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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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| hrfl |
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Joined: 5/10/2011
Posts: 37
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Hi Elaine.
I need your help. We are still trying to figure out what's going on with my Mom and at least she has switched to my doctor who I think is great. My Mom is 65 and when she was 40 she was diagnosed with Hashimoto's and put on a low dose of synthroid. For the last 10 years or so she was on 175mg of Synthroid.
A couple years ago the pharmacy messed up her dosage and needless to say she was on a tiny dose for over 4 months which resulted her in getting very ill for over a year, causing her high bp and heart issues she never had before. Once it was realized her doctor put her on a dose of 150mg...we always wondered why he didn't get her back on her original dose. Though she always complained that she didn't feel well, he kept telling her that her levels were "normal"...she also developed fibromyalgia during this time. Needless to say, as I progressed in my knowledge of thyroid disease, I insisted that she switch to my doctor b/c I never felt that her thyroid issues were being addressed.
My doctor agreed that her T3 was too low and that she needed to supplement it, so she also adjusted her synthroid. I don't think she is at the levels she needs yet. She has many hypo symptoms still including extreme fatigue, muscle and joint pain, brain fog, etc. She has also developed over the last six months an issue with her sugar levels. I really feel that it's due to her thyroid levels not being right. She is not overweight at all, eats very healthy and we have no family history of diabetes. Please help me figure out where she should be in regards to her levels and what dose of synthroid and T3 replacement will help get her there. Also, she has always been diagnosed with Hashimoto's but my doctor was the first to run a TSI test and she has had numbers ranging from 193-200. Could she have Graves and not Hashi? She has had ultrasounds that have noted her thyroid has atrophied and she currently has a nodule on it that they are watching. Please help me help her. I really think most, if not all, of her issues stem from her thyroid being so out of whack for all this time. Sorry for the long message.
Labs 10/25/11 150mg of synthroid
FT4 1.6 (.8-1.8)
FT3 3.0 (2.3-4.2)
Labs 11/26/11 150 mg of synthroid
TSH .82 (.40-4.5)
FT4 1.5 (.8-1.8)
FT3 2.8 (2.3-4.2)
Labs 12/28/11 135mg of synthroid 5mg of T3 (switched to my doc)
TSH 1.63 (.40-4.5)
FT4 1.3 (.8-1.8)
FT3 2.8 (2.3-4.2)
Labs 1/28/12 135 mg of synthroid 5mg of T3
TSH 1.21 (.40-4.5)
FT4 1.3 (.8-1.8)
FT3 3.0 (2.3-4.2)
Thank you Elaine for all you do. It is so appreciated. :)
Holli
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| Elaine |
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Joined: 8/1/2008
Posts: 3424
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Hi Holli,
It's possible that your mother had Graves' disease years ago that ran its course and moved into hypothyroidism. Whether this is the case or she had Hashimoto's all along, her thyroid hormone levels probably need to be higher for her symptoms to abate.
It's difficult to say what dose would be optimal but it looks as though she'd benefit from an increase in both Synthroid and Cytomel. A typical increase would be raising Synthroid to 137 or 150 and Cytomel to 7.5 mg. Then, if the follow-up labs show they could be higher and she still has symptoms, the doses could be increased. It's great that you're helping her with this. 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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