New to Hashimoto- questions and mysteries.

[macaco767]

Hello everyone.

I read posts talking about lab results level.  I was just diagnosed with Hashimoto's and a Vitamin D deficiency.  I had a baby 9 months ago and all went well.  We don't know if this came about from the pregnancy or if it manifested itself because of it.  
My symptoms started 3-4 weeks ago with diarrhea. Then i started to feel sluggish and just terrible.  I have daily fevers in the afternoon of about 100.

My Thyroid Peroxidase AB is 1000 (normal is <35), TSH is 12.16 (normal 0.28-3.89 mIU/L), T4, FREE is .62 which is on the low end of normal.

The endo i just saw said it's Hashimoto's and she is puzzled by the diarrhea and fever and has no explanation and that I should start to feel better in about 6-8 weeks.

I'm on 50 mcg of Levoxyl and 50,000 units (once a week) of Vitamin D as well as an over the counter Vitamin D supplement 2x a day.

I have an appointment with my pcp today.

Any thoughts would be welcomed.

[macaco767]

Thanks for the input. I'll ask my doctor to test my free T3.  I'm also going to an infectious disease doctor next week to try to get to the bottom of what's causing the daily fevers.

Thanks

[gimel]

I'm a bit puzzled by the fever, but I can definitely relate to gastritis type problems as a result of being hypo.  I'm assuming that the doctor will be increasing your meds in the 6-8 week time frame, after followup testing.  For the next round of testing I suggest that you insist that free T3 also be done.  Free T3 is four times as potent as free T4 and Ft3 correlates best with hypo symptoms.  TSH does not correlate very well at all with hypo symptoms.  so the best way to treat a thyroid patient, in my opinion, is to continually test and adjust FT3 and FT4 levels with meds, as required to alleviate symptoms.  Remember, it's all about symptoms, not just getting test results to a level that the doctor thinks is "normal".  Since the reference ranges for the "Frees" are so very broad, and really need to be adjusted like TSH was, many patients don't get symptom relief until FT3 and FT4 are in the upper half of their ranges, or sometimes even in the upper third of the ranges..