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panic attacks with heart palps

Just diagnosed with hypothyroidism after parathyroid surgery in July. Having panic attacks with heart palps, also weakness and some "phobias" like not being able to drive. Also have numbness and tingling in fingers and hands, my calcium is normal. Anyone out there like this? Please help I'm worried!!    
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Avatar universal
Just because your Free T3 and Free T4 were in the so-called "normal" range does not mean that they are adequate for you.  The ranges are far too broad.  Many of our members, myself included, report that symptom relief for them required that FT3 was adjusted into the upper third of its range and FT4 adjusted to the middle of its range.

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important to you, not test results.  You can get some good insight into clinical treatment from this letter written by a good thyroid doctor for patients that he consults with from a distance.  The letter is sent to the PCP of the patient to help guide treatment.

http://hormonerestoration.com/files/ThyroidPMD.pdf

You need to find out if your doctor is going to be willing to treat you clinically as described, and also if he is willing to prescribe T3 meds if needed.  I also suggest that you should be tested for Vitamin A, D, zinc, selenium, and a full test panel for iron anemia.  The B12 is especially important in view of the numbness and tingling you mentioned.  Your B12 level should be in the upper part of its range.
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499534 tn?1328704178
Have you also been tested for Hashimoto's autoimmune thyroid disease, which causes hypothyroidism? I actually had all those symptoms when I was hypo due to Hashi's.  What were your most recents thyroid lab results with ranges?
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Avatar universal
Have not been tested for hashi's. TSH was 5.61.  Normal upper limit 4.50. Free t-3 was 2.6 free t-4 1.1 I think that mine were borderline normal. How long ago were you diagnosed? It is good to know I am not going crazy. How are you doing now and what kind of treatment did you get. Thanks for your reply!!
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Avatar universal
Thank you for the information. My doctor has started me on naturethroid. I have had many of the those things tested through a spectracell test and am deficient in vitamin D but all the others look pretty good. Have not had the iron panel though. She has also done a blood cortisol and DHEA. I have an appt with her tomorrow and we'll see what comes of that. How long does it take to feel better with meds? Once again thank you for your reply!!
Helpful - 0
Avatar universal
What was your B12 level?  

How long it takes to feel better is difficult to predict.  It depends on how low your FT3 is mainly and then how much additional medication it takes to raise FT3 enough to relieve symptoms.  Some patients notice some short term improvement when taking T3 meds like Nature-Throid, but it also depends on how hypo you were and for how long.  The body takes time to heal.    

Also, you cannot just make a big jump in meds either, without risking an adverse reaction.  When it comes to increases, slow and sure is the best approach, especially as you approach your optimal level.  

Laura mentioned testing for Hashimoto's Thyroiditis.  Hashi's is the most common cause of hypothyroidism.  If that is the cause for yours, then you can also expect that the gradual destruction of your thyroid glands will require gradually increasing dosage of meds to maintain optimal levels for Free T3 and Free T4, until the time that your glands are no longer providing any natural thyroid hormone, and your FT3 and FT4 levels stabilize.
Helpful - 0
Avatar universal
B 12 level was 24 on the spectracell, it says it should be greater than 14. Do you think that it could cause me to be shaky in the mornings which I always am? Or is this maybe not a symptom? All I know is that I do not feel right and it is very scary. Can't cope with much and want to cry a lot. Thank you for your replies. I think it helps more when you talk to patients rather than doctors for peace of mind!!
Helpful - 0

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