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  Forum  Discussions  Question and An...  new endo, new results, new plan
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New Post 6/29/2009 2:56 PM
  swansonj
8 posts
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new endo, new results, new plan 

  Range 9/2/2008 11/3/2008 1/7/2009 2/9/2009 3/13/2009 4/10/2009 5/13/2009 6/19/2009
FT4 0.6 - 1.2 2.3 3.1 2.5 0.7 0.5 0.7 0.8 0.89
T3 Total 73 - 178   287 185 83 75 88 79  
FT3 2.3 - 3.9 4.7     2.3   2.7    
TSH 0.4 - 5.0 0.013 0.03 0.033   2.99 1.2 0.6 1.2
Methimazole Dosage adjusted to…       10 mg 5 mg 2.5 mg 1.25 mg 1.25mg ??

 Hi Elaine,

I went to a new endo who uses both symptoms and numbers. He is also willing to use a variety of methods to treat Graves. I've included my most recent lab along with my past labs (see above). Whereas my previous endo was concerned about lowering my dosage, this endo wonders whether the 1.25mg is doing very much at all. We talked about some options. 1) Stopping the MMI and seeing how I do. If I go hyper I can either try a lower dose of MMI or do block and replace , 2) Going to 0.6125 mg/day and seeing where that leaves me. So, at the time of the visit I opted for the second option. But when I got home, I'm having second thoughts because my FT4 levels really haven't changed with my prior dose reductions. I decided to skip my MMI for a few days to see if I could raise my levels before starting on the lower dosage. Well, today is #6 without MMI and I feel no worse (my resting heart rate is in the 50's and it goes into the 80's when I'm exercising). My digestion is much better (no loating) and yesterday, the puffiness around my eyes has started to shrink a bit. Given that I'm willing to risk going slightly hyper (so tired of being hypo for so long), would it be better to either go a month without the MMI (I would shorten it if I felt hyper symptoms) or reduce my dosage to 0.6125 mg every other day rather than every day. The other option I'm considering is to go off MMI and use Thyrosoothe if needed.

Thanks so much for your input,

Jane

 

 
New Post 7/1/2009 3:17 PM
  Elaine
882 posts
3rd Level Poster


Re: new endo, new results, new plane 

Hi Jane,

Congratulations on finding a good endo! That can be half of the battle.

Since you're secreting TSH normally on a very low ATD dose, there's a good chance that you are in remission. Stopping meds and re-testing sounds like a good idea. When you re-test it would be good to also have a TSI level. If your labs look good, but TSI remains high, like over 125%, then you might consider block and replace to help move things along. Best, Elaine

 

 
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