Aa
About this post-tx thyroid thing
I am sick of these symptoms which many of us report here, ie. sluggishness, low body temp, sweating and freezing, constipation, inability to lose weight, etc. I just had a blood test for thyroid function and the numbers came out within normal limits, ie. my TSH is 3.1 (range is 0.2 - 4.5) and my T4 is 11 (range is 9 - 21). I still feel that I am subclinically hypothyroid and I am considering asking my doc to let me do a 3 month trial with a small dose of thyroxine.
Has anybody had a similar situation to mine with normal thyroid readings tried this? If so, how did it work out for you? Any recommendations on the starting dose?
If I take the thyroxine for 3 months does that mean I will risk making my thyroid become so lazy that I will have to keep taking the thyroxine for life?
This cr@ap is becoming a serious quality of life issue for me. I hardly go out in the evening any more because I get too tired to manage social situations. I am not willing to just sit on my fat butt and watch my life running down the drain if there might be something I can do about it.
dointime
PS I am 8 months post tx and still have the virus, liver stage 1.
Has anybody had a similar situation to mine with normal thyroid readings tried this? If so, how did it work out for you? Any recommendations on the starting dose?
If I take the thyroxine for 3 months does that mean I will risk making my thyroid become so lazy that I will have to keep taking the thyroxine for life?
This cr@ap is becoming a serious quality of life issue for me. I hardly go out in the evening any more because I get too tired to manage social situations. I am not willing to just sit on my fat butt and watch my life running down the drain if there might be something I can do about it.
dointime
PS I am 8 months post tx and still have the virus, liver stage 1.
her e is the basics of it,
This section does not cite any references or sources. (February 2008)
Please improve this section by adding citations to reliable sources. Unverifiable material may be challenged and removed.
The ACTH stimulation test measures the adrenal response or lack of response to stress by testing the amount of cortisol the adrenals produce after being stimulated by a synthetic form of ACTH (Adrenocorticotropic hormone). This is a simple test. Blood is drawn to get a starting or base cortisol level (serum ACTH should also be tested), next synthetic ACTH (Synacthen aka Tetracosactide or Cortrosyn aka Cosyntropin) is injected. Blood is drawn 30 min, sometimes 45 min, and at 60 minutes after the synthetic ACTH has been injected. The test must be done for at least 60 minutes. In healthy adrenal function, the cortisol level should double within 60 minutes. If the cortisol level was a 25 before the stimulation (base level), after the stimulation should reach at least 50. Most feel nothing during or after the test, but flushed skin, anxiety and nausea are possible.
In primary adrenal insufficiency, the base cortisol level usually starts at least a little lower, such as 15,(can be much lower). If the ACTH stimulation test raises cortisol level to 20, that would not be doubling and support the diagnosis of primary adrenal insufficiency.
it does check on cortisol levels, it also has some of the same symptons as hep c
This section does not cite any references or sources. (February 2008)
Please improve this section by adding citations to reliable sources. Unverifiable material may be challenged and removed.
The ACTH stimulation test measures the adrenal response or lack of response to stress by testing the amount of cortisol the adrenals produce after being stimulated by a synthetic form of ACTH (Adrenocorticotropic hormone). This is a simple test. Blood is drawn to get a starting or base cortisol level (serum ACTH should also be tested), next synthetic ACTH (Synacthen aka Tetracosactide or Cortrosyn aka Cosyntropin) is injected. Blood is drawn 30 min, sometimes 45 min, and at 60 minutes after the synthetic ACTH has been injected. The test must be done for at least 60 minutes. In healthy adrenal function, the cortisol level should double within 60 minutes. If the cortisol level was a 25 before the stimulation (base level), after the stimulation should reach at least 50. Most feel nothing during or after the test, but flushed skin, anxiety and nausea are possible.
In primary adrenal insufficiency, the base cortisol level usually starts at least a little lower, such as 15,(can be much lower). If the ACTH stimulation test raises cortisol level to 20, that would not be doubling and support the diagnosis of primary adrenal insufficiency.
it does check on cortisol levels, it also has some of the same symptons as hep c
Deb - "Have you had your adrenal gland checked? Had a stym test? "
Do you have a link to where I can read about the stym test please? I don't know what that is. The adrenal gland check - is that a check on cortisol levels? I agree, a visit to the endo is in order.
Melinda - great article, very helpful to show to doc, thanks for posting,
dointime
Do you have a link to where I can read about the stym test please? I don't know what that is. The adrenal gland check - is that a check on cortisol levels? I agree, a visit to the endo is in order.
Melinda - great article, very helpful to show to doc, thanks for posting,
dointime
http://jcem.endojournals.org/cgi/reprint/89/8/3656.pdf -Here's a link that was just passed on to me...It has a great amount of txing and thyroid issues and recommends how to manage it...It's probably saved me having to take liver toxic meds (Or something more permanent)...We can thank getrdone for this one, I believe... ~Melinda
A trip to the endcronoligist, I think is the answer, I read an article, it was a couple of years old, but it talked about the thyroid, pancreas, adrenal. pitutataries.
Connected to HCV. I been sort of looking for more info, but I know I had accident, my adrenal was damaged, they think it might have hemmoraged, BUT my Endo, said there were studies concerning HCV, I just can't find them!
Let us know!
Connected to HCV. I been sort of looking for more info, but I know I had accident, my adrenal was damaged, they think it might have hemmoraged, BUT my Endo, said there were studies concerning HCV, I just can't find them!
Let us know!
deb - thanks for that, I'll check out the stym test.
shelly - the free T4 range on my lab report is 9 - 21 pmol/L. So I guess your result would appear as 9.8 by those units and be near the bottom of the range. Good to hear that your thyroid got back in shape by itself - I wish that mine would do that, but any improvement is so slow that I am not sure it is happening at all.
dointime
shelly - the free T4 range on my lab report is 9 - 21 pmol/L. So I guess your result would appear as 9.8 by those units and be near the bottom of the range. Good to hear that your thyroid got back in shape by itself - I wish that mine would do that, but any improvement is so slow that I am not sure it is happening at all.
dointime
Have an Answer?
You are reading content posted in the Hepatitis Social Community
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
