Thyroid

[ricky22460]

Hi
I was developing almost all t symptoms f hypothyroidism once in 3-4 months period and they were lasting for 4-6 weeks period from 2007 and rest of the days i was perfectly alright. I was found in 2010 June that its due to hypothyroidism with tsh > 60. since then i started with 50mg pill and i went up to 150mg and while this tsh level was 0.014. then i reduced to 100mg & then 50mg. while using 50mg, i had mild symptoms of both hypo and hyper . I m really confused and my tsh level s 69.7. i ve to go to my Dr now.
my history before i was found that i m a hypothyroid s really confusing me
can anyone comment on this pls....
bye..


This discussion is related to TSH high and T3 and T4 are normal?.

[ricky22460]

I m using 100mg thyroxine pill early morning and due to diarrhoea problem i m using espra (esomeprazole capsule) 20mg twice a day. and i m using neurobion ( vitamin b1+b6) and vitamin E after dinner

I m getting those daily...

could these cause any problem?

[ricky22460]

Thnks a lot goolarra..

[goolarra]

Your FT4 is below range, and the target for FT4 is midrange.  FT3 is also way too low in the range...upper half to upper third is the target here.  Obviously, you need an increase, but a SLOW and steady increase.  We're all different, so ask your doctor, but many of us find that it's best to increase no more than 25 mcg at a time (max) , re-test after 4-5 weeks, re-evaluate symptoms...repeat!  See your doctor soon (or, better yet, a new one) so you can start feeling better.

[ricky22460]

Hi

tsh 69.7 ( 0.3 - 4.2 )
free t3 2.4 ( 2.0 - 4.4 )
free t4 0.8 ( 0.9 - 1.7 )

[Barb135]

Please post the reference ranges used for the free T3 and free T4; the ranges vary from lab to lab, so must come from your own lab report.  

[ricky22460]

Thanx a lot friends

I persnly did a blood test for T3 & T4 though my Dr never did.it s actually t present situation
TSH 69 free T3 2.4  & free T4 0.8.

@ gimel... thanks a lot for t link

@goolarra
I started with 50mg for 1 month, 100mg for 2 months & 150mg for 2 months.
then 100mg for 2 months and now again 50mg....
at present my levels r as above...

@ Barb135

current dose s 50mg and i want to go to dr soon.....

[Barb135]

I agree with everything gimel and goolarra said, and will add one more comment.  Some symptoms can apply to both hyper and hypo, like fatigue, aches/pains, etc.

What's your current dose of medication?

[goolarra]

I agree with all of gimel's comments.

One further comment:  You said that your dosage history went form 50 to 150, then back down to 100 and then 50.  Were there interim steps in between?  If not, those are big dose changes and appear to be yet more evidence that your doctor might not be the best thyroid doctor.  Huge dose changes like that can make the swings from hypo to hyper even worse.  It's often best to increase slowly, letting each new dose settle for 4-5 weeks, retest, reevaluate symptoms, and go from there.  A good thyroid doctor will understand this and adjust dose accordingly.

Early stages of Hashi's are often characterized by swings...from hypo to "normal" to hyper and back.  That could very well explain your history.

[gimel]

You are yet another victim of the "Immaculate TSH Belief".  Trying to medicate a thyroid patient based on TSH levels alone does not work.  TSH is a pituitary hormone that is affected by many variables, to the point that it is inadequate as a diagnostic, by which to medicate a thyroid patient.  At best it should be considered as an indicator, along with more important indicators such as symptoms and also levels of the biologically active thyroid hormones, which are Free T3 and Free T4.  

A good thyroid doctor will treat a patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms.  symptom relief should be all important to you, not test results.  Tests are valuable mainly as indicators to be used during diagnosis, and then to monitor FT3 and FT4 levels, as meds are increased toward symptom relief.  

So the first thing you need to do is to get tested for FT3 and FT4, along with the TSH.  If you haven't been tested for the thyroid antibodies, TPO ab and TG ab, then that would be a good idea also, in order to determine if Hashimoto's Thyroiditis is the basic cause of your thyroid problems.  Many hypo patients also are low in Vitamin A, D, B12, and selenium.  So it would be a good idea to try and get those tested also.

The most important thing for you is to find out if your doctor is going to be willing to treat you clinically, as I described above.  If not, then you are going to need to find a good thyroid doctor that will do so.  You can read about the clinical approach in this link.  It is a form letter written by a good thyroid doctor for patients that he is consulting with from a distance.  The letter is sent to the PCP of the patient to help guide treatment.

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