Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Thyroid (Expert Forum)
Test results, HELP! What's going on?
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
Test results, HELP! What's going on?
by EuroJewel, Sep 02, 2007 10:22AM
I was diagnosed w/ Graves Disease on April 17 after being incredibly unwell since January.
The following are my labs and medications.
Can you pls help me understand what's going on? Why has my TSH sunk to nearly nothing?
Thank you so very much in advance!!!!!!
4/13: TSH = <0.01, FT4 = 36
4/17: Diagnosed w/ Graves Disease
4/18: Started Strumazol 30 mg
4/21: Started PTU 300 mg (Propylthiouracil) and stopped Strumazol
6/2: Started 0.1 mcg Thyrax Duotab(Levothyroxine)
6/13: TSH =<0.01, FT4 = 22, TT3 = 1.2
7/17: TSH =<0.01, FT4 = 21, TT3 = 1.7
7/23: Maxalt 10 (Rizatriptan) & Diclofenacnatrium 50 mg for Migraines
7/26: TSH = <0.03, FT4 = 10.9
8/3: Increased Thyrax Duotab to 0.125 mcg (Levothyroxine)
8/8: Started Tertroxin (Liothyronine) 0.20
8/20: TSH = <0.003, FT3 = 6.68, FT4 = 16.6, TT4 = 117, TT3 = 1.8
The following are my labs and medications.
Can you pls help me understand what's going on? Why has my TSH sunk to nearly nothing?
Thank you so very much in advance!!!!!!
4/13: TSH = <0.01, FT4 = 36
4/17: Diagnosed w/ Graves Disease
4/18: Started Strumazol 30 mg
4/21: Started PTU 300 mg (Propylthiouracil) and stopped Strumazol
6/2: Started 0.1 mcg Thyrax Duotab(Levothyroxine)
6/13: TSH =<0.01, FT4 = 22, TT3 = 1.2
7/17: TSH =<0.01, FT4 = 21, TT3 = 1.7
7/23: Maxalt 10 (Rizatriptan) & Diclofenacnatrium 50 mg for Migraines
7/26: TSH = <0.03, FT4 = 10.9
8/3: Increased Thyrax Duotab to 0.125 mcg (Levothyroxine)
8/8: Started Tertroxin (Liothyronine) 0.20
8/20: TSH = <0.003, FT3 = 6.68, FT4 = 16.6, TT4 = 117, TT3 = 1.8
Doctor's Answer
by Mark Lupo, M.D., Sep 03, 2007 09:28AM
, Sep 03, 2007 09:28AM
I think you need to see a thyroid expert if possible. You are still hyperthyroid (TSH low). There has been some interest in this block/replace (ie PTU and lio/levo), but this is not typically used -- esp in the united states -- and has not been proven to be more effective than straight anti-thyroid drugs (PTU or strumazol in your country).
Migraines are aggravated by hyperthyroidism.
Cannot give specific suggestions, but would usually use PTU or Strumazol alone and get the T4 and T3 normal first, then in time, the TSH will come up.
Migraines are aggravated by hyperthyroidism.
Cannot give specific suggestions, but would usually use PTU or Strumazol alone and get the T4 and T3 normal first, then in time, the TSH will come up.
