests. Through this mode of testing he was able to measure my the health of my internal organs against another healthy 33 year old female. Needless to say my adrenals were the most stressed organs in my body. He prescribed a natural supplement which I described to you the other day. So far it has worked alright. I don't think I'll run any marathons, but I'll probably be able to do 10k every now and then (God willing). I hate the weight gain, though. It has been very humbling to say the least. It's hard to pound the pavement with an extra 20 pounds on your back. I am hoping the synthroid will help.

Your tsh is indicative of hypothyroidism as Midwest1 has suggested. Your athleticism is also a risk factor for adrenal fatigue. I wouldn't be surprised if you have both....I do.

Have a great weekend. I hope the synthroid helps. Check back and let us in on any new developments!

Mimi :wave: