The Wellness Q&A with Elaine Moore

Welcome to the Wellness Q&A where members can ask Elaine Moore any health-related question. Moore is a medical writer and retired clinical laboratory scientist with over 30 years experience in immunology. Get started by selecting Member Questions. This is a question-and-answer forum, and each thread represents a member question or set of questions. The question will only appear once it's answered. Thank you for joining.


Update on Graves
Last Post 07 Aug 2023 10:59 PM by Elaine Moore. 1 Replies.
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TKThompsonUser is Offline New Member New Member Posts:
27 Jul 2023 10:48 AM
    You answered prior but was not able to reply to that thread so I am starting a new one.

    Tested positive for Graves May 1 and started on medication.

    I was on 60mg for two weeks went to 40 mg and then test 6 weeks later. I was normal in all things accept a T4 which had slid in to hypo thyroid. My dosage was lowered to 10mg and after 12 days my heart started to gurgle and within 15 days I started having PVC/PAC's again. Dr said to stay on 10mg for the next two weeks and see what happens, but my heart got really bad. I decided to up my dosage and boom heart got better after 10 days on 40mg. I then started tittering down and at 30mg it was good and at 20mg it started to gurgle again. Endo said I need to go down and stay at 10mg that I will become hypo if I don't. I really am so over this disease and wonder if I will ever get back to "normal". I have a constant headache even on the 20mg and I my depression is overwhelming. I feel awful. Even at the 30mg I didn't feel good but my heart felt ok. What am I doing wrong? What else can I do to get better and beat this disease?
    Elaine MooreUser is Offline Veteran Member Veteran Member Posts:4032
    07 Aug 2023 10:59 PM
    Hi T,
    When you are on meds the usual protocol is to use a starting dose of MMI f 20-30 mg daily. It takes 6-8 weeks fo the hormone stored in your gland to get used up. So by then FY4 should be lowered to prevent hypothyroidism. The usual maintenance dose is 2.5-10 mg MMI daily. When you're on doses higher than 5 mg it's a good idea to divide the dose and take it every 12 hours.
    You probably need to be on 10 mg or less.. Many symptoms of hypothyroidism and hyperthyroidiism are the same and the improvement seen when upping the dose may be coincidental. This would change if FT3 was elevated as it takes longer to fall into range. Be sure that you're being tested for both FT4 and FT3.
    Best, Elaine
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