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THE Q & A
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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.
Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.
Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.
Copying of any posts is prohibited without permissions.
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Notice: No notices today.
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| Naomi |
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Joined: 2/22/2012
Posts: 4
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Hi Elaine,
Thanks so much for your prompt response! That is the most helpful information I've received on my condition since I've been diagnosed.
I understand the importance of not medicating solely based on the TSH levels. The reason I asked about the high TSH was because I thought that once the TSH was not suppressed, it could be a sign of remission. But in my case, it simply means I've been overmedicated for too long?
I'm still learning about GD, and I wasn't aware that a low FT4 puts me at risk for thyroid eye disease -- for some reason I thought it was the opposite. Could you please clarify a little?
Thank you so much for your help!
-Naomi
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| Elaine |
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Joined: 8/1/2008
Posts: 3424
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Hi Naomi,
High thyroid hormone levels can cause their own set of eye symptoms, such as staring and twitches and dryness.
But the more serious form of congestive TED is related to high levels of TSH receptor antibodies and cytokines and inflammation. When thyroid hormone levels fall too low the gland tries to correct the problem by speeding up its activity and this includes increased thyroid antibody production. This is one of the major reasons hypothyroidism needs to be avoided when people are being treated for Graves' disease. Hypothyroidism causes its own set of eye symptoms too (the way hyperT does) but they're more related to venous congestion, resulting in puffiness around the eyes and eyelids (periorbital edema).
It's true that if you're on a very low ATD dose, like 1.25 mg mmi, and start secreting TSH normally, like a level between 0.3 and 1.0, then remission is likely. If the level climbs higher than 2.5, a move into hypothyroidism is the probable cause. best, elaine
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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.
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| New FAQ - Thursday, April 05, 2012Having problems changing your account information? Can't figure out why your Q&A post isn't showing up? Check out our new FAQ for answers! |
| Milestone - Wednesday, April 04, 2012
As of this date, our membership rolled over to 1600. We'd like to take this time to thank all members for their inspiration and for making this site a success. |
| 2nd Edition Newly Released - Saturday, March 10, 2012 |
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The information at this site is true and correct to the extent that all information contained herein about the benefits or performance of any diagnostic or treatment are backed up with scientific evidence such as medical journals, reports, articles, and other relevant materials.The educational information provided within is designed to help users better understand the nature of disease and the solutions available. Nothing contained on this website should be construed as or is intended to be used for medical diagnosis or treatment. Under no circumstances is a particular treatment recommended and in all cases it is recommended that a physician be consulted for any treatments. Reference to any specific commercial or noncommercial products, services, processes, companies or trademarks does not constitute an endorsement or recommendation. Elaine Moore does not host any form of commercial advertisement, does not sponsor or endorse any products or services that may have been mentioned at the site. This excludes mention of her own copyrighted materials, articles, and books. The opinions, views and recommendations of individual registered members of this website, specifically as it pertains to personal inquiries at the Q&A forum or comments made to blogs, are their own and do not necessarily represent those of Elaine Moore.
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