T4 and Graves Disease

[Lanie0870]

I was diagnosed several years ago with Graves Disease.  After one of my later blood tests (2 yrs later) I was prescribed Levothyroxin 50mg daily.I have blood tests every 6 months with T4 result around 11. I recently was told my T4 level was slightly elevated with my test result at 24.  They reduced my Levothyroxin to 25mg p/day.  I went back 5 weeks later and now have a T4 result of 32.  I am due to go back to the doctor tomorrow and would like to know your thoughts so that I can ask the right questions, and make sure I get the right subsequent test. My symptoms currently are: tremors, shaky legs, palpitations, insomnia, hoarsness and recently a bit of trouble swallowing my food down.  Am a bit concerned.  

Thank you.

[yankeeRN]

"My symptoms currently are: tremors, shaky legs, palpitations, insomnia, hoarsness and recently a bit of trouble swallowing my food down."  As I quote you---sounds hyper to me--been there done that.  Talk with your MD ASAP before your symptoms get worse.  Hyper is not fun---when I was at my worse I had the shaking legs and had great difficulty walking down stair especially as my legs at times would give out on me--before I had been in great shape.  Best wishes for answers soon and a steady resolution to your symptoms.

[Mark Lupo, M.D.]

This is concerning for recurrent Graves' disease.  Most likely your doctor will tell you to stop the levothyroxine to sort this out