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Hypo thyroid symptoms persist; lab shows normal
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Hypo thyroid symptoms persist; lab shows normal

I have taken Levothyroxine, generic for Synthroid, for 30 years now.   My recent lab tests show as always that my strength of med is correct.  I've read that sometimes the t3 needs more attention which the Lev. alone doesn't always do.  I have had dry skin, hair, fatigue, low mood, constipation for years; just dealt with it.   Now thinning hair, a lot more.....
I could harass my dr. to discuss Armour or Cytomel with me but I have mentioned these symptoms and it's just my age or use lotion, etc.  I'd like to improve my health but where to go?
I doubt that my gyn. will deal w this.  I have a psychiatrist that I see twice a year bc I had 3 depressions and now take low doses of an antidepressant (have taken for years the same dose); I wondered if some psychiatrists will prescribe a low dose of Cytomel or Armour (the latter to replace the Lev.) bc I've read that these can help with my complaints.  I understand further blood tests are necessary.
I hate to get into going to an endocronologist for more tests and expense and travel distance.

So.... do any psychiatrists deal w thyroid conditions?  Thank you!
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231441_tn?1333896366
Hi,

psychiatrists should know about the benefit of treating depressions with T3.  They are also fully trained MDs who have just specialised in psychiatry and they can and should order any relevant tests.

Surely you can ask your psychiatrist to test FT3 and FT4 to see where your levels are.

Both should be at least mid-range.  If your FT3 is low then definitely you would benefit from adding in a T3 medication.
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231441_tn?1333896366
Hi,

psychiatrists should know about the benefit of treating depressions with T3.  They are also fully trained MDs who have just specialised in psychiatry and they can and should order any relevant tests.

Surely you can ask your psychiatrist to test FT3 and FT4 to see where your levels are.

Both should be at least mid-range.  If your FT3 is low then definitely you would benefit from adding in a T3 medication.
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Avatar_f_tn
Thanks!  I don't know if the psyc. will order lab tests; he just appears in his office a few times a month (from the city) and doesn't hang around more than 15 minutes; he's never ordered any med tests and we don't go further in discussion than about meds for depression.  (In the old days of 45 minute sessions, the pdocs had plenty of time and worked w the patients a lot more.)  However, I do see him before I see my gyn.....

If he doesn't show any desire to order tests, I'll try my gyn.  I really don't want to go to my gp and insist that he order some free t3 and t4 tests that I have to get the code for and then see if he is up on the Armour, Cytomel, etc., that I may need....... after all, I have mentioned several times to him about hypothyroid symptoms (despite being on Levothyroxine) and he's never suggested any further testing and I was ignorant on the subject.

At least I know now that I'd like the t3 and t4 (free) done!

However, I may be underestimating my psychiatrist; he does understand the need for me to take estrogen supplements (although he doesn't prescribe them, my gyn. does) and he might just go ahead with ordering the lab tests done at the hospital in the town where I see him.

So thanks!  (I guess I didn't realize that these drs. would even be interested in thyroid disorders!)
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Avatar_m_tn
I am a 55YO male. Was diagnosed with hypothyroid, very Low testosterone, B-12 deficient and high Cholesterol , Am always tired, sweat a lot more, mood swings, weight gain (40Lbs in 2 years) don't exercise much, but don't eat a lot either and in the last few years have a receding hairline and VERY thinning hair.. Primary DR. gave me .50 of synthroid and a statin drug and retested in 6 months.Levels normalized  on thyroid and cholesterol but not on B-12 or testosterone levels. Still same symptoms.He told me that I was in catch 22 because thyroid caused hair loss but so did the synthroid... bumped to .75... retested again 7 months later. Levels still good, same symptoms.Read about and asked for Amour for T3 and a supplement for Low T. He told me He was the Dr and would prescribe what he thought was needed and for me not to peruse the internet for solutions. That was 1 year ago and I haven't been back to see him. Needless to say, I still have all the bad symptoms with no clear remedy.I Live in a smaller community and not much in choices of specialists...  Any natural or other alternatives? I am tired of being tired and really would like to stop losing hair
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Avatar_m_tn
There is lots that we can tell you that may be helpful.  Fefore doing that, please post your thyroid related test results and their reference ranges shown on the lab report.  Also, B12 and D if you have those.  
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