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Can it come back?

by Used2behealthy, Dec 15, 2007 06:52PM
Ok, i posted another thread about my palpitations problem and everything but now i'm thinking that i'm just going back into hypo or hyper.

I was diagnosed with subacute thyroiditis a year ago, was hyperthyroid for 5 months then went into the hypothyroid phase and slowly increased my dose to 100mcg a day of levothyroxine.
I have been stable with 100 for almost 2 months, was just starting to workout again, and now this week i'm starting to feel bad again.

It started out with more frequent palpitations, but now it is fatigue, palpitations, slow heart rate 54-60 bpm.

Is it possible my thyroid was not finished dieing off and i need to bump my dose up again.
I'm making a doc appoitment with my endo after the weekend.

???
please help, i'm only 21, thyroid problems don't even run in my family.
Member Comments (9)

by AR-10, Dec 15, 2007 07:43PM
Sounds like maybe you are going too fast.
Your body may need more time to heal.

Physical stress may create a need for more hormones.

Your thyroid is not dead, or you would be taking twice as much Levothyroxine. It is just functioning badly and probably is diseased or half dead. But it is still producing hormones. Just not enough.

Working out may be tipping the scale and stressing your body more than your thyroid can handle.

If you were in a Hyper phase for five months and the went Hypo for a while and have been stable for two months, you have a few more months of healing, from what I understand.

I have been there and know what it does to your body. My PCP told me to expect to spend as much time healing as I had being sick. But I'm not done being sick.

Hope you're feeling better soon.

by kitcurious, Dec 16, 2007 09:41AM
Go to your doctor and have  your levels tested and also get a stress test and event/ Holter monitor done and see what is happening when you are working out.

If the results say hold back then do so. If the tests say your are fit to go then continue with what you wish to do, starting gradually and working your way up as you feel able.

Exercise is helpful in prevention of  depression and anxiety as well.

I try to ride my bike about  50 miles a week and do aerobics. I have tachycardia and I haven't died yet. In fact, my cardiologist is aware of the thyroid issues (on a beta blocker) and says it will only help normalize the rate. It is harder some days than others and my muscles are definitely weaker than before.
I had done aerobics/yoga regularly prior to dx and bought the bike when they told me I had Hashis.
I kept going when I was allegedly hypo and continue today.

Once again, I suggest seeing your doctor for tests and confirmation that you are fit to exercise.
Good luck.

by Used2behealthy, Dec 18, 2007 11:42AM
Yea so now i just found out my thyroid test cam back normal with TSH 0.9  and free T4 1.5

Now i'm even more worried that it is something with my heart so i'm making an appointment with my regular physician and see if he thinks i should see a cardiologist.
I just don't see it being my heart, i was a perfect athlete untill a year ago when all this thyroid stuff happened, i'm only 21, i eat really healthy.

by jd2, Dec 19, 2007 06:38AM
To: used2behealthy
i used to get heaps of palpitations and they scared me majorly, so i understand how worried you are! (im 26 and i was heaps worried about my heart too)
usually i get palpitations if my dosage is a little too high.
but i also get them if i eat chocolate, cocoa, chocolate biscuits, coffee, coke. i couldnt figure out what my palpitations were from (i thought from thyroid, but my tsh was normal), and then i read on the internet somewhere about the chocolate.
so if you eat chocolate or coffee or coke, i'd try not eating it for a couple weeks and see if it makes it better (it took me a couple weeks of not eating it at all to stop getting palpitations). and i get palpitations even if i eat a tiny bit of chocolate (like one piece or less)! but its worth it not to get palpitations.
if that doesnt work, you could try reducing your dosage of thyroxine a little bit. a tsh of 0.9 is in the normal range, but it might be a little to low for you, or it could be right and you could be getting the palpitations from something else.
if you're really worried you could see a cardiologist. i did and he told me mine weren't anything to worry about, which made me feel better (although now i dont have them which is even better!)
let me know if this helps you!

by Used2behealthy, Dec 19, 2007 06:56PM
Well i know caffiene can give people palpitations, i don' t think that is the case.

My type of palpitations are odd, they are not the case of beating to fast, they are very slow 60 bpm hard thumps that i feel all over my chest and neck, and then my heart goes back to normal after about 30 seconds.
I'm setting an appointment to see a cardiologist, i had and echo 4 or 5 months ago and it showed nothing, so i don't see how anything could have happened since then, i really do think it is just my body being so sensitive to differences in thyroid level, if that's the case i guess i'm screwed cause if 75mcg is too low and 100mcg is too much what do you do?

Does losing weight affect how much thyroid medicine you take or need?

by jd2, Dec 20, 2007 06:38AM
i just cut my tablets if i wanna take a dosage that is in between
if you are losing weight too much and too hungry means too much thyroid medicine, not any = not enough.
my palpitations from chocolate were also with a heart beat of 60, felt like my heart would stop for a little bit then BOOM start again. sometimes i would get a few at once, found that if i held my breath (out) my heart would go back to normal

by jd2, Dec 21, 2007 05:04AM
oops i meant the weight thing is how i regulate my dosage

by Used2behealthy, Dec 22, 2007 06:42PM
well i saw a cardiologist and he said getting a stress echo was up to me, and we agreed to see how things go in a few weeks, he told me to start out slower on exercise.

I'm still having the palpitations, and slow heart rate sometimes like 56-60, and i'm no athlete anymore.

It really seems like dead on symtoms of when i was hypothyroid but the blood test were normal, how can this be? my tsh was .9 and t4 1.5  
When i was feeling normal i remember my tsh was 1.2 and t4 1.3  so is it possible to get hypothyroid symtoms if i'm getting a little too much(hyperthyroid).

by jd2, Dec 23, 2007 06:50AM
if you think you felt normal with a tsh of 1.2 i'd suggest speaking to your doctor and seeing if he/she will work with you to adjust your dosage so that you feel normal again - maybe aim for that tsh? i know my old doc wouldnt have thought there was any difference between 0.9 and 1.2, but i know for me i can tell the difference if its that much different.
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