increased thyroid dose

[deeddee582]

I have been telling my doctor that I have been having problems for two weeks. At first I was having burning in my chest,my mouth,my eyes burned and so did my lips. She sent me to an ent who said it might be gerd and sent me for an upper gi. I was referred to my gastroenterologist about polyps . I saw him and he said everything was fine since they were found 2 years ago and there was no need to be concerned . I then was getting tired. My legs felt heavy and I was getting tingling in my toes. She said she didn't know why it was happening. My synthroid was increased from 100 mcg to 112 mcg. Since I started the increase I said I felt okay on the 100 mcg and since the increase I was feeling horrible. She said my tsh was 5.5. I contacted my renal specialist she ordered a complete blood workup and was going to recheck my thyroid because she was looking at the results from the last test and wanted to recheck either the t3 or t4. THe following week she contacted me and said all my bloodwork was fine but she said the thyroid test was 1.56 . She said she didn't think I needed the increased dose and that may be why I was having the problems I was having. I was seeing my doctor the next day and she said to make sure I told her about the results. She said she was also was sending a note to the doctor. I saw her the next day and told her the renal specialist did bloodwork to see if anything else was going on and that she questioned the thyroid results. My doctor said she didn't have those results. I told her she could call the nurse but she was 45 minutes behind schedule. She would have them send the results over but not right then. She examined me said I was okay. She didn't give me any kind of answer. At that point I told her all I know is that since you increased the dose from 100 mcg to 112mcg I was feeling awful and that I was going decrease it to 100mcg to see what happens. She said okay let me know what happens. That was it.  Today I took 100 mcg. in the morning . In the afternoon I felt horrible I felt tired, sick, my hands and toes felt tingly. When I told her  I was reducing the dose she said to give it some time. I am going by the way I have felt the past three weeks and right now I Have decided to decrease the dose. I don't know what to make of this but I think that the only way to come to some kind of conclusion is to do this. My renal doctor is aware of my condition and if she this that reducing the dose is a possibility then I believe her.

[deeddee582]

magnesium is 2.4  range 1.9-2.7   vitamin d 25-oh total 44 units ng/ml  range 20-100 my renal doctor only wants me to take 200 mg of vitamin d because of kidney disease It has been 6 days since I have gone down to 100 mcg and I feel some difference

[deeddee582]

I don't know if I informed you the first thyroid test of 5.5 was done in the afternoon. The second one was done in the morning with fasting. the b 12 test was done between 3 and 4 in the afternoon without fasting

[Barb135]

Your magnesium looks good, so long as it's not just circulating in your blood and not being absorbed by the cells.

Most of us would feel horrible with vitamin D at only 44.  Optimal dose is usually around 80, but I haven't researched that for patients with renal issues.

What differences are you seeing in the way you feel, now that you've decreased your dose?  Better?  Worse?

Like I said, thyroid labs don't have to be fasting and so many things can impact TSH, that I barely give it a glance.

B-12 doesn't have to be a fasting lab, either; what was your actual result, with reference range?

[deeddee582]

I have to send in a form to get a copy of the bloodwork for the b12 and any other bloodwork I  had done. I'm not feeling as bad as I did less tingling in toes and the burning isn't as bad . From what I am seeing in the tsh and free t4 readings that the doctor shouldn't have increased the dose to 112 mcg. I take 2000 mg of vitamin d weekly. I was taking more but the renal doctor decreased it for some reason calcium and vitamin d affects the pth.

[Barb135]

I'll be interested in seeing the B-12 levels.  Some countries consider B-12 deficient at about half our usual ranges.

Do you also have a parathryroid issue?  Or is there another test (PTH) done fore renal insufficiency?

[deeddee582]

as of june 2013 my pth is stable.I guess I have to make sure it doesn't become hyper.That's why I have to make sure my Vitamin D levels aren't high because it affects the parathyroid gland.Iam sure it will take some time for my sympthoms go away. As soon as I get the b12 results I will let you know. It may take a few weeks to get them back.