Live WebChat - NOW - with Dr. Mark Lupo, Endocrinologist

[ChitChatNine]

We'd like to welcome Dr. Mark Lupo, Endocrinologist, as our guest this evening from 5:00-6:00PM EST.  Dr. Lupo will be answering thryoid-related questions which were previously posted by our community members earlier this week.  

After a member-question is posted by Co-CL ChitChatNine, Dr. Lupo will answer the question with a few minutes for member comments and then another question will be posted.

I know we'll enjoy this WebChat and thank Dr. Lupo for his time!  

Let's give Dr. Lupo a warm welcome!

Your Community Leaders
Cheryl, Laura & Stella

[Mark Lupo, M.D.]

LAST QUESTION FOR THIS WEBCHAT....

Posted by: bet643

Jan 21, 2009 08:48PM



To: Dr. Lupo

You are a Prince, thank you so much!!!!  After my total thyroidectomy 4 yrs. ago for pap. carcinoma and dx with hashimotos, I was placed on 150 mcg. of Synthroid.  Even though I have the problems of joint pain, brain fog, lack of sleep and all of the other lovely problems that go along with it, the most trouble I am having is heart palps. I have them quite often. I was told that it would slow down over 3 yrs. ago, but nothing yet. They cause me to lose sleep, which I do not need since I barely sleep as it is. I am worried that I will end up with a heart attack. I can't give you my labs since I will not see my Endo until this Friday, that's when he will go over my labs with me. I am a walking zombee most of the time. It takes me about 2 to 3 hrs. to function after my meds are taken at 7:00 AM and I am wiped out by 3;00 PM.  So I guess you can say that I'm only good for about 4 to 5 hrs. a day. I am concerned that my ths is alway high, but I have yet to get a good explaination on why it's alway high. I'm just so tired and  feeling weak and would like to know if it will ever get better?


IF TSH IS IN TARGET RANGE (O.5-2.5) THEN ASK ABOUT A TRIAL OF ADDING T3 -CYTOMEL --USUALLY DOES NOT HELP BUT MAY BE WORTH A TRIAL -- SEE ABOVE POSTS ON THIS.

[SueYoung55]

So much to learn. Thank you for your time.

[laura1967]

Were you the one Dr Lupo just answered the question above under autoimmune and see a RA dr?

[Mark Lupo, M.D.]

Posted by: rohit_786

Jan 21, 2009 08:20PM



To: Dr Lupo



Subject: Hashimoto's thyroditis / Pituitary adenoma



Thanks Dr Lupo for your time here. I have been posting my questions/answering other here for last 3 years . I have two questions.



About Me first :-



Male , 37 years , diagnose Hashimoto's in 2006



Question # 1

I recently diagnose Pituitary tumor because of hig prolactin level , the size of tumor is 6mm. My question is , do you think my hypothyriodism is because of pittuitary disorder ?.

NOT IF TSH WAS HIGH AT TIME OF INITIAL DIAGNOSIS.   MORE LIKELY IT IS PRIMARY HYPOTHYROIDISM DUE TO HASHI
UNTREATED HYPOTHYROIDISM HOWEVER CAN ELEVATE PROLACTIN.....
Question # 2:



My thyroid level keep bouncing for last 3 years, current number is TSH 1.67, FT4 = 1.37 FT3 = 3.32.



I still have muscles pain/joint pain , fatigue and still weight gain issue.Can't hold my temper , fuse very quickly and very low sex drive and low libido.


LEVELS NORMAL, NOT MUCH MORE TO DO W/ THYROID HORMONE TREATMENT.
Some more data about my hormone which is tested pretty recently



Total Testosterone 300 (300-1090)

LH  1.67 (1.5-9.0)

FSH 3.2 (3.0-10)



Free testosterone level is also in low side.



My question is , do you think those hormones are responsible for my symptoms as my thyroid numbers are fine  ?.

TESTOSTERONE IS  A BIT LOW -- MAY CAUSE SYMPTOMS.  LOW TESTOSTERONE IS SOMETIMES SEEN IN UNTREATED PROLACTINOMAS.

Current medicine



Levoxyl 88mcg/day

Bromocriptine  2.5mg/day.





I really appreciate in advance for your response.

====================

[Aurorah]

tyvm for you time today Dr. Lupo

[baz5]

I did not take my methotrexate last night due to my trip to the hospital.  Would skipping a dose be that awful for me?  I have a sneaking suspision thats what put me there in the first place.