Hypothyroidism OR Hyperthyroid ! Suggest diet and medication.

[baby2020]

I have a very different scenario about Hypothyroidism.
I have been just detected with hypothyroid.


Free T4,serum
30/April/ 2010 - 16.8
16/Sep/ 2010 - 14.6
12/May/ 2011 - 17.6
Range: 11.5 - 22.7 pmol/L

Free T3,serum
30/April/ 2010 - 4.4  
16/Sep/ 2010 - 4.3
12/May/ 2011 - 4.9
Range: 3.5 - 6.5 pmol/L

sensitiveTSH,serum
30/April/ 2010 - 5.07  
16/Sep/ 2010 - 7.11
12/May/ 2011 - 7.580

I missed the report of 16th Sep 2010, and I just started my treatment 13th May 2011. (After a panic attack caused by nothing, i dont know)

Range
Euthyroid : 0.35 - 5.50 microIU/ml
Hyperthyroid:  5.50 microIU/ml


TPO
30/April/ 2010
Anti Microsomal (TPO) antibody, 496.9
serum by ECLIA
Range 0 - 34 IU/ml

16/Sep/ 2010
Anti Microsomal (TPO) antibody, 381.6
serum by ECLIA
Range 0 - 34 IU/ml

12/May/ 2011
Anti Microsomal (TPO) antibody, 371.8
serum by ECLIA
Range 5 - 34 IU/ml

Anti Thyroglobulin (Tg) antibody, 429.3
serum by ECLIA
Range 10 - 115 IU/ml

If I am hypo:, the fun part is:
I have lost around 10Kg in past 1 year. Mostly within the 2nd half of 2010.

I am very active. I like to walk a lot.
I never drank much water in my whole life
I think a lot, my mind is not calm anytime day or night. I cant sleep quickly, but I sleep well when i sleep. 7 to 8 hours. I am 34 years old now. I am 64kgs. / 141 pounds.
I am 5.9 feet tall.

My b12 value is low 167.
I have a low Hemoglobin 12. / Semi thlsymic
My heart rate is absolutely normal, so is my BP.

If I am hypo and i have the symptoms of hyper.

What is the diet and medication I should consider ?
Current medication:
Thyronorm 25 mcg (Thyroxine Sodium Tablets - 1 a day before BF)
Ativan 1Mg - 1 a day bedtime
Both Not yet started - will start from 14/May/2011

VICTOBIN 500 MG - 3 times a day (started 2 days back)

[Barb135]

Sorry, what is Victobin?  What's it used for?

Symptoms of hypo and hyper can be the same.  I agree with goolarra; the only indication of hypo is TSH, which is a pituitary hormone, can vary widely and is not always indicative of thyroid function.  Since it's high, but your actual thyroid levels are good (FT3 just a tad low), have they thought to check your pituitary function?  

[goolarra]

Both your TPOab and TGab are elevated, which would indicate that you have autoimmune thyroid disease, either Hashi's (hypo) or Graves' (hyper) or both (extremely rare).  Although Hashi's is ultimately a hypo disease, early stages can be characterized by hyper symptoms or swings from hypo to hyper.

Antibodies will continue to destroy thyroid function, but it can take years or even decades for them to destroy enough to cause symptoms.  It can also take just months.

I'll only comment on your latest labs since they're pretty consistent anyway.  FT4 looks good.  It's just a little above midpoint of range, which is the target for FT4.  Your FT3 is very slightly low, but nothing I would consider significant, especially since you were not on meds at the time.  So, the only test that indicates you are hypo is TSH, which is the least reliable of the thyroid tests.  TSH is a pituitary hormone, very volatile and causes no symptoms.  It is only if (the big fat if) TSH accurately reflects FT3 and FT4 levels that it is useful.  

Do you have any hypo symptoms at all?

Has your doctor diagnosed Hashi's?