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1618236 tn?1408072214

Hypothyroidism

I am 48 years of age, I have been diagnosed with Borderline Personality Disorder from my psychologist.  He also informs me that I have Obsessive Compulsive tendencies and mood swings which resembles Bipolar.  I am currently taking Doxepin 100 mg with Trazodone 100 mg in which I take at bedtime for anxiety/depression issues in which I have had problems sleeping so my psychiatrist put me on.  Most of the day today I have felt like a 'zombie' walking around feeling very fatigue and 'wired' feelings of anxiety, shakey (shaky) at times...also have noticed of having fatigue headaches...wondering if my medicine needs to be changed.  I also have been medically diagnosed as having 'hypothyroidism along with 'borderline' diabetes.  I am currently taking Synthroid 50 mcg for my hypothyroidism but just watching my diet for the diabetes.  My prim dr tells me the anxiety is NOT caused by hypothyroidism but other people say it maybe a factor.  What do you think?
Best Answer
Avatar universal
All the Dr's keep telling you that all of your symptoms are a "tick" or essentially in your head.

Your latest symptom fits perfectly with an enlarged Thyroid.  Many people feel pressure or feeling of being choked.  Maybe it represents itself in you as the feeling of the need to clear your throat.

Until you have completely exhausted the whole Thyroid thing.  I would NOT let them convince you that this is all in your head and some how mental or psychiatric.

It could be psychiatric. But I would rule out Thyroid first.
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Avatar universal
I don't know enough about these other labs to offer a comment.
Helpful - 0
1618236 tn?1408072214
Hi,

Well besides my TSH, T3Free and T4Free and Vit B12 in which I told you about that in a earlier post.

My antimicrosomal antibiody is     <10      the norm 0-35    

25-Hydroxy D2 (Vit D)              <5.0                              ng/mL
25-Hydroxy D3                          44.3                              ng/mL
25-Hydroxy D Total                  44.3        25.0 - 80.0              ng/mL

Interpretation
80 ng/mL (Toxicity Possible)
80 ng/mL is the lowest reported level associated with
toxicity in patients without primary hyperparathyroidism
who have normal renal function. Most patients with
toxicity have levels >150 ng/mL. Patients with renal
failure can have very high 25-OH-VitD levels without
any signs of toxicity, as renal conversion to the active
hormone 1,25-OH-VitD is impaired or absent.

What do you think about these results?
Helpful - 0
1756321 tn?1547095325
Causes of high blood levels of vitamin B12 include:

Vitamin B12 supplementation/injection
High dietary intake of vitamin B12
Liver disease (such as cirrhosis, hepatitis)
Myeloproliferative disorders (such as polycythemia vera and chronic myelocytic leukemia)
Hypereosinophilic syndromes (a group of diseases that are characterised by an excessive amount of eosinophils - a type of white blood cell)
Chloral hydrate (sedative used before surgery)

A bit belated lol, but free T3 range should be at least 3.2 and free T4 should be at least 1.2.

.


Helpful - 0
Avatar universal
Hi Connie - one of my worst symptoms of hypoT is panic attacks and anxiety.  Please see this link for a list of symptoms on the Thyroid UK website that includes both of these plus other mental health issues:

http://www.thyroiduk.org.uk/tuk/pages/conditions/thyroid/hyposymptoms.html
Helpful - 0
1618236 tn?1408072214
I have fatigue, sometimes fullness in my throat, mild BP, some depression, but mostly I feel very agitated and have anxiety.......which anxiety is not listed.  So that is why my fam dr keeps telling me anxiety is not due to my hypo........but am wondering why would I be elevated on my Vit B12?
Helpful - 0
Avatar universal
Let me try again with that link on symptoms.

http://endocrine-system.emedtv.com/hypothyroidism/hypothyroidism-symptoms-and-signs.html

Do you have any of the 26 symptoms listed?
Helpful - 0
Avatar universal
You are only 36 "points" high. With a range of 700 that is only high by about 5%.  So it really isn't that terribly high.

I have not heard of any side effects of too high of B-12.

Remember that many people have symptom relief when the FT3 are in the upper 1/3 of the range and the FT4 midrange.  The upper 1/3 of the range of FT3 would be 3.56.  So you are slightly below that.  Your FT4 is just about exactly mid range.

If you still have symptoms.  You still have some room to increase your T4 a bit.  Or you can add a T3 med and you may find relief.  Both to help get your FT3 levels up a bit more.  You may have trouble talking your Dr. into doing that if they believe in TSH only.  But I would try your best to do that.
Helpful - 0
1618236 tn?1408072214
I just went and got my blood drawn this morning, and was able to contact the lab to get the results and here they are:

TSH                 1.85        (Norm 0.35-5.50)            8.6   done in July
T3 FREE           3.0         (Norm  2.3-4.2)               2.9  done in April
T4 FREE           1.29       (Norm 0.8-1.8)                1.31 done in July
Vit B12              947        HIGH     (Norm 211-911)                

The VIT D and anti microsomal antibodies are not back yet.  But do you know why my
VIT B12 would be so HIGH?  Now that really scares me on why that would be high!
Helpful - 0
Avatar universal
Maybe danie17075rm  can see if these look like good information and are relevant/accurate.  

2 things I found with a quick internet search of "T3 medicine for depression"

http://thyroid.about.com/cs/thyroiddrugs/l/blt3depression.htm

http://www.psycheducation.org/thyroid/studies.htm

2 things I found with a quick internet search of "bi polar hypothyroidism"
http://www.psycheducation.org/thyroid/introduction.htm

http://www.psycheducation.org/thyroid/combostory.htm

I know when my thyroid medicine is off (like it has for the past year) that I feel like I am bi polar with massive mood swings and a great deal of depression, in addition to all the regular hypo symptoms (my husband thinks so too!).   I hope you are able to find some information that will help you.
Helpful - 0
1618236 tn?1408072214
I could not access this site

http://sz0102.ev.mail.comcast.net/zimbra/mail?app=mail#2
Helpful - 0
Avatar universal
If you look through this listing of typical hypo symptoms, how many of the 26 would you say that you have to some degree?

http://sz0102.ev.mail.comcast.net/zimbra/mail?app=mail#2
Helpful - 0
1618236 tn?1408072214
I just went and got my blood drawn this morning, and was able to contact the lab to get the results and here they are:

TSH                 1.85        (Norm 0.35-5.50)            8.6   done in July
T3 FREE           3.0         (Norm  2.3-4.2)               2.9  done in April
T4 FREE           1.29       (Norm 0.8-1.8)                1.31 done in July
Vit B12              947        HIGH     (Norm 211-911)                

The VIT D and anti microsomal antibodies are not back yet.  But do you know why my
VIT B12 would be so HIGH?  Now that really scares me on why that would be high!
Helpful - 0
215461 tn?1331862765
One of the big things I experienced along with choking was the "lump" in my throat.  In fact I had went to the doctors complaining something was in my throat.   They told me it was my thyroid and I needed to get it out.  I was hyper though.  It's harder to shrink a goiter when you are hyper.  When you are hypo, you can take thyroid meds and a lot of the time, it will relieve a lot of that inflammation.  Also, you could try taking IBuprofren and see if it doesn't help take away a little of the inflammation during your flare.
Helpful - 0
1618236 tn?1408072214
Thanks for you input!!
Helpful - 0
1618236 tn?1408072214
I also have another symptom and wondering if anyone else has had the same problem----

I keep clearing my throat as it feels like something is there and everytime I clear it thinking it is gone, it comes right back.  I sometimes think it is just phealm, I cough to try to get rid of it, and is just stays there....feels like a big 'lump' in my throat.  Am wondering if this is another sign of my 'hypothyroidism', my psychiatrist could hear it what I was doing, she informs me it is a 'tick' that I keep doing continouslly every few seconds.  
Helpful - 0
1618236 tn?1408072214
Yes!  Thanks for your input, I plan to show my dr a copy of the article that Danie had sent me.  Hopefully that will help me to get to the bottom of this problem that I have!
Helpful - 0
Avatar universal
Connie.

I'm struggling with that very thing myself. It is my wife with the Thyroid problem and we are dealing with Dr's as well.  And we can't seem to get referred to another Dr.  And we are trying to wear the current Dr. down.  Right now my wife is so Hypo that the Dr. is increasing the dosage although WAY, WAY to small an amount.  But at least we're going in the right direction as we keep trying to be the squeaky wheel.

I guess we have to appeal to them that getting additional Thyroid testing for a known Thyroid problem is at least reasonable.  It is not like you are going in to the lab to have blood drawn and you are requesting to have your right knee X-rayed.  Something totally unrelated.

Also it is almost like the Dr themselves are paying for the tests out of their own pocket or something. Maybe if you get them to understand that it is you and your insurance company that is paying for it, not coming out of their own pocket here.

You may have to start going to some links and printing off some of the information.  Hopefully some that are written by Dr's etc so that you can provide that to the Dr and say this is what XYZ Dr's are saying and finding with Thyroid patients etc.  Maybe then it will hold some credibility with your Dr.  

As Dr's are so busy they do not have time to read all the latest and greatest info on EVERY disease and area in the medical field.  yet you who are ONLY interested in one particular issue, can dig into it with full abandon. Thus with the internet etc it is actually now far more likely that the patient themselves could know nearly as much if not more than the Dr. on any one particular disease or condition.

You see unlike maybe what many Dr's think.  Dr's are only human. They are not any better, smarter or whatever than any other of us.  They just happen to take years to train and gain some expertise in the medical field.  The smartest Dr. in the world may be totally inept on how to fix his car or do plumbing.  So who is really smarter the Dr. or the plumber?  Well it depends on what problem you happen to have at the moment.  

I think in particular that you should take Danie up on her offer related to the association of depression/anxiety related to Hypothyroidism.    I know she has done extensive research and study in this area.  If your Dr. wants more info, you may be able to get a hold of this info to provide to your Dr.
Helpful - 0
1618236 tn?1408072214
So HOW do I tell my doctor that this needs to be done?  How do I explain that we should do more testing when she says it DOESN'T need to be done----as she says that these are 'first' line tests......does anyone feel that maybe I should be seen by a specialist regarding this---GOSH--not sure if my doctor  would even approve for me to go see one or not...she probably feels like she is HANDLING the situation....huh?
Helpful - 0
215461 tn?1331862765
Flying- Good analogy.  I may have to use that for my inept doctors.  It's funny, other medical professionals are always asking me if I have this or that, but how would I know?  My docs never test me or investigate.  They guess.  In my case they see the car running and leave it at that even though it stalls all of the time.  As long as it is running, they are fine.
Helpful - 0
Avatar universal
When you are having a problem.  You NEED to go BEYOND "first line tests".

That is the point!  You utilize 1st line tests as a BEGINNING into the investigation.  Now that you are beyond the beginning and recognize a real problem, you need FURTHER and additional testing.

I just don't get the complete LACK of common sense logic Dr's use.  For arguably very smart people Dr's sure seem to have their head up their backsides a whole lot of the time it seems. And it is rampant all over the country and the world.  Just makes me shake  my head in amazement.

If a car is not running.  Do you stop looking for the problem when you do a first line investigation and find that the gas tank is not empty?  What if there is water in the gas you wouldn't know it if you didn't do some further investigation.

Gee Whiz!
Helpful - 0
215461 tn?1331862765
Good Luck! I hope you can find the information you need.
Helpful - 0
1618236 tn?1408072214
I just got a message from my primary dr that she has ordered thyroid tests, Vit D, Vit B12.  But she says the others are not considered first line tests.   Hoping by having these tests done it will show more info.
Helpful - 0
215461 tn?1331862765
The hyperthyroid being the only cause of anxiety is a myth.  There have been many studies done that showed the same incidences of anxiety in both hyper and hypothyroidism.  Most doctors are not read up on the latest research unfortunately.
Helpful - 0
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