I can trace a majority of my health problems to nearly seven years ago, after I birthed a premature infant. Slowly, my energy started to decline. I blamed it on the stress of raising a new baby. But as my child grew older, I grew more tired. Daily naps were a necessity. Other symptoms started to slowly trickle in. Gastro issues. Depression. Anxiety. Weight gain. Weight loss.
In the summer of '08 I became very lethargic and I began breaking out in rashes. My naps increased from one to three hours daily. One doctor told me it was Shingles. But this so called 'Shingles' came and went at least twice a month. Sometimes on my arms, legs, chest and scalp. Shingles only occurred in one spot. But I couldn't get my doctors to run more tests.
Doctors told me to sleep less and I'd lose the weight. Doctors told me my depression was making me tired. Finally, last winter, I was so sick, I thought I was dying. Doctors ran every type of blood test. We discovered my D was an 18. My parathyroid hormone was also slightly high at 67. My calcium tests came back at a 10.4 and a 10.0. One doctor suggested I had parathyroid disease and sent me to an endo.
This was when the real battle ensued. This endo, and his senior doctor, both had to reassure me nothing was wrong with me. It was just a vitamin D issue. But I live in a sunny state. I had been sick for quite a while, even during the summer months when I sat outside and watched my daughter swim in the pool. I was getting plenty of vitamin D then, and I was very sick. I knew I had more than just a vitamin D issue. After going to the parathyroid website and reading about the link between vitamin D and parathyroid, I honestly thought it was parathyroid disease.
I found another endo who gave me an ultrasound, looking for a parathyroid tumor. What she found was a multi-nodular thyroid goiter. I had no idea at the time what that meant. She felt no reason to run thyroid labs as my previous TSH score was only a 2.74. She ran another parathyroid lab. This time, my PTH jumped to a 71. After much begging, I got her to write a referral to the parathyroid surgeon from the website. By this time, it was mid-summer, and I was sunning at the pool again. My D was finally in normal ranges. The surgeon had me get two more calcium and PTH labs. Both came back normal. After paying the $1500 fee, in less than 30 seconds he told me I was barking up the wrong tree. He told me to get tested for Hashimoto's.
I asked why my PTH and calcium had gone up. His answer was, "Two years ago it snowed in Florida."
By this time, I'd researched the TSH scores my endo and the fist two endos had looked at when they'd ruled out thyroid disease. I'd discovered that many people with Hashimoto's have TSH levels beteween 2.0-3.0, and that the current lab ranges many labs used were obsolete.
In late August, as my hair began falling out in clumps, I went back to my endo and asked her to run the antibodies for Hashimoto's (TGab and TPO). I also asked her to run the FreeT3 and FreeT4 tests to determine my thyroid levels. My TPO came back at a 221, which is much higher than the threshold of 35. My free thyroid hormones were also very low. She diagnosed me with Hashimoto's and put me on a thyroid hormone called Synthroid.
When I look back at the myriad mistakes my doctors had made in failing to diagnose me, I just want to scream. Why did it take so long? I had so many of the signs. Many people with Hashimoto's suffer from low vitamin D, depression, fatigue, weight gain and gastro issues. Why couldn't some doctor at some point run the antibody tests?
If you have a vitamin D issue, take my advice. Don't let a doctor rule out thyroid disease based solely on your TSH. TSH is a pituitary hormone, not a thyroid hormone. Only the antibodies and a thyroid ultrasound can tell you if you have thyroid disease. And measuring the frees can tell you exactly how much hormone your thyroid is producing. Don't ever let a doctor sweep your health under the rug and dismiss your concerns. This is your body. Your life. Demand wellness!
By the way, I've switched endos again. The last one should have run the relevant thyroid tests when she noticed the nodules and goiter. Because she failed to do this, and left me in misery for an extra four months, I surely don't trust her to treat my Hashimoto's disease now.
My new endo said that parathyroid and calcium levels can rise slightly in the face of low vitamin D. This was the case with me. I never had a parathyroid problem. My parathyroids were doing exactly what they were designed to do. My endo also said that TSH in a healthy thyroid averages at a 1.1. I wish he had been my doctor seven years ago.
:) Tamra