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feeling better after thyrohemogobin

How long does it take to feel better after thyrohem blood work went completely off synthroid for 2 weeks OMG it was awful tsh 200+ went back on synthyroid 2 days ago. I have no thyroid by the way. Just ready to feel normal again and wondered how often this throws everything off and have to readjust meds? Miagrain head aches are bad... Still don't understand all this tsh t3 t4 F3 f4 level stuff wasn't prepared for all this after complete thyroid removal??
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Avatar universal
Yes, regular doctors can successfully treat hypo patients.  A good thyroid doctor just has to be willing to treat a hypo patient clinically by testing and adjusting  Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.

The most important part is finding that good thyroid doctor.  If you will tell us where you are located, you might be lucky enough to have a member be able to recommend a good thyroid doctor in your area.  
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Avatar universal
first of all I guess you can tell I'm new too this site trying to use it properly and thank you for all the info. And yes I got a firm answer to my questions as to my I'm exper all the pain while off the synth the pain hasn't got bad yep yet last night had bad carpal tunnel symptoms. Anyway he said all is normal and if I have the symptoms again he would suggest changing Drs my next question is, is a regular a reg Dr my pcp qualified to treat this. I'm really scared about the mental issues I'm feeling. Haven't ever been sick or delt with anything like this in my life. Thank you for the info on where to start I will defi ask him about the free t3.
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Avatar universal
First I would say that you have been inadequately tested.  TSH is a pituitary hormone that is affected by so many variables that it is inadequate as a diagnostic for thyroid issues.  At best it is an indicator to be considered along with more important indicators such as symptoms, and also levels of the biologically active thyroid hormones, Free T3 and Free T4.  Of these Free T3 is the most important because it largely regulates metabolism and many other body functions.  Scientific studies have shown that FT3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all.  

All that said, your TSH is slightly over the range recommended by the AACE, over 8 years ago.  Unfortunately most labs and doctors have yet to adopt the new range.  You have no test results on the most important test, Free T3.  

Since you are taking a large dose of T4 medication, I fully expect that you will find your Free T3 to be low in its range.  I say this because patients taking those doses of T4 frequently find that their body is not adequately converting the T4 to T3, with resultant Free T3 that is too low in the range and thus causes hypo symptoms.

I suggest that you go back and request testing for Free T3, along with the Free T4 and TSH.  If the doctor makes excuses as to why this is not necessary, just insist on it and don't take no for an answer.    While you are there you may as well find out if the doctor is going to be willing to treat you clinically, for symptoms, by testing and adjusting Free t3 and free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Also ask if the doctor is willing to prescribe meds with T3 in them, to raise your Free T3 level.  If the answer to either question is no then you may as well start looking for a good thyroid doctor that will do so.
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Avatar universal
that btw was test results under range.. tsh 0.34-5.6   t4 free0.58-1.64   PTH, intact 12-88
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Avatar universal
got out my blood reports.. before the test on 150 synth, my (t4,free 1.06)( pth, intact 29.1  tsh 3.200 thank you for the concern. I'm lost... for answers.
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Avatar universal
Please post those thyroid test results, and their reference ranges shown n the lab report, that the Endo said looked "normal".  Just because results fall within the reference ranges does not mean that they are adequate for YOU.
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Avatar universal
you are alot more educated than I in this matter not much has been explained to me they just tell me all tests are normal if thats any such word I went back on thurs the 22nd I feel some better I thought I was going to die bad memory now I'm finding I have to do this again every year for a few no way!! I don't understand the Free t4?? I was experiencing bad back pain and pain that went from my feet to the back of my neck into my skull while on the synthroid. but went away when I wnt into that high tsh but experinced th sickness like when you are preg. but that is subsiding but afraid the pain is going to start back that was sending me to the chiropractor 2x a wk. I feel I don't need the chrio anymore when I asked the endo if I need more of something or something added he just said all looks normal and I wont change anything if you exper the pain again I suggest you see another Dr.??
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Avatar universal
After being off the Synthroid for 2 weeks, it will take about the same length of time to regain comparable levels.  Symptoms might not disappear totally in that time, but should at least start improving fairly quickly and become only an unpleasant memory  after the two week period.  

Since you have no thyroid, I am curious as to how successful the replacement medication and dosage has been for you.  The reason I ask is that a majority of hypo patients find that as a result of taking the large dosage of T4 meds, they don't adequately convert the T4 to T3, resulting in inadequate levels of the most important thyroid hormone, Free T3.  I had this very problem for over 25 years until I learned bout the importance of FT3 and got mine tested and found it low in the range.  After getting my meds changed to include a source of T3, and getting my FT3 into the upper part of the range, I now feel best ever.  

A good thyroid doctor will treat a thyroid patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results. You can get some good insight into clinical treatment by reading this link to a letter written by a good thyroid doctor for patients that he consults with from a distance.  The letter is sent to the PCP of the patient to help guide treatment.

http://hormonerestoration.com/files/ThyroidPMD.pdf

Have you ever been tested for Free T3 and free T4 (not the same as Total T3 and Total T4)?
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