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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Normalizing TSH levels w/ Synthroid
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.
Normalizing TSH levels w/ Synthroid
by kds0, Mar 14, 2007 12:00AM
It will be 1 year on March 28th since I had a near total thyroidectomy due to compression problems on my windpipe. Once the pathology report was complete a week later, I was diagnosed with Hashis even though through the years leading up to the surgery I had been through numerous tests including TSH, which was always in a normal range (usually around 1.63), FNA, and thyroid antibodies which also was normal.
For the past 8 months, I have been on Synthroid .125 dosage and TSH is 0.5 as of January 19th. Previous TSH test was in August 2006 and was 1.63.
Even with a TSH of .5 right now, I feel so tired and run down and extremely moody. I thought with a lower TSH I would feel better but I remember about 3 months after my surgery while we were still trying to find the right level of Synthroid my TSH got up to 8.8 and I seem to recall I felt better then, than I do now.
Any advice?
For the past 8 months, I have been on Synthroid .125 dosage and TSH is 0.5 as of January 19th. Previous TSH test was in August 2006 and was 1.63.
Even with a TSH of .5 right now, I feel so tired and run down and extremely moody. I thought with a lower TSH I would feel better but I remember about 3 months after my surgery while we were still trying to find the right level of Synthroid my TSH got up to 8.8 and I seem to recall I felt better then, than I do now.
Any advice?
Doctor's Answer
by Mark Lupo, M.D., Mar 15, 2007 12:00AM
, Mar 15, 2007 12:00AM
The TSH is 'optimal' at this point for most people -- but some feel better with a higher TSH -- may be worth letting it get up to around 3 to see what happens. Another option is combining T4/T3 treatment (ie adding cytomel to synthroid).
Member Comments (2)
by pcincome, Mar 21, 2007 12:00AM
I am 14 years post surgery and in only the past 4 years have finally found the answer to why I was always so tired and moody. The right meds for me do cover both T3 and T4. Someone pointed me to http://www.stopthethyroidmadness.com/ recently for additional support and information on things I was looking for. Just, check it out, you'll be glad you did.
