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Don't understand ~need consulting!

   I'm wondering if anyone has experience in this regard.  My M.D./N.D. put me on 30 mg of Efra.  I was fine for 6 weeks until he increased it to 60 mg.  I had to decrease after 3 weeks as I had terrible hypo symptoms, couldn't get out of bed, instability on my feet, brain fogginess forgetfulness.  I decreased five weeks ago to 30 mg again. but I'm now having digestive problems, nausea, bloating, gas etc.  My eyes are also red and blurry at times.  I went back to my N.D. he says he can't figure it out, unless my body has reached the max it needs.  He told me to reduce my dosage in half to 15 mg.  I'm confused as to why this would happen.  Has anyone else ever experienced such.  I'm really uncomfortable at the moment but hate to reduce completely due to the side effects.  

Advice anyone?


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798555 tn?1292787551
I have no idea how long to get your thyroid hormones with AOR thyro support to the level you had while on ERFA.

ERFA, as you know is actual thyroid hormones T3, T4, and the other ones no one talks about - T2.

AOR thyro support, I would imagine is just herbal and vitamin support with maybe a trace amount of dessicated bovine thyroid gland? - ??

If so, there is no telling what level of benefits it will present to you.

I see no history here of you ever trying just levothyroxine T4? Have you?

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Avatar universal
As I mentioned previously my N.D. took me off erfa cold turkey due to terrible digestive issues.  It's been a month and I'm still suffering mainly a down feeling which is making me very negative!  Can anyone offer advice on how long it'll tqake my homrones to get back to the levels prior to erfa?  Advice anyone???

I went to my G.P. to get perscription renewals. He was LIVID I'd gone to an N.D. He's God you know!! He wouldn't even listen to what I had to say about the thyroid hormone. He told me it was a placebo affect, as my thyroid was fine~ when I tried to explain I felt fine on it for 6 weeks. He would not even entertain a small dose of synthroid!!

My B.P. was sky high, so he doubled my medication. I have hypertension! I left there totally frustrated and in tears. I'm down anyway, from coming off the Erfa, but he wouldn't reply when I asked how long the W.D's would last? I guess these are all in my head also!! He probably didn't know.

I have to look for a new Dr. now. I cannot take his condesending attitude, and lack of communication skills!!

Anyone else ever experience this rude behaviour from a Dr.?
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Avatar universal
Thankyou so much for the name of an adrenal support.  I appreciate your assistance.  Thanks again.
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Avatar universal
I was referring to a one time blood drawn cortisol, L.M.  I live in Canada so the reference ranges are posssibly different.
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798555 tn?1292787551
I was figuring you were referring to a one time blood drawn cortisol test which has two reference ranges; one for a blood draw before noon and one for a blood draw after. Is this what you had?

I am familiar a blood cortisol tests , but they usually have two digit values, not three like the test you had.
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Avatar universal
coritsol is high 639 (120-620).   Thanks lazy moose.  I can''t afford any more tests unfortunately!
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798555 tn?1292787551
If you had a cortisol test, it would be helpful to post the results, with the ranges.

The adrenal tests Gimel mentioned can show results 4 times per day, with their respective and different ranges. These are very helpful since adrenals can really fluctuate.

There are many natural supplements that offer adrenal support. Some are actually called adrenal support. Somehow  supporting the adrenal gland will many times "lower the peaks and raise the valleys" of cortisol. Google vitamin shoppe. One of them is holy basil capsules.
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Avatar universal
I had to go off the Efra completely, and the digestive problems are gone, thankfully. I must've had an allergy.  I'm now suffering the hormonal effects.
He put me on a thyroid support to transition, it seems to be helping.  It's the AOR thyro support.  

How long will it take my hormones to stabilize about 4- 6 weeks?  My understanding is this thyro support is just that.  Advice anyone and have people had success with it alone?
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Avatar universal
I guess the confusing part Gimal is I was fine for 6 weeks until he increased.  I decreased and was fine except for forgetting things and unsteadniness on my feet.  I the got the flu and had all these digestive problems.  The flu is gone but the digestive problems remain and are especially bad after I take the Efra.  I also have glassy red eyes!  I'm focusing on this I know but it's frustrating and confusing, as why was I fine on the 30 mg previously.  My worrying about it probably doesn't help the tummy either.

I had the cortisol test but not the one you mentioned.  As per above you'll see it was high.  What do I take for adrenals?   I really can't afford any more tests.  Thanks for your assistance Gimal.
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Avatar universal
Sorry, but I am in a rush right now so don't have time to review as thoroughly as I will later.  One thought came to mind is that frequently hypo patients starting on thyroid meds have some reactions if they also have adrenal fatigue, from long term hypothyroidism.  Have you ever had a good cortisol test.  As I understand it the best is a 24 hour saliva test, which many doctors won't do.  Second best is a 24 hour urine cortisol test.  
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Avatar universal
You assisted me early on.  I shall copy and paste if it will let me.  Yes, I'm totally confused and frustrated!

seems to have the attitude I know what I'm doing "trust me", which ticks me off!  he's sending me for thyroid blood work every month.    My July results were free t3 ~ 4.8  (3.5 - 6.5).  Free t4 ~12.7 ( 9.0 - 23.0) Tsh 2.10.

My viatmin A was down ( 1.1) so I'm on 6 drops of that per day, @ 5000 units per drop. The scale is ( 1.5 - 3.5)   Vitamin E  was 27 ( 12-45).  He also has me on vit E.  My sugars were also high6.1 ( 4.3-6.1).  Triglycerides 2.14 high also.  Cortisol was high 639 ( 120-620) .  Vitamin B12 was I think 932 if I'm reading this correctly.  It says normal ^150 pmol/L.  You can maybe enlighten me I don't know how to read the b12, just going by my lab results. I appreciate your thoughts on these results.  many thanks.   I am still suffering A.D. w.d into 8 weeks, but know I can feel well again as I did on the inital 30 mg of decissiated thyroid until the w;d's surfaced.  From your experience do you get the sweats with the thyroid hormone.  I seem to at times! . Reply . Reported Report SpamAbuseDuplicate
gimel  
Aug 28, 2012 .To: graceym66.The main thing I see in your labs is that your Free T3 and Free T4 are too low in the range.  The ranges were originally established erroneously.  As a result healthy patients usually have Free T3 and Free T4 in the upper half of the ranges.  Members here frequently report that symptom relief for them required Free T3 to be adjusted into the upper third of the range and Free T4 adjusted to around the middle of its range.  

Free T3 is the most important because it largely regulates metabolism and many over body functions.  Scientific studies have also shown that Free T3 correlated best with hypo symptoms while Free T4 and TSH did not correlate at all.  So be aware and don't let a doctor try to regulate your meds based on TSH.  That simply doesn't work.  Clinical treatment, adjusting FT3 and FT4 works best.

In answer to your question, members have reported having sweats with either hypo and hyper.  

It seems that your doctor has you on the right track by increasing the med.  Now you just need to give the increase a total of about 5-6 weeks and then re-test Free T3 and Free T4, and continue to gradually increase until you feel well.  

Also, you should request to be tested for ferritin.  Ferritin is a good test to determine available iron level, which is very important to good thyroid function and metabolism.  As with the other tests, you want ferritin level to be near the midpoint or slightly above.   . Reply . Reported Report SpamAbuseDuplicate
graceym66  
Aug 29, 2012 .To: gimal.My ferritin is 106 (12-300)> He didn't say it should be adjusted.  He told me he wqants my freeT3 at 6. ( 3.5 - 6.5).

I'm also very fatigueed.  Have members reported fatigue with an increase or could this still be w.d. symptoms from the A.D.  My mind was so very foggy yesterday and later last evening it just lifted.  I found this weird.

Many Thanks for your assistance.  I need reassurance I'm not crazy!!!

Mau .
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Avatar universal
It is not normal to have increased hypo symptoms when increasing meds.    Your N.D.'s assumption that your symptoms may be that you have reached the max needed by your body makes no sense either.  We will be glad to try and help figure things out, but we need more info.

What was the reason you were diagnosed as hypo and started on thyroid meds?  Were you diagnosed as having Hashi's?  What were your thyroid test results at that time, along with reference ranges?  What are your latest test results and their reference ranges shown on the lab report?

Have you been tested for Vitamin D. B12, and ferritin?  If so, please post those results as well.

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