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Should we up our dose based on recent blood tests? And what about iodine therapy?

I was reading a post of mine from 2015 and noticed a reply to a  question of mine and that it was a bad idea to prescribe based on real high antibodies or tsh..I am writing hoping someone can  offer some advice..  

My daughter was dx with hashi at about 15 She is 26 now..we started on levo and switched to Ndt not long after. Her current dose is 60mg NT Thyroid..we have reduced the dose from 90 a few months back....anyway, her last antibodies test had shown good improvement from the first although still really high. I had hoped it was because of the Black Seed Oil I was giving her as I had read hopeful things about it helping..Anyway, we stopped that a few months back while focusing on her asthma or shortness of breath symptoms..I was hoping her thyoid was getting better..had some labs drawn this week and her tsh has gone from 1 (1+ years ago) to 25 and her once better antibodies levels are now at an all time high of tpo 1034 and thyroglobin >2200..her free t3 is 2.9 (reference 2.4 to 4.2) and free thyroxin .66..what do you advise? no decent endo in my city..im doing good to have a GP that prescribes NDT.....Also was tested positive for EBV a year or so ago..
i was also thinking of trying some lugols iodine to see if that helps since she has FBD as well and fibroids..would estrogen dominance have anything to do with her higher levels?
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649848 tn?1534633700
COMMUNITY LEADER
Iodine is contra-indicated with Hashimoto's as it can make the autoimmune reaction much greater than it otherwise would be.

Has your daughter had reproductive or adrenal hormones tested?  That would indicate whether or not she has estrogen dominance.
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no she hasnt yet. She is a classic case of estrogen dominance going by her symptoms, though,.,guess getting them tested would be wise,,,,Just wondering what the next step to correct it would be if it is verified...I had read that before about iodine, but have also read many success stories using iodine. She tested borderline low years ago when we did a blood test for it....Thanks for your reply!
Although I'm a huge advocate of using symptoms as the primary guide, I also believe in testing, as well, because sometimes symptoms can fool us.  It's very possible for symptoms of "not enough" to be the same as symptoms of "too much".  Verification by testing is always recommended.

Any tests done more than a couple/few months ago would not be valid now, as our bodies are constantly changing, particularly when we have conditions, such as Hashimoto's or other autoimmunes.  Iodine wouldn't, likely be given for fibrocystic breast disease; I've had it for years and none of my doctors have ever suggested I take iodine for it.  

Some symptoms of estrogen dominance might be caused by hypothyroidism.
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