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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Hashi and tsh levels
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.
Hashi and tsh levels
by kellebelle4, Apr 01, 2007 12:00AM
Hope this posts to the correct forum...I actually posted again yesterday by accident on the other thyroid forum everyone has been so helpful :-)..... anyway here is my info and questions...
I am currently am seeing a new endo for my thryoid. She put me on a low dose of Levoxyll. I my recent lab was a TSH of 2.84 the nurse said that was just where I needed to be. After reading the forum here it seems high to me. I was at 3.13 in January. I have been on 12.5 mcg of Levoxyll for 1 month. I know it is a very low dose but am extremely sensitive to all medications.I am currently taking toprol and anxiety meds for panic disorder. My family doc discoverd the Hashi's 3 years ago after having spotting before my periods. I have tendency to lose weight even when hypo so always wonder if its the thyroid more than the anxiety.
Also since Janurary I have had a lot of midnight awakenings/tachy with a racing pulse. I wore a holter and all turned out begign. The new endo seems to think I do not need a thyroid scan. In the past years I have had a goiter but at my visit she could not paplitate it,she feels that the thyroid is starting to shrink due to the disease.
My questions:
What tsh level should I be at?
Would you increase the levoxyll?
Is the racing pulse awakenings thyroid related?
My labs in August 06 were
TSH 8.18
Free T4 0.9
Anti-thyroglobuin 135.0
Thyroid peroxidase Auto Antibody 1300
January 07
TSH 3.03
Free T4 1.0
March 07 TSH 2.84
Thanks for your insight.... :-)
I am currently am seeing a new endo for my thryoid. She put me on a low dose of Levoxyll. I my recent lab was a TSH of 2.84 the nurse said that was just where I needed to be. After reading the forum here it seems high to me. I was at 3.13 in January. I have been on 12.5 mcg of Levoxyll for 1 month. I know it is a very low dose but am extremely sensitive to all medications.I am currently taking toprol and anxiety meds for panic disorder. My family doc discoverd the Hashi's 3 years ago after having spotting before my periods. I have tendency to lose weight even when hypo so always wonder if its the thyroid more than the anxiety.
Also since Janurary I have had a lot of midnight awakenings/tachy with a racing pulse. I wore a holter and all turned out begign. The new endo seems to think I do not need a thyroid scan. In the past years I have had a goiter but at my visit she could not paplitate it,she feels that the thyroid is starting to shrink due to the disease.
My questions:
What tsh level should I be at?
Would you increase the levoxyll?
Is the racing pulse awakenings thyroid related?
My labs in August 06 were
TSH 8.18
Free T4 0.9
Anti-thyroglobuin 135.0
Thyroid peroxidase Auto Antibody 1300
January 07
TSH 3.03
Free T4 1.0
March 07 TSH 2.84
Thanks for your insight.... :-)
Doctor's Answer
by Mark Lupo, M.D., Apr 05, 2007 12:00AM
, Apr 05, 2007 12:00AM
You have hashimotos -- the goal TSH is usually around 1.0 but everyone is different -- usually I try to get patients to this target but it is not always tolerated and some do better with TSH of 2-3 (or even 5). The heart rate may be aggravated by levoxyl, but not definitely.
Fatigue, heart palpitations, anxiety, mood swings, inability to focus etc. are normal when my meds are too low. Everyone is different and you need a doctor who will listen to what you say, not just stare at the bloodwork. Bloodwork is a tool not a tell all.