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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Hyperparathyroidism? Hot Flushes and Hashimoto's
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.
Hyperparathyroidism? Hot Flushes and Hashimoto's
by VictoriaT, Aug 26, 2006 12:00AM
Hello,
I was diagnosed with Hashimoto's (my antibodies were very low but it was still considered Hashimoto's) in March 2006 and am on 75mcg levothyroxine, to be upped soon as I'm still symptomatic. My TSH is 1.4.
Two questions:
1) I experience hot flushes/feeling of overheating and sweating on even gentle exertion (eg walking) but am not overweight. I have read that temperature control can go either way (too hot or too cold) with both hypo and hyper even though feeling cold is the unsual hypo problem. Is that correct?
2) I have a new concern. My endo tested for calcium the other day (results not yet back) and I thought nothing of it. At the same time, elsewhere, I had a hair analysis test done for nutritional analysis. It showed high calcium (normal = 400mg/kg, I was 675). I realise hair samples are a)controversial and b) not necessarily related to levels in the rest of the body. However, I am now concerned that I might have hyperparathyroidism. Is this likely? I've read that it can be initially masked by Hashimoto's and my Hashimoto's was a long, drawn-out, almost reluctant diagnosis.
(My symptoms are fatigue, hot flashes, muscle weakness (causing practical exercise intolerance), constipation, dry hair, nausea)
Many thanks,
VictoriaT
I was diagnosed with Hashimoto's (my antibodies were very low but it was still considered Hashimoto's) in March 2006 and am on 75mcg levothyroxine, to be upped soon as I'm still symptomatic. My TSH is 1.4.
Two questions:
1) I experience hot flushes/feeling of overheating and sweating on even gentle exertion (eg walking) but am not overweight. I have read that temperature control can go either way (too hot or too cold) with both hypo and hyper even though feeling cold is the unsual hypo problem. Is that correct?
2) I have a new concern. My endo tested for calcium the other day (results not yet back) and I thought nothing of it. At the same time, elsewhere, I had a hair analysis test done for nutritional analysis. It showed high calcium (normal = 400mg/kg, I was 675). I realise hair samples are a)controversial and b) not necessarily related to levels in the rest of the body. However, I am now concerned that I might have hyperparathyroidism. Is this likely? I've read that it can be initially masked by Hashimoto's and my Hashimoto's was a long, drawn-out, almost reluctant diagnosis.
(My symptoms are fatigue, hot flashes, muscle weakness (causing practical exercise intolerance), constipation, dry hair, nausea)
Many thanks,
VictoriaT
Doctor's Answer
by Mark Lupo, M.D., Aug 27, 2006 12:00AM
, Aug 27, 2006 12:00AM
1) Temp intolerance can go either way. Correlate with estrogen status as well - ie ? perimenopausal?
2)Wait on the tradional labs before worrying about calcium & parathyroid. If it is an overactive parathyroid, it is unrelated to HASHI.
2)Wait on the tradional labs before worrying about calcium & parathyroid. If it is an overactive parathyroid, it is unrelated to HASHI.
