meds advice please - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Sunday, April 08, 2012

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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.

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The Q & A with Elaine Moore

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3/8/2012 5:07 PM

sal g

Joined: 1/5/2012

Posts: 3

meds advice please

Dear Elaine

This site offers more wisdom and support than any other I have read.

Test results Dec'11 T4 14 and tsh 4.24 and on Carbimazole 5mgs and Levothyroxine 25mcgs. Hypo symptoms aplenty. Reduced Carb to 2.5mg in early Jan '12 and began to feel a bit better.

Mid Feb T4 15 and tsh 2.2. My T4 levels have not got higher than 15 throughout 18 month gradual reduction of Carb. I then reduced this to 1.25 daily about 3 weeks ago and now taking this dose every other day. My GP did not want me to reduce Carb but to increase thyroxine to 50mcgs. I still feel hypo. My pulse rate, temperature, mood, aches/pains are good indicators for my thyroid levels.

I thought I might be heading towards remission as previously mentioned in an earlier post. What do I do now and how can I raise my T4 levels and feel somewhat normal again? Is there a point when medication particularly carb is stopped? I am currently going through work related stress and uncertainty. I know how detrimental stress is to the immune system and am trying to manage this. I admit I am a bit worried as I don't want anything to upset my progress.

Further advice much appreciated

Thanks

Sal

3/8/2012 8:38 PM

Elaine

Joined: 8/1/2008

Posts: 3374

Re: meds advice please

Hi Sal,

Yes, in one block and replace protocol, the ATD is stopped and the patient stays on thryoid replacement hormone alone. You still might need a higher dose than you're on, more like 37.5 mcg. The idea here is that your gland would be put to sleep and ensure that you have adequate thyroid replacement hormone. There's a chance you've moved into spontaneous hypothyroidism, which can be temporary after remission from GD. If that's the case, using replacement hormone alone would work but the dose might eventually need to be increased. Best to you, Elaine

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