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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Do I have Hashi's? Antidepressant question also
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Do I have Hashi's? Antidepressant question also
by bloodflowergrl, Apr 02, 2007 12:00AM
I have been diagnosed as mildly hypothyroid on and off the last 6 years (though symptomatic in retrospect for 10 years). I am 32 now. At those hypothyroid times I have taken Levoxyl and had decent symptom relief until now. About 4 months following the birth of my first child I started to feel especially terrible. My TSH was a little high and I started Levoxyl again-75 mcg. However, I am still feeling very fatigued and depressed. I have been taking the Levoxyl for about 6 months (my son is 20 months old now)and my labs are "in range" per the endocrinologist I just saw for the first time.
1) I asked for a copy of the labs and things look good except TPO is 115. Does this indicate Hashi's? The doctor never said anything to me about it?
2) My thyroid function was never evaluated by my OB beyond a first visit check. He did not know I had hypothyroid in the past. Should I be concerned as my 20 month-old son is developmentally delayed in speech/communication.
3) Are antidepressants useful if symptoms are because of thyroid issues? It's tough to tell if it's depression/thyroid or both.
1) I asked for a copy of the labs and things look good except TPO is 115. Does this indicate Hashi's? The doctor never said anything to me about it?
2) My thyroid function was never evaluated by my OB beyond a first visit check. He did not know I had hypothyroid in the past. Should I be concerned as my 20 month-old son is developmentally delayed in speech/communication.
3) Are antidepressants useful if symptoms are because of thyroid issues? It's tough to tell if it's depression/thyroid or both.
Doctor's Answer
by Mark Lupo, M.D., Apr 05, 2007 12:00AM
, Apr 05, 2007 12:00AM
Yes, the hypothyroidism is due to Hashi.
Hard to know if any developmental delay is due to sub-optimal treatment of hypothyroidism during pregnancy.
If the thyroid treatment is optimal (TSH around 1) and there is still depression, anti-depressants may be helpful.
Hard to know if any developmental delay is due to sub-optimal treatment of hypothyroidism during pregnancy.
If the thyroid treatment is optimal (TSH around 1) and there is still depression, anti-depressants may be helpful.
My son was delayed compared to my daughter. However, I have had them both tested and son not Hashi's but daughter is with extremely high abs.
If you are concerned, maybe have them checked - it can only assist with early identification. I wish I'd been diagnosed earlier and had daughter diagnosed earlier as she now has many symptoms at 13yo.