Karma

Thyroid symptoms -- hypothyroid, Hashimoto's

174 posts in this topic

Thanks for the link.

 

There are a lot of theories about thyroid problems. One is that they start in the gut and that's what you treat first, with the autoimmune protocol diet, etc.

 

I've been looking at my vitamin D, copper-zinc, selenium-iodine, and iron levels, too, and supplementing accordingly. (I still can't find any clarity about iodine supplementation.)

 

Is there an iron supplement that comes as liquid drops? Seems like a lot of people with stomach issues try liquid forms of vitamins and minerals.

 

Ok, now that I am looking at the messsage board again it seems that it's not getting as much traffic as it used to, I see a lot of questions going unanswered. Sorry about that, guys. It still might be worth it to post your questions. I was going there more in 2013 and they were very helpful. If I find another good forum I'll post the link.

 

I definitely need to read up more about the link between thyroid issues and the gut. Autoimmune diseases run in my family, but my tests have come up negative so far.

 

In the last few years I've found I'm pretty sensitive to some supplements (like many people in WD.) In 2013 my Vit D was at 13, but any time I tried to take Vit D supplements I'd get anxiety and insomnia. I even tried the liquid Vit D drops for children and still had issues. This year I decided to try again and lo and behold no issues! Whereas before I couldn't tolerate 200iu, now I could tolerate 3,000iu a day and my sleep was fine. I got tested a few weeks after supplementing and my Vit D was at 28. Now that my levels are finally up I have noticed a big improvement in my fatigue. I find it very interesting that some sensitivities can improve despite still being in WD.

 

As for iron, I know there is a liquid one that is very popular, Floradix. Unfortunately for me, it's full of lots of other stuff including a high level of B vitamins and I'm still sensitive to those.

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There's got to be another liquid iron out there, with minimal additives. I'd Google around for it.

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I hadn't paid much attention to thyroid stuff but this last visit my CNP said that I had hypothyroidism but that she would see if I could up my HDL which is supposed to help with thyroid functioning.  I had since been walking 30min every evening and am using coconut oil and reducing sugar, etc.  But I don't know just how bad my stats are --- tried to pull info on it but my brain is so not functioning well.  My totals taken this last August are:  TSH 3rd Gen. 6.30 (which was highlighted) and FREE T4  0.732 (no indication of a problem).  I am 71yrs, have been taking Zoloft (25mg) for 26 years and also now taking Doxepin (50mg) for past 2 1/2 yrs   I am tired at times during the day and surely have extensive hair loss but I had chalked that up to the whole brain dysregulation that I've been going through since 2/13.  I had -0- symptoms prior to this time but did have hair loss when tapering Valium in 2003-2005.  That resolved by the end of 2005 and had no hair loss.  I don't have cold hands or feet or joint pain tho I do have some carpel tunnel pain but have had that off and on since the '90's when I worked at a computer long hours---  I have noticed that is has been more painful tho in the past couple of months. 

 

I am in such a fragile chemical place, geezz...How severe is my TSH 3rd????  Thanks guys for this thread!

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Liver :)

 

Yuck! I can barely stomach beef liver, but I've never tried other livers lol.

 

I hadn't paid much attention to thyroid stuff but this last visit my CNP said that I had hypothyroidism but that she would see if I could up my HDL which is supposed to help with thyroid functioning.  I had since been walking 30min every evening and am using coconut oil and reducing sugar, etc.  But I don't know just how bad my stats are --- tried to pull info on it but my brain is so not functioning well.  My totals taken this last August are:  TSH 3rd Gen. 6.30 (which was highlighted) and FREE T4  0.732 (no indication of a problem).  I am 71yrs, have been taking Zoloft (25mg) for 26 years and also now taking Doxepin (50mg) for past 2 1/2 yrs   I am tired at times during the day and surely have extensive hair loss but I had chalked that up to the whole brain dysregulation that I've been going through since 2/13.  I had -0- symptoms prior to this time but did have hair loss when tapering Valium in 2003-2005.  That resolved by the end of 2005 and had no hair loss.  I don't have cold hands or feet or joint pain tho I do have some carpel tunnel pain but have had that off and on since the '90's when I worked at a computer long hours---  I have noticed that is has been more painful tho in the past couple of months. 

 

I am in such a fragile chemical place, geezz...How severe is my TSH 3rd????  Thanks guys for this thread!

 

A TSH of 6.30 is indeed quite high. From what I know, 1-2 is optimal and anything above 3 is considered hypothyroid. BUT, anything between 3 and 10 is still considered subclinical hypothyroidism and isn't usually medicated unless there are obvious hypothyroid symptoms. What is the range that your lab uses for FT4? It's usually posted right next to your FT4 result. 0.732 seems low and even though it might technically be in range according to your lab, you really want it in the 50%-80% range that your lab uses.

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Liver :)

 

Yuck! I can barely stomach beef liver, but I've never tried other livers lol.

 

I hadn't paid much attention to thyroid stuff but this last visit my CNP said that I had hypothyroidism but that she would see if I could up my HDL which is supposed to help with thyroid functioning.  I had since been walking 30min every evening and am using coconut oil and reducing sugar, etc.  But I don't know just how bad my stats are --- tried to pull info on it but my brain is so not functioning well.  My totals taken this last August are:  TSH 3rd Gen. 6.30 (which was highlighted) and FREE T4  0.732 (no indication of a problem).  I am 71yrs, have been taking Zoloft (25mg) for 26 years and also now taking Doxepin (50mg) for past 2 1/2 yrs   I am tired at times during the day and surely have extensive hair loss but I had chalked that up to the whole brain dysregulation that I've been going through since 2/13.  I had -0- symptoms prior to this time but did have hair loss when tapering Valium in 2003-2005.  That resolved by the end of 2005 and had no hair loss.  I don't have cold hands or feet or joint pain tho I do have some carpel tunnel pain but have had that off and on since the '90's when I worked at a computer long hours---  I have noticed that is has been more painful tho in the past couple of months. 

 

I am in such a fragile chemical place, geezz...How severe is my TSH 3rd????  Thanks guys for this thread!

 

A TSH of 6.30 is indeed quite high. From what I know, 1-2 is optimal and anything above 3 is considered hypothyroid. BUT, anything between 3 and 10 is still considered subclinical hypothyroidism and isn't usually medicated unless there are obvious hypothyroid symptoms. What is the range that your lab uses for FT4? It's usually posted right next to your FT4 result. 0.732 seems low and even though it might technically be in range according to your lab, you really want it in the 50%-80% range that your lab uses.

 

 

Thank you so much for answering!  I did indeed have a reading of 2.43 in 2011 but was told at the beginning of 2012 (pre brain "shock") that I was showing some signs of hypothyroidism--I ignored it because I had no symptoms. 

 

The optimal range on the lab report for FREE T4 is listed as :  0.71-1.7 -- But there was no flag on my levels.

 

If I choose not to drug-treat the hypo number, will it cause any ongoing problems (other than hair loss and oh yes, WEIGHT GAIN.  I am at the highest weight I have ever been which I had been attributing to the Zoloft/Doxepin combo (which I am trying to taper from).  I was overweight in 2011 with a normal reading but now know it had been from taking the Zoloft.

 

Is there any publication that you would recommend to work on this aside from medication?  The CNP (useless person, never took my TSH until this last visit) was talking about rxing for the thyroid malfunctioning.  Surely don't want to do there because of what I am already trying to recover from.   

 

Again, thank you for posting to me and for reassuring me that this is still "subclinical"  --  I don't have to freak out just yet...  (-:

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Well now that I went back and read the criteria for subclinical hypothyroidism I realized I made a mistake. Apparently it is considered subclinical if your TSH is elevated BUT your Free T4 is normal. While your Free T4 is in the acceptable range, it is barely so. Still, I don't think this is something to freak out about just yet. I've seen people with much higher TSHs. But with those results I would expect that you would be feeling some sort of hypothyroid symptoms. Many of them are similar to WD so I understand it's very hard to distinguish. I am having the same issue.

 

If I were you I would get a full thyroid workup (TSH, Free T3, Free T4, TPO antibodies, TGA antibodies, and TSI antibodies.) I'm no expert on the subject but I have read that untreated hypothyroidism can lead to heart and cholesterol issues.

 

Maybe you can check out The Thyroid Solution by Ridha Arem. I've heard it's a good book to start with.

 

I'm sure there are non-med things you can do to support your thyroid, getting your Selenium levels up for example, but if your hypothyroidism gets bad enough you will most likely have to take medication. Thyroid medication is not like antidepressants. You're essentially taking the T3/T4 that your body can't produce well enough on it's own, but, like Alto said, it can be stimulating and it often takes a while before you find the right dose and it does need to be tweaked periodically as well. We're getting ahead of ourselves though. First and foremost, get those labs done and then take it from there.

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SelmaLady, if I had those test results, I'd be very worried. You need to take charge of your care.

 

See these sites.

 

freespirit, if I were you, I'd get the two hypothyroid antibodies tests and a battery of thyroid tests so you know what you're dealing with.

 

The thyroid hormone supplementation needs to be adjusted from time to time, so you should get these tests periodically.

 

See these sites:

 

http://www.stopthethyroidmadness.com/recommended-labwork/

 

http://thyroid.about.com/cs/testsforthyroid/ht/interpretresult.htm

 

http://thyroid.about.com/od/gettestedanddiagnosed/a/bloodtests.htm

 

Join an online hypothyroidism support group. Karma recommends this one: https://groups.yahoo.com/neo/groups/NaturalThyroidHormones/info

 

I have never heard of improving HDL affecting hypothyroidism. It's the other way around -- hypothyroidism increases unhealthy lipid levels.

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SelmaLady, if I had those test results, I'd be very worried. You need to take charge of your care.

 

See these sites.

 

freespirit, if I were you, I'd get the two hypothyroid antibodies tests and a battery of thyroid tests so you know what you're dealing with.

 

The thyroid hormone supplementation needs to be adjusted from time to time, so you should get these tests periodically.

 

See these sites:

 

http://www.stopthethyroidmadness.com/recommended-labwork/

 

http://thyroid.about.com/cs/testsforthyroid/ht/interpretresult.htm

 

http://thyroid.about.com/od/gettestedanddiagnosed/a/bloodtests.htm

 

Join an online hypothyroidism support group. Karma recommends this one: https://groups.yahoo.com/neo/groups/NaturalThyroidHormones/info

 

I have never heard of improving HDL affecting hypothyroidism. It's the other way around -- hypothyroidism increases unhealthy lipid levels.

 

I've applied to the support group you posted. 

 

I am now very very frightened and not certain just how to go about dealing with this. 

 

I had hoped to approach this from a "natural" treatment but if this is an extreme reading then I guess I'll have to try an rx or Armour.   Do you have any preference if I do have to supplement?  I have done some reading (so difficult with my clogged brain function) and there are pros and cons for both. 

 

I will call my CNP who is woefully under educated on ALL things medical but I'm thinking that if I make too big a deal out of this that she will send me to the MD whose overseeing (yeah, right) my care and he'll be looking at the a/d's I'm on and wanting me to get off of them.  So I have to approach this carefully and "casually".  Just trying to think of a way to get the tests I need w/o her wringing her hands and passing me off to the doc.  I'll think it over and call her on Monday. 

 

Can you tell me the names of the tests I should ask for?  Thank you so much, you and Ladybug,  for helping me with this. 

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The tests are listed in the links I gave you above. Those sites also have suggestions for "natural" non-drug treatments.

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Thank you!  I did get onto the support forum for thyroid problems and they list a doctor fairly close by who will rx natural meds.  I've been doing some add'l research and hopefully have a better grasp of what's going on with the thyroid.  I'm devastated that I will have to deal with this now too as it involves fooling around with the brain.  I'm not even off the meds yet and am feeling overwhelmed by what how much I am facing.  Having a rough to of it anyway today from what I would think was too much walking over the past couple of weeks.  Just trying today to get through and be as gentle with my thots as possible.  I'm hoping that the addition of the natural thyroid med will help me instead of sending me into further turmoil!  Just don't know what to do about tapering now...

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Ok, I wrote a detailed post and then accidentally closed the tab. Argh!

 

Selma lady, that is great news that you were able to find a doc who prescribes natural thyroid medication! I have seen many people do better on natural meds, like Armour Thyroid (which contains T1-T4) rather than the synthetic Synthroid (only contains T4.) I know it's overwhelming but you might find you feel a lot better once you get the thyroid hormones your body needs. If I were you I would pause my taper for a bit. If you do begin medication while you are still tapering then you won't be able to tell which symptom is being caused by what.

 

Ok so I got my lab results back, and here they are:

 

TSH: 2.09  (range: 0.36 - 3.74)   So, once again, my TSH has swung from high back down to normal.

 

Free T3: 2.42 (range: 2.18 - 3.98)  My FT3 is at 13% of the range which is NOT GOOD

 

Free T4: 1.09 (range: 0.76 - 1.46)   My FT4 is at 49% of the range. It should be at least at 50%

 

So now what? I know my doc will only medicate based on my TSH so I'm back at square one. I wish I knew why I'm unable to convert FT4 to FT3 sufficiently. I think I've read stress can be a factor, and Lord knows WD/tapering is stressful. Your FT3 is essentially the fuel in your gas tank and I'm running on empty. I honestly have no idea where to go from here. This is so frustrating :(

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Those of you who are hypothyroid and on thyroid meds are you feeling more hypo(weight gain, water retention etc.)during withdrawal?

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Those of you who are hypothyroid and on thyroid meds are you feeling more hypo(weight gain, water retention etc.)during withdrawal? 

 

I am not yet taking thyroid meds, am waiting to see doc in Dec and have add'l tests done.  I have a TSH of 6.30 with T4 0.732.  In the past year I have experienced a rather large weight gain (30 lbs!), loss of hair and really bad water retention (in addition to some other symptoms that can indicate hypo).  What type of thyroid medication are you taking?

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Since I started tapering It's been difficult to tell which symptom is withdrawal and which is hypo. At first I just thought I have to change my dose of the thyroid meds. And I did... many times. Now I have realised how many symptoms were just due to withdrawal. Some Wd symptoms are so similar to those of hypothyroidism. In my case they were puffy face, water retention, tiredness and gaining weight. I also have been tapering way too fast. I know that both high and low cortisol can make hypo symptoms even with healthy thyroid. 

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Topics merged with "Questions about Hypothyroidism and tapering"

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Alto asked questions about iodine - and I had some tabs up on my browser - last month - before the crash - that I intended to read which was pro-iodine supplementation.

 

For now, I just take a bit of kelp and eat seaweed and pink himalayan salt (love the stuff!) but I wish I could send you those articles which I can no longer find.  It was from a FB thyroid support group (I belong to several) and it was a series of articles...I just went through 3 diff groups and couldn't find it.

 

I have NO thyroid, removed in 2008 (thanks, lithium).  I was on Synthroid for about 5 years then moved to NDT for the last 3 years or so. 

 

My endo says that the NDT - while it has an array of helpful T's:  1.  Does not have them in consistent amounts from batch-to-batch and pill to pill, even when compounded (which is why it is not Australia TGA approved).  2.  From piggies, which have DIFFERENT RATIOS of T3 to T4 from humans.  

 

He would like to get me on compounded T3/T4, but he would like to see me lose about 30 kilos first, to see if that "fixes the problem."  Sigh.

 

(my doctor friend just laughs, smacks her forehead and says, "Why didn't I think of that?")  as if - I could lose weight, don't you think I would've by now?

 

He is anti grain, potatoes, sugar, carbs.  He says "there are no essential carbs."  Sigh.  I'm pretty miserable.  Where is my jar of Nutella?

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I have Hashimotos/hypothyroidism, endocrinologist is not happy with my results but is not increasing my dose of medication. She wants TSH below 2 and it is above 3. I have symptoms which I think are low thyroid like constipation, fatigue, feeling cold. Am currently trying to taper my Fluoxetine because people from my thyroid support group are saying thyroid results look undermedicated so at the moment I am looking to advocate a dose increase. I am also suffering from polycystic ovarian syndome, also been told I am verging on prediabetes due to high colesterol but doctors are monitoring this.

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I have Hashimotos/hypothyroidism, endocrinologist is not happy with my results but is not increasing my dose of medication. She wants TSH below 2 and it is above 3. I have symptoms which I think are low thyroid like constipation, fatigue, feeling cold. Am currently trying to taper my Fluoxetine because people from my thyroid support group are saying thyroid results look undermedicated so at the moment I am looking to advocate a dose increase. I am also suffering from polycystic ovarian syndome, also been told I am verging on prediabetes due to high colesterol but doctors are monitoring this.

 

 

 

Hi Amber. I have had hashimotos for over 20 years. I have had all your conditions. I did not know until recently that they are all related to the hashimotos. That's how I was misdiagnosed with mental illness. Have you checked out Izabella Wentz, thyroid pharmacist? Stop the thyroid madness, and hypothyroid mom? You can learn how to get the right tests done, and find a doctor who actually knows how to properly treat hashimotos. You could even show the information to your doctor. Hashimotos can be brought into remission for many and you can taper off the antidepressant. Mods, if I have spoken inappropriately I understand if you remove my post.

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Hi thanks for letting me know. I haven't seen Izabella Wentz's or hypothyroidmom's site. I have checked out stop the thyroid madness and have had ferritin, folate, vitamin D and B12 checked. Ferritin was addressed with iron infusions, tried to supplement D3 but ended up with calcium building up in my kidneys from this. I have been told I need to take K2 or magnesium to stop that from happening again. Also calcium levels are normal but low even though I drink a lot of milk, I need to see my doc again at some point to discuss my thyroid blood test results done last week so I will see what they can do for me when I see them then. Thanks again. :)

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"In humans, neuroendocrine challenge studies in hypothyroid patients have shown a reduced 5-HT responsiveness that is reversible with thyroid replacement therapy. In adult animals with experimentally-induced hypothyroid states, increased 5-HT turnover in the brainstem is consistently reported while decreased cortical 5-HT concentrations and 5-HT2A receptor density are less frequently observed.

 

In the majority of studies, the effects of thyroid hormone administration in animals with experimentally-induced hypothyroid states include an increase in cortical 5-HT concentrations and a desensitization of autoinhibitory 5-HT1A receptors in the raphe area, resulting in disinhibition of cortical and hippocampal 5-HT release. Furthermore, there is some indication that thyroid hormones may increase cortical 5-HT2 receptor sensitivity.

 

In conclusion, there is robust evidence, particularly from animal studies, that the thyroid economy has a modulating impact on the brain serotonin system.

 

Thus it is postulated that one mechanism, among others, through which exogenous thyroid hormones may exert their modulatory effects in affective illness is via an increase in serotonergic neurotransmission, specifically by reducing the sensitivity of 5-HT1A autoreceptors in the raphe area, and by increasing 5-HT2 receptor sensitivity."

 

https://www.ncbi.nlm.nih.gov/pubmed/11840307

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The thyroid has an effect on the serotonin system and every other hormonal system, thus affecting mood. There is nothing significant in terms of mood about its effect on the serotonin system, except to people who think that serotonin is the key to happiness (aka the bogus "serotonin deficiency" or "chemical imbalance" theory).

 

There's a lot of research out there premised on this fallacy.

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The thyroid has an effect on the serotonin system and every other hormonal system, thus affecting mood. 

 

Since the thyroid has an effect on the serotonin system it is no wonder that SSRI can also have an affect on endocrine system. 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC518867/

 

There were one guy from France in this forum who felt that his PSSD got a lot worse after he took thyroid meds during his WD even though he wasn't hypothyroid. I was thinking that maybe thyroid meds were too stimulating to his already sensitive serotonin system. Maybe boosting serotonin system through endocrine system can be harmful during WD?

 

Many here seem to have lower thyroid labs during WD or when one is on SSRI but maybe that is just one way our body is protecting itself? I have read that people who have serious health conditions like cancer or just have high fewer also can have lower thyroid labs even though they don't have thyroid condition but their body just wants to go slower and save energy during sickness.

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Hopefully people are still reviewing this thread.

I'm currently tapering trazodone, the first of so many, but this is specifically about thyroid.

 

I was diagnosed with Hashimoto's in 2002...after a roaring depression that no psychiatrist caught until it was too late. A few years later T3 was added, and I really began to get my life back.

 

Recently, during a conversation with my father who also takes synthroid, my dad impressed upon me the importance of taking 'brand' synthroid. So a couple of days ago I picked up scrips and began taking brandname synthroid and cytomel. Woah, huge difference...too soon to know if it's positive or not. But thyroid hormones are serious brain drugs.

 

Further, we also talked about my mom who took, and swore by, Armour. She insisted on it, never synthetics. Considering that she and I likely have similar constitutions I wonder about further switching to that. I've seen in the thread other natural alternatives as well. I've been having low thyroid symptoms despite 'normal' results....losing hair, fatigue, constipation sometimes, cold, worsening PMS, etc.

 

I just want to give my brain *optimal* circumstances during my tapers....just the best chance possible of smooth operation. I looked back over the past year at results:

Nov--FT3, 2.9 FT4, 1.1 TSH, .61

Aug--T3 uptake (not sure why he didn't do FT3 as I always request) 28.3 FT4, 1.9 TSH, 8.1

Feb--FT3, 3.2 FT4, 1.1 TSH 1.4

 

So it appears FT3 is on the low end of normal, FT4 is consistent, and I had a TSH spike last August.

It seems likely I will switch to Armour, or another if one is suggested. It does make more sense especially considering my mom's success.

My question is...how does the doc know which Armour dosage to shoot for? Does he base this on current doses of synthetic?

Thanks,

Hope

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Hi all, I am just posting to ask if anyone has ever had any thyroid conditions diagnosed.

 

Here is my topic on the intro thread if you want to know more about me (http://survivingantidepressants.org/index.php?/topic/13785-ktkat-and-the-escitalopram/)

 

I have been struggling with anxiety since early January when I hit withdrawals after ceasing escitalopram from a dose of 1.25mg. Since then I reinstated at 1mg, then 1.25mg. I have still had some ongoing symptoms of anxiety, suicidal ideation(not too drastic), ongoing tummy upset (going daily instead of every few days, not bad, but not my normal) in that time and I have seen my GP many times and had a whole host of blood tests. 

 

Last week when I visited my GP he commented that I had lost weight, at which I responded "Yes, but I don't know how," as I have not been exercising and I have not changed my diet at all in the last 2 months or so.

 

At which point my GP suggested a thyroid test, unfortunately, he only requested a check for the thyroid stimulating hormone, not the actual thyroid hormones themselves, so it came back in the lower end of the normal range and the conversation ended, but something still rang true about it with me, so I started up with Doctor Google. 

 

The listed symptoms for Hyperthyroidism (from https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/thyroid-hyperthyroidism) are;

 

  • Accelerated heart rate or palpitations
  • Muscle weakness and trembling
  • Unexplained weight loss
  • Sensitivity to heat
  • Diarrhoea
  • Sleeping difficulties
  • Sweating
  • Irritability
  • Nervousness, agitation and anxiety
  • Changes in menstruation, including scantier flow and increased cycle length.

And I can put a great big tick next to 7 of those. 7/10 seems a pretty good hit rate. Another page also mentions acne and I have also had more pimples in the last two months than I had in the previous two years. 

 

I am wary of convincing myself of this as if I do the test properly and it comes back negative, I don't want to end up feeling dejected about it. I also know that people with generalised anxiety can end up having a whole range of pointless (and expensive) tests and visits to specialists for symptoms which are fed by their anxiety, BUT I was wondering if anyone else on here has had any issues along these lines.

TIA

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google hashimoto and izabella wentz. It's more probable that you have hashimoto than hyperthyroid. 

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Yep! Hot thyroid nodules that made me hyperthyroid and then hashimotos. You need to have tsh, free t3, free t4 and thyroid antibodies tested. ( not just tsh or total t's)

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Topics merged:  Thyroid and Anxiety -----> Thyroid symptoms, Hypothyroid, Hashimotos

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Hi there I have hashimotos. I'm under the impression from research that it never goes away but some people have put it in remission. I'm not sure if forever though. I have nodules which went hot after my baby two years ago and then found out I have hashimotos as well.

 

What has lowered antibodies for me is. Optimizing iodine with selenium and going gluten and dairy free. I'm also mostly soy free as well.

 

I also have realize just how common this is. When I was diagnosed I was in total fear. After a while it's like I couldn't meet a person who didn't have a thyroid disorder.

 

I think doing any steps to help your body and immune system are key. Also knowing the proper tests ( tsh FREE t3 FREE t4 reverse t3 and antibodies tests) and what optimal levels are.. Just not in range.

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After reading the following study, I changed my thryoid med (synthroid) from morning to evening. In the study, there were no significant benefits noted in quality of life; I still felt it was worth a try. Within a couple of days, the shoulder tension and pain I've had for 9 months disappeared and has not returned. There was a major decrease in muscle tension and pain throughout the rest of my body too. Both the chiropractor and massage therapist noticed the change in tension. In addition, I've been sleeping much better, have had no sweating in the night or morning--even with the change of seasons. My energy has improved some, though not consistently. I'm going to request a complete thyroid panel from the doctor, to see if TSH has changed, to find out if I have Hashimoto's, and to see what other thyroid values are. Note that the study did not include testing of dessicated thyroid, so not sure if changing the time of that would have any impact. Just thought I'd share my experience, in case it's helpful to someone else. 

 

 "Levothyroxine sodium is widely prescribed to treat primary hypothyroidism. There is consensus that levothyroxine should be taken in the morning on an empty stomach. A pilot study showed that levothyroxine intake at bedtime significantly decreased thyrotropin levels and increased free thyroxine and total triiodothyronine levels. To date, no large randomized trial investigating the best time of levothyroxine intake, including quality-of-life evaluation, has been performed."  http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/776486

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