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Thyroid (Expert Forum)
advice on thyroid test
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
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advice on thyroid test
by katysue53, Nov 18, 2006 12:00AM
Dear Dr. Mark,
I am very impressed with your responses and just have a question or two that no one seems able to answer. My dr. in Houston has all but abandoned me and I'm frustrated. I went to him having chest pain and insomnia plus other thyroid isssues. My TSH was out of range being .02 and my free T3 and T4 were also on the very low side. He told me via by phone by nurse not to change anything, it was all fine.I was shocked to say the least since I had already complained of waking up with stomach and chest pains and depression. he is a famous dr. in houston who has a book out. They have recently not returned any of my calls. I don't think I have been out of line for asking alot of questions. My real question is why is all of the three tests so low and what can I do? IF I increase my levoxyl and armour I start feeling that way again. I have on my on dropped one of the armour tablets that I was taking. This was what I was on when the tests were run: 1/2 .75 levoxyl 1x a day and 1/4 armour 3xs a day. I have hashmotos thyroid disease. Does this sound like a pituitary problem or possibly an adrenal thing? I would appreciate your advice as I feel very frustrated and alone.
Thanks,
Katysue
Doctor's Answer
by Mark Lupo, M.D., Nov 19, 2006 12:00AM
, Nov 19, 2006 12:00AM
Those labs are abnormal. You have hyperthyroidism that is due to overmedication and this is a possible cause of symptoms. The lowish T4 & T3 are not uncommon in Armour patients - esp if lab drawn before first dose of armour that day. Your instinct to decrease the dose seems logical. 3x/day armour is a lot - most patients on T3 (ie cytomel or armour) take in am and then early afternoon.
To rule out the unlikely adrenal or pituitary problem, would need further testing.
FYI - I prefer synthroid (or levoxyl) and cytomel combo over the use of armour IF T4/T3 combo treatment is used -- it gives more ability to "fine-tune".
To rule out the unlikely adrenal or pituitary problem, would need further testing.
FYI - I prefer synthroid (or levoxyl) and cytomel combo over the use of armour IF T4/T3 combo treatment is used -- it gives more ability to "fine-tune".
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Go here for some great suggestion on tsking Armour
www.stopthethyroidmadness.com
Mistakes people make are not being on enough Armour or having adrenal fatigue that needs to be addressed
http://stopthethyroidmadness.com/mistakes-patients-make/
I am on Armour and did not have a problem with increasing
And BTW, the stopthethyroidmadness website has a wealth of information. Check it out!
am
kATYSUE
I live in houston too and am trying to fine someone good to treat me for hashi's since now I have developed hyper and feel so depressed and anxious and dont know what to do to feel better again. I feel like my doc isnt doing enough for me.
Have you found anyone yet?