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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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| jhinnevada |
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Joined: 3/4/2012
Posts: 3
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Hi Elaine, I'll jump right in. On 2-9-12 was admitted from work with AF, chemically converted (that sucked, almost crashed) lab results that evening after chemical conversion showed: TSH-0.03;Free T4-2.89,free T3-12.8;thryoglobulin 3.5,negative antibodies. 5 hour uptake scan performed 3 days later showed 40% uptake. The Endo I'm seeing is highly regarded in our area, but after consuming material since then, I'm a bit concerned with plan for RAI.
Given that I've had a cardiac event I don't know how much wiggle room or waiting time is reasonable. My Endo is in no way rushing RAI. She explained that treating with Methimazole for now, also metoprolol 25mg bid, baby asa, labs in 3 weeks etc, go from there. Now I have developed a rash/hives, great. I also see an allergist.
Your website is just what I've been looking for, sound medical advice. No sugar coating. I'll continue reading through Q & A's for answers. As of now, I'm limited with regard to heart rate, but yoga is helping. I am a bit nervous as to the "other side of Hypo" as I feel good now. Have just ordered your book from Amazon. thanks, Jeannie
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| Elaine |
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Joined: 8/1/2008
Posts: 3396
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Hi Jeannie,
Your labs show that you're hyperthyroid. If your scan didn't show the presence of nodules, your hyperthyroidism may be caused by Graves' disease, but a scan can only suggest and not confirm GD. It would be good to have a TSI antibody test to tell if you have Graves' disease.
Since you had a cardiac event you wouldn't want to have RAI (if you decide to have it) until your thyroid hormone levels fall and become stabilized. RAI is a high risk factor for thyroid storm.
You should be on a starting dose of 20 mg methimazole. Higher doses are no longer recommended since they don't offer additional benefits and are more likely to cause side effects. Rash/hives often occur when the mmi dose is too high. Usually, Benadryl is used to reduce symptoms and the mmi dose is reduced. People who react to mmi typically do not have problems with PTU.
Since you do yoga, you probably follow a healthy lifestyle already. Avoiding environmental triggers such as aspartame and excess dietary iodine in processed food can help, and if you end up not being able to take ATD meds, the herbal tonic Thyrosoothe is very effective.
Don't get rushed into having RAI. Take your time and study your options, including partial thyroidectomy. Since GD is a self-limiting autoimmune disorder, moving into remission with meds is usually a reasonable goal. Best to you and do some research on the use of magnesium for AF. CoQ10 is also essential for people with hyperthyroidism. 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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