ginab
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Post by ginab on Dec 3, 2008 17:57:08 GMT -5
My labs, meds, BP and temps are here: v iewtopic.php?f=11&t=10128I'm struggling a bit right now and my temps are all over the place. (Graphing per Dr. Rind.) It's been suggested that it's maybe Hashi's. I've been on T3 for about 12 weeks now (75mcg currently), so I don't know if this is just my body's way of clearing out the rest of the RT3 or if it's Hashi's. (I'm also on 25mg HC and .125 Florinef.) I've felt pretty good when my temps are up, although 98.8 is too much. I feel terrible when my temps are below 98.2. I feel better mentally overall, but still have many hypo symptoms that are driving me nuts. I just don't know what med to adjust or if I even need to. I was thinking of going back to Armour, but am not sure. I'm struggling still to just make decisions, so any help you can provide will the greatly appreciated! Thanks for your help! Gina
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ginab
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Post by ginab on Dec 5, 2008 17:16:42 GMT -5
Lethal Lee, I would greatly appreciate your input. When you are better and have a chance, please let me know your thoughts! Thank you! Gina
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Post by Lethal Lee on Dec 6, 2008 22:58:47 GMT -5
Hi Gina, Some thoughts -May well be Hashis the Lab you tested Abs with did not have sensitive test (used'less than' results) so you may well have had positive Abs no way to tell with that Lab. -You certainly have suboptimal Androgens (DHEAS & Free Testosterone). I dont understand the Bioavailable Testosterone result. How can that be HIGHER (over range) when total Testosterone isnt??? Sex Hormones (Progesterone & Estradiol) may be suboptimal too. Have you any low symptoms Libido, lubrication, pain etc? -Sodium & Potassium were suboptimal. You are on Florinef too. How is your BP & HR sitting & standing? Are you maintaining Salt supping at least twice daily? Are you supping Potassium? Have you retested since on Florinef? How are you dosing Florinef once or twice daily? -Vit B12 & Vit D were suboptimal too. Are you supping these? Have you retested? -I assume you are doing Vit C, MultiB, Selenium, Calcium, Magnesium, Probiotics, good EFA's (Fish Oil for DHA/EPA). What about Vit E, Vit A, CoEQ10, ALA? -how do you sleep? Any problems going to sleep, staying asleep, quality/quantity of sleep? - how is your diet? Good quality, not too much rubbish (takeaways, high sugar, refined carbs) good amount red meat, quality fats, friut & veges? - are you able to do any exercise as yet? Gentle walking 20-30 minutes daily is good IF tolerated. may need to stress dose HC to do this. Your HC dose of 25mg may be a touch low. Have you tried a little more 27.5 - 30mg daily? Your T3 dose of 75mcg is pretty low. Val says that is the MINIMUM she sees that works so maybe you need more? Have you tried increasing? I got up to 140mcg before I finally got some dumping. I backed off to 100-120mcg seems to be where I feel best. I also find 5-6 doses T3 work better than 4 doses daily. As far as temps go it they arent always a good indicator for everyone. They arent for me mine are rock steady (both Basal & Daily Av) but I still have motivation, energy & weight issues.
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ginab
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Post by ginab on Dec 7, 2008 4:15:12 GMT -5
-I dont understand the Bioavailable Testosterone result. Sex Hormones - Have you any low symptoms Libido, lubrication, pain etc? ~Yea, I'm not sure about that Testosterone thing either. As far as libido, it's almost zero. No problems with lubrication, pain or any other aspect though.-Sodium & Potassium were suboptimal. How is your BP & HR sitting & standing? Are you maintaining Salt supping at least twice daily? Are you supping Potassium? Have you retested since on Florinef? How are you dosing Florinef once or twice daily? ~BP overall has gone up from 90/60 to closer to 120/80. It still falls when I stand. Here's my last few days of BP and pulse: Sit 117/76 pulse 86 Stand 104/69 pulse 97 Sit 114/82 pulse 86 Stand 104/71 pulse 96 Sit 126/79 pulse 88 Stand 119/74 pulse 97 Sit 121/77 pulse 84 Stand 106/72 pulse 100 I do 1/2 tsp salt twice a day, sometimes more. Not supping Potassium other than in multi vit. Haven't retested. Florinef once a day.-Vit B12 & Vit D were suboptimal too. Are you supping these? Have you retested? ~I take a B-Complex, and there is some Vit D in the multi I take, so a tenative 'yes' I sup these. No retest.-I assume you are doing Vit C, MultiB, Selenium, Calcium, Magnesium, Probiotics, good EFA's (Fish Oil for DHA/EPA). What about Vit E, Vit A, CoEQ10, ALA? ~There is Selenium in something I take, but I don’t do it individually. I take pretty much all the others in a multi or individual supps. I need to make sure I'm getting them all though in the right amounts.-how do you sleep? Any problems going to sleep, staying asleep, quality/quantity of sleep? ~Sleep is often elusive - both going to sleep and staying asleep. Although it's gotten much better lately. I started melatonin and it has helped tremendously! Of course, when my 5 year old or 2 year old crawl into bed with me it negates the melatonin! But I have been sleeping pretty good for the most part recently. It comes and goes.- how is your diet? Good quality, not too much rubbish (takeaways, high sugar, refined carbs) good amount red meat, quality fats, friut & veges? ~My diet is actually pretty good. I don't eat out much. I actually kept track this week and I ate out for 4 meals in 7 days which is actually high for me. It needs to be zero, but with 3 kids it's not too bad. I buy as much organic as I possibly can. I don't normally buy junk food, but when I do it's organic. I try really hard to eat good food at least 80% of the time. I eat almost no bread/pasta/potatoes/rice, but they do find their way into my meals occasionally - mostly in the take-out ones. I think overall my diet is better than most, although I know I could make some more changes.- are you able to do any exercise as yet? Gentle walking 20-30 minutes daily is good IF tolerated. may need to stress dose HC to do this. ~I'm scared to exercise! I still don't feel great, so I'm afraid of feeling worse! I want to start, but just haven't thought I could handle it yet. Does having a 2 year old count for exercise? ;DYour HC dose of 25mg may be a touch low. Have you tried a little more 27.5 - 30mg daily? ~I just added 2.5mg about a week ago. I had tried 27.5 before, but it seemed like too much. I’m trying again just to see if it would help. (I had forgotten that I had added that when I posted that I take 25mg!)Your T3 dose of 75mcg is pretty low. I also find 5-6 doses T3 work better than 4 doses daily. ~I added 12.5mcg last night (Friday night). My temps have been stable for about a week now (since the increase in HC) so I decided to just try it! I'm sure it will take a couple of days for me to notice anything. I’ll try dosing it 5 or 6 times tomorrow to see if it helps.As far as temps go it they arent always a good indicator for everyone. I still have motivation, energy & weight issues. ~My temps for a while were very much in tune with how I was feeling. If they were up, I was good - if they were down I felt like death! But this last week they've been hovering around 98.6 but I don't feel good. I'm not sure what's going on.
I have zero motivation again, after having some when I first got up to 75mcg T3. Energy is still quite low overall. And weight... geeze... I need to lose about 45lbs and it's not budging. Although I did stop gaining! I did lose about 3 lbs a couple of weeks ago, so I guess it's good, but I've stayed the same weight since then.
So I hope that maybe the extra HC and T3 will help. My upper back has been killing me for nearly 2 weeks now, and I'm just feeling off again. I felt so great for about 3 weeks when I got up to 75mcg T3 and 25mg HC, but now I feel nearly as bad as when I started, other than the anxiety and depression are about 85% better. So, I've upped the meds in hopes of getting back to feeling good physically again.
I just don't know if it's Hashi's that is making it harder to deal with or what. I was thinking of going back to Armour, but I probably shouldn't just yet, huh? I'll keep upping everything for now and see how it goes. I'm just tired of this! UGH!
What antibodies test do I need to ask for? All I get is that ">20" one! I'd love to know if there were any. It would make sense since everyone in my family is bipolar, which we all know can be Hashi's.
Thank you so much for your help. I really appreciate it! Gina[/quote]
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ginab
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Post by ginab on Dec 7, 2008 4:37:00 GMT -5
I forgot to ask...
I increase HC a few days after I increase T3, right? (If temps become unstable.) And I increase T3 when temps are stable for 4-5 days, right? Or is there some other way to increase? I just want to do it right so I don't stress my adrenals or crash my temps - my temps crashed about 6 weeks ago when I increased T3 and I felt awful.
Thanks! Gina
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Post by Lethal Lee on Dec 15, 2008 4:34:55 GMT -5
I forgot to ask... I increase HC a few days after I increase T3, right? (If temps become unstable.) And I increase T3 when temps are stable for 4-5 days, right? Or is there some other way to increase? I just want to do it right so I don't stress my adrenals or crash my temps - my temps crashed about 6 weeks ago when I increased T3 and I felt awful. Thanks! Gina Sorry Gina I missed this one. The important thing is not to make more than one change at a time. I would increase HC first as should ensure Adrenals are fully supported before adjusting Thyroid Meds. You can increase the T3 more slowly. You mentioned 12.5mcg increase? Can you do 6.25mcg increase? You can also do small stress doses of HC when you do a Thyroid meds increase. Just for a couple of days then go back to 'normal' daily dose. Yes you can use stable temps as indicator that Adrenals are not stressed. Let me know what you did & if it helped at all. AS far as Antibody testing TPO Abs & TG Abs for Thyroid Adrenal Cortex Abs & 21-OH Adrenal Abs for Adrenals.
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ginab
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Post by ginab on Dec 23, 2008 11:47:04 GMT -5
I'm not changing things at the same time. I'm giving it a few days to a week or more between changes so I don't mess myself up!
I can do the 6.25 T3 increases - I can cut my pill into 1/4's.
I want to switch to Armour, so I did add 3/4 grain the last time I raised my thyroid meds. I seem to be tolerating it. I ended up taking out 12.5 T3 after a couple of days because it seemed to be too much. I'm on 87.5 T3 and 3/4 grain Armour right now. Some of my more irritating hypo symptoms are going away even though I'm feeling just slightly hyper - high pulse (104-ish), high temp (98.8-99.2 mostly stable) and a little shakey - but it's a welcome change! It's getting better each day, so I want to stick out that dose for a few more days to see if I stabilize. I did add a little HC, but only 2.5. I may add 2.5 more to see if it evens me out.
Does that work? Adding a little bit of HC to balance out being slightly hyper but feeling better overall? That sounds crazy, doesn't it? LOL ;D But maybe it works!
Thanks! Gina
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