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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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| JuMi |
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Joined: 4/3/2012
Posts: 1
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Hi Elaine
I was hoping you can help explain what my labs might mean. My endo said they mean nothing just keep taking my .137mcg of synthroid and he might increase them. To me, something seems off, at least from a symptom stand point!
TSH 6.160 (range - .450-4.5), T4 10.7 (range 4.5-12.0), T3 Uptake 36 (range 24-39) Free Thyroixine Index 3.9 (range 1.2-4.9), Free T4 1.9 (range 0.82-1.7) Free T3 2.9 (range 2.0-4.4), B12 672 (range 211-946) D3 40 (range 30-100).
I don't feel right at all. I have all kinds of skin problems..ie...rosacea (flushing) acne, hives terribly dry, heart palps, terrible anxiety, am not sleeping well...etc. I am not sure what supplements to take any more. I was graves, rec'd RAI 8 years ago and have been going through all these ups and downs the last 2 years. I am 39...not sure what changed. I know there were a couple days i didn't take my synthroid, and felt better without it. didn't have the flushing or anxiety....
Any thoughts????? thank you so much!
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| Elaine |
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Joined: 8/1/2008
Posts: 3424
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Hi JuMi,
Although your FT4 is slightly elevated, your FT3 level may be too low for your body's needs causing your TSH to be elevated. By 6 years after RAI, most of us need to be on both T4 and T3 replacement hormone, preferably using a glandular extract like Armour. These are your most important results.
The T3 uptake doesn't measure hormone--it measures how well your binding or carrier proteins link with thyroid hormone. The Index is a calculation that sort of estimates how much free T4 you have. This calculation is not as accurate as your direct measurement of FT4.
Your Vitamin B12 level is good, and your vitamin D3 level is on the low side, which is common in people with autoimmune disorders.
Sleep disturbances and anxiety and also palps can occur in both hyperT and hypoT, whereas acne is more commonly seen in hypoT. Dry skin and hives are more often seen in hypoT. Based on your labs and what you're saying you're having symptoms from too much FT4 and not enough FT3. When this happens, the best solution is switching to a glandular extract. You'd probably need around 2 grains of Armour, but usually patients are started on a lower dose so they can get used to the med and then the dose is increased.
Dr. Ridha Arem describes this situation well in his book The Thyroid Solution when he describes what happened when synthetic levothyroxine was introduced. People who had done well on Armour found they were often having the same problem you described when they were put on levothyroxine alone. 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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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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