|
Post by mookie333 on Nov 25, 2008 13:38:09 GMT -5
Hello- I've talked to Chris on the pit. board on real thyroid help...and he's looked at my labs in the past.... I'm presently trying to slowly increase my armour by 30 mgs. per week...as I am not optomized yet at all...temps at least stable..but way too low 97.7 avgs.... my problems are as follows: thick-full feeling in my throat after I take the armour..but goes away towards the end of the day...kind of like my thyroid's enlarged... and by 10am the nausea sets in...like I'm not on enough cortef yet.....I do 15-10- and 5 mgms...I'm afraid of going up too much more than this......finally my mini adrenal crisis are going away....butI'm concerned that my cortef dose is getting a bit high. Waking up every night between 2am and 4 am...but falling asleep w/ ease....what do you all think of PSering. sp.? What causes facial twitching? I think it may be related to ca/mg or vit d levels? Or is this thyroid??? My eyes are so dry whn I wake up too...feels terrible....what else can I be doing..this process of optimization just takes so long I'm getting frustrated. I'm getting a whole new bunch of labs the 1st week of Dec-thyroid, acth, ald/renin, hormones etc. Suggestions?my old labs were done on synthroid and no cortef.....9-17-08 ca-9.9-8.5-1.6 tsh-0.879(0.450-4.500) sodium 137-(135-145) t4-10-(4.5-12.0) potassium-4.0-(3.5-5.2) free t4-3.2(1.2-4.9) vit D 25-oh-39-(32-100) reverse t3-306-(90-350) free t3-3.1-(2.3-4.2) I've posted an ITT done last year on old pit board...one HGH at end of test was 0.6 and last yrs IGF1 101 . Hoping for more direction...I've read Jeffries twice now.
|
|
|
Post by Chris Jackson on Nov 26, 2008 14:03:53 GMT -5
It's to early to take Armour, If you've beein 30 mg of HC for a while it sounds like it's not strong enough for you. That you have problems with the Armour and wake up at night suggest this to me. Read my sticky on when to switch to Medrol. Low thyroid is big culprit in facial twitching, but I'm sure there are other things that can cause it.
Since you are on cortef the ACTh will be worthless and waste of money. It will be very low, maybe zero.
Your sodium suggests salt wasting, low aldosteone, potassium suggests secondary AI.
Post your whole ITT test here.
Chris
|
|
|
Post by mookie333 on Nov 26, 2008 14:46:33 GMT -5
Below is my ITT from last year....today I feel so full in my throat like my thyroid is choking me....I think I may need to stop the armour.....feel a little jittery w/ some pvc's today..temps 97.7 and 97.9 and that's consistent w/ what I run...I think you are right about the medrol or possibly florinef....I will read the stickies again.....
GH<=10/ cortisol norms(6-22)/ACTH (5-27) prior insulin: GH-6.4/ Cortisol-18.6/ACTH-19----@0959-12/07 1000-GH 10/ cortisol-23.9/ ACTH-101 1030-GH14.3/ cortisol 23.8/ACTH49 1045-GH 6.6/cortisol 20.8/ACTH-24 1100-GH 6.0/ cortisol-19.2/ACTH-15 1130-GH-2.0/cortisol-14.4/ACTH-10 1200-GH-0.6/cortisol-12.5/ACTH10
I have a unique situation that my husband is a MD and has seen me suffer with all of this for the past 9 years...he's reading Jeffries now and I have seen every Dr and Endo around here and we've realized that he will have to treat me on his own....we are gathering our thoughts and will put together all the labs I need. What else can you suggest for me........thank you, thank you!!!!!!
|
|
|
Post by Chris Jackson on Nov 26, 2008 15:40:10 GMT -5
That's cool your husband can treat you. If he has an open mind and listens to what we say, you could do quite well.
Your GH started a bit low, but more than doubled suggesting is ok, but then exhausts itself. If a problem, it doesn't show bad enough to treat and may get better with other hormone therapies.
I have never seen ACTH stimmed before (if I've seen this before, I don't remember it). Your ACTH starts pretty low (I look for upper 40s to low 50s being good), but then goes way up and then crashes pretty quick. Your cortisol raises less than 40%. I had think about this a bit. Ignoring the acth stimmed, I say looks like secondary AI with adrenal atrophy (lack of acth for an extended period adrenals don't respond well to acth). That your ACTH fell below the 40s real quick I'm thinking your acth production when introduced to a huge stressor such as the ITT, it can go up for that, but for every day use, ACTH isn't able to pump enough acth. Your potassium is very low matching with secondary AI. Do you have DHEA-S? renin? If those is low that would indicate secondary AI too. Ask for for CRH to be tested. I bet it will be low. Ask for prolactin, Igf-1, GH, LH, FSH, TSH (with all thyroid tests including antibodies). You could have other pit problems.
You're very welcome, Chris
|
|
|
Post by mookie333 on Nov 26, 2008 16:45:37 GMT -5
My husband promises to be open minded about this, as he will help me no matter what he was "taught" in school and training....It seems clear what my problems are...now and my plan next week is to do all my labs....and then I will let you know what they say.........I really appreciate your wisdom. Thank you for being here. R
|
|
|
Post by Chris Jackson on Nov 27, 2008 19:44:57 GMT -5
You're welcome, Chris
|
|