Total Thyroidectomy & Synthroid Dosage

[lilypad300]

I know it's different for everyone, but what is the average dose of synthroid for people who have has a thyroidectomy?  
My doctor started me off on .175 and then I had an anxiety attack the other day (see journal)  today he said my numbers were good, but reduced me to .137 and gave me some .150 samples as well.  He said to start on the .137 and if I felt sluggish to take the .150's .  How will I know the difference between general fatigue and not enough synthroid.  Would the .175 have caused my anxiety attack?  

help!
thanks!

[annie_2013]

So I went to the cardiologist today, she requested my labwork from  last friday the ones my endo ordered.  So when she received them she told me all were normal and I asked if my freet3 too? And she said "yes your t3 was normal too" and I told her  that t3 and freet3 are not the same tests. So she said " oh, let me call your endo again and ask about it"  and to my surprise this endocrinologist did not order lab work on my freet3.   So the cardiologist is ordering them and a cbc as well to check my iron, ferritin, cholesterol, diabetes , blood count etc.  tomorrow morning.  We did an eco today and an ekg since my pulse was 120 when I arrived at the clinic and my BP was 148/? , but everything looked perfect. So I was sent home with a 24hr heart monitor . Im not sure what to do since my ob/gyn called me last friday to tell me my t4 was slightly high and to stop synthroid and today the endo is telling me the opposite to continue synthroid .100 because the 2 labworks from both doctors last friday showed normal numbers.  So I guess im going to keep waiting for the freet3 and cbc that hopefully will be done tomorrow. Tonight im going to try and take half of my synthroid.1 pill. Im tired of this situation already. :(.

[gimel]

Thanks vou for the kind words.  There are numerous members here that spend lots of their personal time searching for useful info, reviewing scientific studies related to thyroid issues, and giving other members support and any help that can be provided.  We were all helped in the past and are trying to "pay it forward".  

I have found some doctors that appear to be prospects (as opposed to being suspects), for good thyroid doctors.  Before sending you a PM with names, I would like to see the result from that Free T3 test, to better understand what is needed.  

Also, I think you need to be aware that being an Endo does not guarantee a good thyroid doctor.  Many of them specialize in diabetes, not thyroid.  Many also have the "Immaculate TSH Belief" by which they only want to use TSH to diagnose and medicate a thyroid patient. That is very wrong.   For those that do test beyond TSH, many use "Reference Range Endocrinology", by which they will tell you that a thyroid test that falls anywhere within the reference range is adequate.  That is very wrong also.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve hypo symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results, and especially not TSH results.

So, I'd like for you to be as confident as possible that whatever doctor you choose to spend your time and money on, turns out to be a good thyroid doctor.  

[annie_2013]

I Tried to make an appointment with dr. Medhavi Jogi at  the Houston Thyroid and Endocrine Specialists but since he is a very famous endocrinologist in the area the soonest appt available was on Aug. 28 and made an appointment with Dr. Juarez in the same clinic.  Their website is  www.houstonendocrine.com
I just cant thank you enough for ur quick responses,  i know there are a lot of other people asking u and we are bombarding you with so many questions and concerns inquiring your thoughts and opinions. You are such a great person with a great heart.  you are like an angel to all of us who are going through this type of situations.  God bless you always.  

[gimel]

Sorry for your sleepless night.  No need for that much concern.  No Synthroid for 3 days will just reduce your T4 level a bit and give you a respite and see what effect that has on the palps.  The Free T3 test result will tell a lot about what is going on.  If low in the range, that is often associated with having hypothyroid symptoms, which can include palps.  

I don't have a member recommended thyroid doctor for the Houston area.  I'll do some looking later today and see if I can find any good prospects.  

[annie_2013]

Cant sleep im just very anxious thinking I had an overdose. And then the doctor asked me not to take any synthroid until monday, so 3 nights without it, was this the right thing to do? Is this the only choice in my case? I dont know anything about these numbers but when you say that u expect the freet3 to be in the lower half of the range is that something i should be concern of?  Do u know of a good or excellent endocrinologist in the houston area?  

[gimel]

Free T3 result will be interesting.  I expect it is going to be in the lower half of the range.