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subclin Hypo (due to Hashi) w normal labs question
Dr. Lupo:
42 year old male w subclin Hypo due to Hashi's. TSH 6 to 10 but Free Ts totally normal and originally antibodies. Currently on 75mg Synthroid. The last couple of weeks, I started feeling really cruddy: constipation, cramping in hands and feet, palpatations at night. Also started sweating a lot during my workouts and eyes hurting. Coudn't sleep. Racing thoughts. Never had this in past year.
I went to get blood draw and got back results showing TSH at 3.37 and Free Ts once again. Endo wants me to stay on Synthroid but I believe my cruddiness may be DUE to Synthroid (perhaps now I'm overmedicated?) and feeling the effects of someone who might be Hyper?
I stopped taking medication cold turkey and began feeling better. Heart palps went away within day, sweating down. My cramping in hands feet still a bit but not as much.
Questions:
1. Is is appropriate for patients w subclinical and NORMAL labs to discontinue Synthroid until TSH starts going beyond normal. So far, I think I'm right on this as a feel much better.I hear 10 is the point to consider treating. My endo is like the Pope. Can't ask him direct until DECEMBER.
2. How concerned should I be about the muscle cramps? Cramping seems not nnormal. Only for a second or two then gone. One minute in my fingers. Next in my shoulder and toes. This not completely gone. Should I be concerned about muscle loss or nerve damage from all this? No weakness. I still run and lift in the morning.
Last year, I did the entire over 40 checkup w heart check, colonoscopy, endo, liver ultrasound. Clean bill of health. I was told I am completely healthy w the exception of Hashi's. Also had EEG and some other test in 2003 to rule out ALS and CT scan on brain and spine to rule out MS a couple of years back as I felt similarly.
Thanks
42 year old male w subclin Hypo due to Hashi's. TSH 6 to 10 but Free Ts totally normal and originally antibodies. Currently on 75mg Synthroid. The last couple of weeks, I started feeling really cruddy: constipation, cramping in hands and feet, palpatations at night. Also started sweating a lot during my workouts and eyes hurting. Coudn't sleep. Racing thoughts. Never had this in past year.
I went to get blood draw and got back results showing TSH at 3.37 and Free Ts once again. Endo wants me to stay on Synthroid but I believe my cruddiness may be DUE to Synthroid (perhaps now I'm overmedicated?) and feeling the effects of someone who might be Hyper?
I stopped taking medication cold turkey and began feeling better. Heart palps went away within day, sweating down. My cramping in hands feet still a bit but not as much.
Questions:
1. Is is appropriate for patients w subclinical and NORMAL labs to discontinue Synthroid until TSH starts going beyond normal. So far, I think I'm right on this as a feel much better.I hear 10 is the point to consider treating. My endo is like the Pope. Can't ask him direct until DECEMBER.
2. How concerned should I be about the muscle cramps? Cramping seems not nnormal. Only for a second or two then gone. One minute in my fingers. Next in my shoulder and toes. This not completely gone. Should I be concerned about muscle loss or nerve damage from all this? No weakness. I still run and lift in the morning.
Last year, I did the entire over 40 checkup w heart check, colonoscopy, endo, liver ultrasound. Clean bill of health. I was told I am completely healthy w the exception of Hashi's. Also had EEG and some other test in 2003 to rule out ALS and CT scan on brain and spine to rule out MS a couple of years back as I felt similarly.
Thanks
MEDICAL PROFESSIONAL
1 - >10 is when treatment becomes less optional, so yes, some patients do wait until this time, particularly if starting levothyroxine earlier has not helped.
2 - muscle cramps can be hypothyroid, but with mild hypothyroid there should not be any long-term damage to nerve/muscle.
2 - muscle cramps can be hypothyroid, but with mild hypothyroid there should not be any long-term damage to nerve/muscle.
Much thanks.
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