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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
feel better without medication. What to do?
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.
feel better without medication. What to do?
by Anna702, Jul 13, 2009 12:15PM
TSH- around 40. T4 -6. Was taking levothyroxine 25 and got blood results to normal, but was feeling so sick that I stopped.
Started to feel OK, but doctor said I should take levothyroxine. I tried Armour 1/4 grain, took it for 2 weeks, felt even worse -- as if I am about to pass out. Stopped that too. What to do? Where to go? What to take (or not) ? Any suggestions?
Started to feel OK, but doctor said I should take levothyroxine. I tried Armour 1/4 grain, took it for 2 weeks, felt even worse -- as if I am about to pass out. Stopped that too. What to do? Where to go? What to take (or not) ? Any suggestions?
Doctor's Answer
by Mark Lupo, M.D., Jul 13, 2009 07:41PM
, Jul 13, 2009 07:41PM
Sounds like you need treatment for the hypothyroidism. With this reaction, it may be important to check cortisol to exclude adrenal insufficiency.
Otherwise, would use levothyroxine (rather than armour) and slowly increase from 1/2 of a 25mcg tablet (ie increase the dose every 7 days or so by 12.5mcg) with a target of 75-100mcg and re-evaluate.
Otherwise, would use levothyroxine (rather than armour) and slowly increase from 1/2 of a 25mcg tablet (ie increase the dose every 7 days or so by 12.5mcg) with a target of 75-100mcg and re-evaluate.
Member Comments (2)
by Anna702, Jul 14, 2009 11:23AM
To: Dr Lupo
Thank you for your answer. One more question if I may: Why should I am to take 75- 100 mcg of levothyroxine if my blood results get absolutely normal on 25mgc? Thank you in advance. Anna
