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Bio-identical hormones for Hashimoto's

Dear Dr. Lupo,

I am hypothyroid and just diagnosed with Hashimoto's. I am 27 years old, female, and have always been active. I have been on synthroid and armour in the past, but in the last 6 months my symptoms had become unbearable and i was finding it almost impossible to function in my usual routine.
I recently saw a new doctor and he has put me on bio-identical T3 to see how I do.  He has also given me a bio-identical cortisol tablet because he said my adrenal glands were shot. I am beginning to feel better but I've been urged to get a second opinion. My weight has gone up 15 pounds in the last 6 weeks (before starting the new medication) and seems to be stable at the moment, which is nice-  but while I do worry about the weight, my main concern is making sure to look out for my overall health for now and the future. I am going to see an endo to get a second opinion and a thyroid scan, but wanted to ask you to weigh in on the topic of bio-identical hormone treatment for thyroiditis. I appreciate your time. Thanks!
2 Responses
97953 tn?1440865392
Would get a second opinion.

"bio-identical" is a well-marketed, non-scientific term.  Synthroid is bio-identical (an exact copy of the hormone your body produces).

You may need to wean off the cortisol rather than stop abruptly -- get to a good endocrinologist for advice and guidance.

A nuclear thyroid scan will not help.  An ultrasound would be of interest w/ the hashi -- to look for nodules.
648632 tn?1223819932
A related discussion, Estrogen Dominant/Hashimoto's was started.

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