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Hashimoto-Synthroid Medication Not Feeling so well

I am a 42 Year old female with Type 1 Diabetes.  Last week diagnosed with Hashimoto Disease and Hypothyroidism.  I have a small nodule on my Thyroid.  I will have a needle biopsy next week to see if it is cancerous.

I started on 50mm of Synthroid 1 week ago.  I do not feel well on this medicine.  I am feeling very depressed like there is no joy in my life anymore.  I am very irritable and just don't even enjoy anything.  I feel very flat emotionally and so exhausted that I can hardly get through the day!  I can't believe that I can feel so awful on a medicine that is suppose to make me feel better.

I've never really felt any of the Hypo symptoms.  I will see the Endo tomorrow to discuss alternative medication.  Is there anything out there that will be better for me?  I seem to be really sensitive to this medication.

My labs are:
hTSH_II                    7.417
Free_T4                   0.59
Thyroid Peroxidase Andibodies:         766

Any feedback will be welcome:)
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Avatar universal
Just wanted to provide you a bit of info and bump this back up to the top so that it will not get overlooked.  

I'm surprised that you feel that the Synthroid caused your symptoms.  I would have bet that with those thyroid test results you would have had hypo symptoms all along.  Apparently you have an autoimmune system problem (Hashimoto's Thyroiditis).  Over a relatively long period this causes destruction of the thyroid glands.  So you will have to be on thyroid meds to compensate.  If Synthroid causes a problem, there are other brands that may not.  The difference is usually the filler material used in compounding the meds.  

For your appointment I think you need to ask if the Endo is willing to test and adjust the actual, biologically active  thyroid hormones, free T3 and free T4, with whatever type of medication is necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptoms relief should be all important, not TSH level. You should also ask if he is willing to prescribe meds other than T4 types.  If the answer to either is no, then longer term I think you will need to find a good thyroid doctor that will treat your symptoms, by testing and adjusting FT3 and FT4 (not total T3 and total T4).
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Avatar universal
Tamra:

I will have to take a look at your blog.  My Endo thought it was odd that I was having this sensation in my throat because it comes and goes.  Some days I don't feel it at all and other days, I feel it constantly.  This is all so strange!  

I have Type 1 Diabetes also and that is enough to deal with, and now this.  I am trying to keep positive, but am having a difficult time doing that the past couple of weeks.

I have one 1.5cm area on my isthmus.  I am already an anxious person, now to add something that is going to increase the anxiety...not good!

I really like being able to talk with someone that has gone through what I am going through.  Thank you for your help!

Michelle
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Avatar universal
Yes, my isthmus (center strip joining the two thyroid lobes) was over 2X the normal size on my last ultrasound. That's what what sometimes chokes me, but it's not as bad now that I quit eating gluten. I still have issues with large vitamins.

My last endo never told me about my isthmus when she had her technician run the ultrasound. My new, and more experienced endo, actually did the ultrasound himself and explained everything about the ultrasound.

Having an enlarged isthmus is common among Hashi patients, and it will commonly cause a choking sensation. I thought it was cancer at first, too, as do many of us. It's typical for us to panic, especially when we have nodules that leak thyroid hormone. That extra hormone may cause even more anxiety, stress, heart palps, etc...

:) Tamra
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Avatar universal
Tamra:

Did you have this feeling like there is something stuck in your throat.  Not that you can't swallow, or that things actually get stuck...but a feeling like there is something there?  I am so worried that there is something else going on with me other than the nodule on the thyroid.  I have the biopsy next Tuesday and I am so worried that it is going to be cancer!

Michelle
Helpful - 0
Avatar universal
Adrenal fatigue is also common in people with Hashi. Please get the 24 hour saliva test to determine your cortisol levels.

Also, I am treating my disease by eliminating gluten, soy, corn and dairy. For more on my success, read my journal.

:) Tamra
Helpful - 0
Avatar universal
Thank you very much for all of the information.  Went to Endo today.  She believes me because she could see it in my eyes that I was just not myself.  She prescribed Levoxyl at 25mcg and to cut that in half.  Will start this tomorrow...I'll just have to wait and see.

Hope to be able to think about something else for awhile:)
Helpful - 0
Avatar universal
What you are experiencing sounds just like hypothyroid symptoms and not the medicine.  Give the medicine a chance to work and one week is not enough time.  In fact, it takes 6-8 wks to build up in your system and at that time, you should have your bloodwork re-done with the FT3 and Ft4 tested as well as TSH.  Even at that time, you still may not be on enough medicine and it may have to be increased again.  Most doctors increase the medicine quite slowly.  

My personal experience is that I felt worse for several weeks after starting levothyroxine but my doctor said to give it the full 8 weeks and to be patient.  (not my strong suit).  I am on my second 8 weeks and fully expect another increase in a couple of weeks.  Overall though, I feel much better.  

While you think you have had minimal symptoms, probably wont' realize how bad you felt until you feel better.  Good luck at the doctor.  
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