Re: under active thyroid in an elite athlete

[Guest guest]

Hi

I'm sure others in the group with better knowledge than I have will

come forward with help. A good start would certainly be to measure

oral temperature on waking, preferably with a mercury thermometer

(though it's time consuming), & I think most people say it should be

36.6 to 36.8 deg C -- about 98 deg F -- or perhaps a little more for

a young person, 98.6 deg F being a normal daytime temp, though when I

was young it used to be given as 98.4. If the temp is found to be low

on waking then at least two daytime measurements a regular times

should be taken to determine how stable or otherwise the temp is. If

varying by more than .2 deg C this would point to a degree of adrenal

dysfunction, and here's where I step away from further advising,

except to say that if glandular tablets are taken to deal with the

adrenals (to regulate their function before dealing with any thyroid

homone deficiency), their effect might be quite pronounced in a young

person. I say this because one of my daughters seems to have a very

accelerated metabolism after taking Nutri Adrenal Extra at one a day

for a couple of months.

For me though your daughter's experience is very interesting since I,

though at an advanced age and decidedly un-elite, am an active

athlete with a possibly life-long hypothyroid condition. The thing

I've always suffered from most noticeably is slow starting. It takes

me a long, long time to warm to the task, and this seems to be what

one would expect, in that low basal temperature and associated slow

metabolism must penalise performance, but perhaps not so much once

warmed up. Interestingly, endurance athletes can have problems with

running too hot, and there the hypothyroid sufferer might score. My

suggestion is that your daughter should persevere, hopefully not

becoming too discourage if she falls back in performance. It's said

that endurance sport tends to worsen a hypothyroid condition, but at

my modest level I have not found that to be the case.

If you are reluctant to embark on any treatment of adrenals and

thyroid you might be interested to know that a famous Canadian

professional cyclist resorted to Chinese medicine/treatment after his

performance dropped. He was told his kidneys were weak, but I think

the approach in Chinese medicine is to group kidneys with adrenal

glands, and this would explain why they say that the kidneys are the

foundation of health.

Rgds

Hans

>

> My daughter has been recently diagnosed with a underactive thyroid.

> She has just turned 15. Her TSH was 20.95 and her T4 was 9. She

also

> has a ferritin level of 15. The doctor has prescribed 50mcg of

> thyroxin along with ferrous sulphate. Thyroxin to be taken in the

> morning and ferrous taken in the evening so they don't clash. She

> has been taking the tablets for about 3 weeks.

>

> My daughter is also an elite swimmer to national standard and

trains

> for 18 hrs per week swimming doing about 50km plus 2 land training

> sessions per week of about 45 mins duration. The doctor was amazed

> that she could do the training and compete to the level that she

has

> with her thyroid levels as they are. I know it is really early days

> for her but she feels exhausted most of the time and you can

> physically see her energy levels deplete when she is competing.

>

> What I am looking for is some advice relating to an elite athlete.

[Guest guest]

Hi hon

Sorry to hear your daughter has got this DD. Anyway

The body being an amazing thing, especially when young has all kinds

of back ups which will keep her going for a time. However, once she

depletes these she is going to crash big time. I am therefore advising

she cut back on her training. Sorry to be a killjoy however, she could

be damaging herself pushing so hard with her body at a disadvantage

like this.

I am no expert on elite athletes but it seems like common sense not to

risk her future health for present glories.

lotsa luv

Dawnx

[Guest guest]

HI

Welcome

to our forum and I hope you find the answers you need for your daughter.

My daughter has been recently diagnosed with a under

active thyroid.

She has just turned 15. Her TSH was 20.95 and her T4 was 9. She also

has a ferritin level of 15. The doctor has prescribed 50mcg of

thyroxin along with ferrous sulphate. Thyroxin to be taken in the

morning and ferrous taken in the evening so they don't clash. She

has been taking the tablets for about 3 weeks.

Your

daughter mind find it of benefit to take her medication the other way round. A

small study was done to show that those taking levothyroxine sleep better at

night and feel better during the day if the levothyroxine is taken when they go

to bed as it is better absorbed. She could take her ferrous sulphate when she

gets up in a morning. By the way, she should take 2000/3000mgs of Vitamin C the

same time as her iron replacement as it helps in possible constipation

problems.

My daughter is also an elite swimmer to national

standard and trains

for 18 hrs per week swimming doing about 50km plus 2 land training

sessions per week of about 45 mins duration. The doctor was amazed

that she could do the training and compete to the level that she has

with her thyroid levels as they are. I know it is really early days

for her but she feels exhausted most of the time and you can

physically see her energy levels deplete when she is competing.

You

should get her the 24 hour salivary adrenal profile done to see where her

cortisol and DHEA levels are at four specific times during the day. You can get

these from Genova Diagnostics http://gdx.uk.net/ Phone: 020

8336 7750 - Fax: 020 8336 7751. Many sufferers of hypothyroidism have low

adrenal reserve and the thyroid hormone replacement in such a case will not be

absorbed properly. She should also ask her GP to test her B12 and Vit D levels.

What I am looking for is some advice relating to an

elite athlete. I

would like to know what to do for the best in terms of her training

eg aerobic sets rather than anerobic sets. Should she cut down her

sessions? Is there anything else I can give her to help her energy

levels during events? Is there anything she should avoid doing or

eating? How long does it take for her to feel less tired?

Exercise

can only exacerbate the problem until she is on the treatment that will give

her back her normal health. Could you take her to a private thyroid doctor as

sadly, there are few endocrinologists in the UK who know a lot about thyroid

dysfunction and most specialise in diabetes. You might wish to buy " Your

Thyroid and How to Keep it Healthy " by Dr Barry Durrant-Peatfield, which

you can buy through Amazon or you might like an appointment at one of the

clinics that Dr Peatfield has in various venues throughout the UK - or Dr

Skinner (another medical adviser to TPA-UK), but he only sees patients in

Birmingham. It is important that you get the best for your daughter at her age

so she doesn't continue to have problems as she grows. According to her thyroid

function test results, she is very hypothyroid and it is amazing she has still

so much energy.

I can find nothing on the web and don't know where to

go to get the

re assurance that she needs. The more I read from you guys the more

I am amazed she is swimming at all. Is she only slightly underactive

compared to most of you?

Have

a read of this http://www.nel.edu/26-2005_6_pdf/NEL260605A14_Ciloglu.pdf

Luv -Sheila

Thanks

[Guest guest]

Just to add that my guess is that your daughter's volume of training

might need to reduced a little, along with refinement of the balance of

intense, moderate and recovery exercise.

Hans

>

> My daughter has been recently diagnosed with a underactive thyroid.

[Guest guest]

Thanks for your respons Hans.

What do I do if I do find that her temperature varies? Can you

explain what an adrenal dysfunction would mean?

My daughter is also a slow starter. She finds it harder to sprint in

the 50m & 100m events. Her main events are 400,800 & 1500m. Her

coach did think it might be related to her condition.

Our GP is positive in that he believes that if she can compete &

train to the standard she is now, once she is stabilised he is

confident she will even better! For me, it's just about keeping her

going and not letting her get demoralised in the meantime, but at

the sametime being mindfull that she doesn't exhaust herself.

As she has been coping with the training levels, her coach and I are

letting her carry on as she is for the moment but we are taking each

day/week as it comes. Last weekend, she was competing at our county

championships. We had entered 4 events on the Saturday & 4 on the

Sunday. She made the finals of her Saturday morning events, which

meant she swum 4 races in the morning. She then had a 400m event in

the afternoon, followed by the 200m fly. For the morning races & the

1st event of the afternoon, her performance was OK - near to

personal bests but by the time she was swimming the 200m fly you

could see she was significantly below par. She finished the race and

had to race again in the final, but you could almost see the energy

drain right out of her before your eyes. She was white as a sheet

when she finished. We then decided that she would not do all the

events on the Sunday (she was down to do the 1500m plus another 3

races) as we felt that the 1500 was a step too far in light of what

she had already done on the Saturday.

She now has another competition coming up (12th to 14th) and her

first event on the Friday is the 1500m (the other events are on Sat

& Sun). We are really unsure whether to let her swim it, but it is

probably her best chance of getting to nationals this year and it

would really boost her to get her qualifying time out of the way so

she can concentrate on getting her levels right. We just don't know

what to do for the best.

[Guest guest]

Hi

I'm very sorry to learn of your daughter's problems. It sounds

precisely like over-training, a term, if you're not familiar with it,

doesn't particularly refer to training but to an impaired physical

condition brought about by training and/or racing too long and too

hard. It's said that all Tour de France riders are in a state of

overtraining by the end of the tour, and this can be seen in their

cardiac graphs. In a word the body becomes inefficient and is

demanding a bit of rest. It's also been remarked that the most

successful athletes may be those who can take the heaviest training

load. A very good cyclist in my club went to pieces for a couple of

years, seemingly with chronic fatigue syndrome. In his case I suspect

it was a case of a heavy office workload combined with a lot of

cycling, and maybe one or two other stress factors thrown in.

But all is not lost if one can't deal with a very high load. Instead

a more scientific approach might work -- better quality on reduced

volume. Difficult of course for an eager young person, but especially

in youngsters the body's need for rest should be heeded.

Have a look at this Wikipedia info:

en.wikipedia.org/wiki/Adrenal_gland

I don't have direct experience but it seems that most doctors don't

subscribe to the notion of degrees of adrenal dysfunction -- in

effect they recognise conditions at opposte ends of the scale, where

there is either too much or no hormone secretion, of cortisol in

particular. However, there is a growing body of people who do, with

extensive evidence to support that view. I know that the highly

successful British cycling training boot camp, if I may call it that,

know a thing or two about adrenal fatigue as I've heard that they

regularly measure cortisol in the riders.

The following info as to assessing adrenal function, as kindly

provided by another member of this group (you might buy if you don't

have one a cuff blood-pressure monitor which can be bought for as

little as £7 and which, at least with the one I have, should be

reasonably accurate). You will also find in this some guidance about

temperature levels and variation. There might be other culprits of

course as the body is never straightforward. Low iron can affect

temperature and, very markedly, athletic performance. I've lots of

other info on the subject and will be happy to help further if you

wish.

Best wishes, Hans

Adrenal Home Testing.

Test 1:

Take and compare two blood pressure readings—one while lying down and

one while standing. Rest for five minutes in recumbent position

(lying down) before taking the reading. Stand up and immediately take

the blood pressure again. If the blood pressure is lower after

standing, suspect reduced adrenal gland function. The degree to which

the blood pressure drops while standing is often proportionate to the

degree of hypoadrenalism. (Normal adrenal function will elevate your

BP on the standing reading in order to push blood to the brain.)

Test 2

Another test uses the eyes. From the side (not the front), shine a

bright light like a flashlight or penlight towards your pupils and

hold it for about a minute. Carefully observe the pupil. With healthy

adrenals, your pupils will constrict, and will stay small the entire

time you shine the light from the side. In adrenal fatigue, the pupil

will get small, but it will soon enlarge again or obviously flutter

in its attempt to stay constricted.

Test 3:

Are you very sensitive to bright light? That could be a sign of

adrenal fatigue. And this can also be true if you have searing

headaches along with the sensitivity.

Test 4:

You can determine your thyroid and adrenal status by following Dr.

Rind with a temperature graph. You simply take your temp 3 times a

day, starting three hours after you wake up, and every three hours

after that, to equal three temps. (If you have eaten or exercised

right before it's time to take your temp, wait 20 more minutes.) Then

average them for that day. Do this for several days. If your averaged

temp is fluctuating from day to day more than -0.2 degrees, you need

adrenal support. If it is fluctuating but overall low, you need more

adrenal support and thyroid. If it is fluctuating but averaging 98.6,

you just need adrenal support. If it is steady but low, you need more

thyroid and adrenals are likely fine. (We note that mercury

thermometers are the most accurate.)

Even More Conclusive:

A 24-hour adrenal saliva test. Doctors tend to recommend a one-time

blood test, or an ACTH STIM test, but patients have found both to be

inadequate measures to discern sluggish adrenals. The ACTH will tell

you how much stimulation your adrenals are getting, but not how much

cortisol they are producing. Instead, we have relied on the 24 hour

adrenal saliva test, which tests your cortisol levels at four

different times of day and allows you to view your daily cyclic

adrenal function. (And note that if you are very hypothyroid, you

readings may actually be even lower than your saliva results will

show, since being hypothyroid results in a slower clearance of

cortisol from your body.)

>

> Thanks for your respons Hans.

>

> What do I do if I do find that her temperature varies? Can you

> explain what an adrenal dysfunction would mean?

>...

>

>

[Guest guest]

Hi ,

Is your daughter getting enough zinc? essential for thyroid function.

It may be 'washed out', literally, rather than metaphorically.

A serum zinc, copper and seleniumm test would show if they are out of

balance.

Low iron would imply that copper and iron are out of balance, hence

the suspicion as to the others.

The same question as to magnesium status, since magnesium can

substitute for zinc in case it is low, in some circumstances (as an

enzyme activator).

The critical use for zinc is in the carbonic anhydrase enzyme

essential for carbon dioxide clearance from the lungs.

So, the combined low levels of zinc an iron may impede (red cell)

both oxygenation and carbon dioxide clearance....not a good idea for

an elite athlete, swimming a heavy training load.

best wishes

Bob

>

> My daughter has been recently diagnosed with a underactive thyroid.

> She has just turned 15. Her TSH was 20.95 and her T4 was 9. She

> also has a ferritin level of 15.

[Guest guest]

Some folks just will themselves through the fatigue...

Now imagine what she will be able to do when she is medicated...

Have a great day,

>

> My daughter has been recently diagnosed with a underactive

thyroid.

> She has just turned 15. Her TSH was 20.95 and her T4 was 9. She

also

> has a ferritin level of 15. The doctor has prescribed 50mcg of

> thyroxin along with ferrous sulphate. Thyroxin to be taken in the

> morning and ferrous taken in the evening so they don't clash. She

> has been taking the tablets for about 3 weeks.

>

> My daughter is also an elite swimmer to national standard and

trains

> for 18 hrs per week swimming doing about 50km plus 2 land training

> sessions per week of about 45 mins duration. The doctor was amazed

> that she could do the training and compete to the level that she

has

> with her thyroid levels as they are. I know it is really early

days

> for her but she feels exhausted most of the time and you can

> physically see her energy levels deplete when she is competing.

>

> What I am looking for is some advice relating to an elite athlete.

I

> would like to know what to do for the best in terms of her

training

> eg aerobic sets rather than anerobic sets. Should she cut down her

> sessions? Is there anything else I can give her to help her energy

> levels during events? Is there anything she should avoid doing or

> eating? How long does it take for her to feel less tired?

>

> I can find nothing on the web and don't know where to go to get

the

> re assurance that she needs. The more I read from you guys the

more

> I am amazed she is swimming at all. Is she only slightly

underactive

> compared to most of you?

>

> Thanks

>

[Guest guest]

Hi

I realised my answer was incomplete. First I should have explained that

the club cyclist I mentioned who had fatigue probably had a degree of

adrenal dysfunction, along probably with countless people in the UK and

elsewhere in the developed world.

As for treatment, Sheila has suggested action. If she were my daughter

I would stop the thyroxine and try her on Nutri Adrenal Extra starting

with half a tablet taken in the morning and maybe an extra half tablet

on demanding days. Then continue to measure temps until they stabilise

(assuming they aren't stable presently, which I think likely). Then you

could consider hormone treatment.

Rgds

Hans

>

> Thanks for your respons Hans.

>

> What do I do if I do find that her temperature varies? Can you

> explain what an adrenal dysfunction would mean?

....

[Guest guest]

The problem with willing yourself through the fatigue is that

eventually the body cannot take any more and eventually you end up

like me and with all the will in the world you cannot push through any

more because your body just cannot take any more it then FORCES you to

stop. I was one who did this for years. That is why I was advising

caution, the will can only do so much, the body has to have some

reserves to pull on to go along with the will to do it.

I still advise caution with the training. She has youth on her side at

the mo.

lotsa luv and good luck

Dawnx

[Guest guest]

Hi Shelia & Hans,

Is there a list of doctors I can look at? We are based in Essex but

quite close to London as well.

I must admit when I read the foums responses to my daughters

condition I am finding it all quite scary! I spoke to our GP earlier

last week in light of her upcoming competition and he agreed to up

her dose to 75mcg as she was not feeling any effect of the thyroxin

at all. Since the increasing the dose, she is finding that she has a

bit more energy.

I was very interested in Hans' comments re calorie intake as she has

always been a light eater. I have always struggled to get her to eat

properly. She quite often missed breakfast after training. I now make

sure that she eats breakfast before she goes to school, but sometimes

she skips her lunch (or should I say leaves the nutritional stuff and

eats the fillers). When she does have a munch mission, she can eat

for England, but most of the time she can take it or leave it. This

was also made worse by her training regime at our previous swimming

club as we were not getting in from training until 9/9.30pm and

trying to eat the evening meal then before getting up at 5am the next

day. She was having a snack before evening training but she was often

too tired to eat by the time we got in a night. I realise now that

that has probably contributed to her condition now.

I will try & get the adrenal test Shelia recommended tomorrow - the

website is out of order today.

I do have a copy of her full blood test results. You asked about her

B12 levels and they are 473. I don't think her tested her vit D -

unless it's called something else on the report. Her red & white

blood count is good as is pretty much everything else except the TSG

& free T4 and something called Alk.Phos (ALP) which was high at 173.

The gp didn't say anything about that at all.

Thanks

[Guest guest]

Hi

I

thought I sent you a list of doctors this morning, however, I have just sent

you another one to you privately. The one I would recommend I have marked in

red, and you will see there is another endocrinologist in Essex who will

prescribe Armour, but I don't think he is really up to the mark on 'knowledge'.

Please

don't be scared, you have lots of information on our forum and web site and you

will get lots of help. Remember that Broda believed there are as many as

1 in 4 people affected with thyroid disease. We are lucky in that we have

Internet access, I feel sorry for those who have not. Whenever you post blood,

saliva, urine results, you must always post the reference range for each of

them too, because without them, they mean absolutely nothing to us

Luv -

Sheila.

I will try & get the adrenal test Shelia

recommended tomorrow - the

website is out of order today.

I do have a copy of her full blood test results. You asked about her

B12 levels and they are 473. I don't think her tested her vit D -

unless it's called something else on the report. Her red & white

blood count is good as is pretty much everything else except the TSG

& free T4 and something called Alk.Phos (ALP) which was high at 173.

The gp didn't say anything about that at all.

Thanks

[Guest guest]

Hi Shelia,

We must have crossed in action as I did receive 2 lists. Sorry for

making you do it twice!

How do you go about getting appointments? Do I just ring the hospital

where the specialist works even if it is a NHS one? Do I have to get a

GP referral 1st?

Re the test results I posted earlier the B12 range is 246 -911 and her

result was 473, so think that's OK. The Alk. Phos (ALP) range is 50 -

162 and her result was 173, but as I said the doctor glossed over this

one at the time. I don't even really know if it is related to the

thyroid at all.

Thanks again

[Guest guest]

Hi

You can

look at this website to find out how you get an appointment http://www.chooseandbook.nhs.uk/patients

through the NHS Choose and Book or you can ask your GP to refer your daughter

to a specialist of your choice. I think that Bob or one of the other more

scientifically minded members will be able to help interpret these blood

results.

Luv -

Sheila

Hi Shelia,

We must have crossed in action as I did receive 2 lists. Sorry for

making you do it twice!

How do you go about getting appointments? Do I just ring the hospital

where the specialist works even if it is a NHS one? Do I have to get a

GP referral 1st?

Re the test results I posted earlier the B12 range is 246 -911 and her

result was 473, so think that's OK. The Alk. Phos (ALP) range is 50 -

162 and her result was 173, but as I said the doctor glossed over this

one at the time. I don't even really know if it is related to the

thyroid at all.

Thanks again

[Guest guest]

Hi I've just returned from holiday and working through the post so sorry for the late reply. You could try the London Hospital sports clinic. I'm not sure if they deal with thyroid problems but you could give them a try. Have a look at the link below.

http://www.bartsandthelondon.nhs.uk/SEM/information.asp

Being a masters swimmer from Essex myself (when fit enough) wish your daughter the best of luck from me with her swimming.

>> Hi Shelia & Hans,> > Is there a list of doctors I can look at? We are based in Essex but > quite close to London as well.> > I must admit when I read the foums responses to my daughters > condition I am finding it all quite scary! I spoke to our GP earlier > last week in light of her upcoming competition and he agreed to up > her dose to 75mcg as she was not feeling any effect of the thyroxin > at all. Since the increasing the dose, she is finding that she has a > bit more energy.> > I was very interested in Hans' comments re calorie intake as she has > always been a light eater. I have always struggled to get her to eat > properly. She quite often missed breakfast after training. I now make > sure that she eats breakfast before she goes to school, but sometimes > she skips her lunch (or should I say leaves the nutritional stuff and > eats the fillers). When she does have a munch mission, she can eat > for England, but most of the time she can take it or leave it. This > was also made worse by her training regime at our previous swimming > club as we were not getting in from training until 9/9.30pm and > trying to eat the evening meal then before getting up at 5am the next > day. She was having a snack before evening training but she was often > too tired to eat by the time we got in a night. I realise now that > that has probably contributed to her condition now.> > I will try & get the adrenal test Shelia recommended tomorrow - the > website is out of order today.> > I do have a copy of her full blood test results. You asked about her > B12 levels and they are 473. I don't think her tested her vit D - > unless it's called something else on the report. Her red & white > blood count is good as is pretty much everything else except the TSG > & free T4 and something called Alk.Phos (ALP) which was high at 173. > The gp didn't say anything about that at all.> > Thanks> > >

[Guest guest]

Hi

Nice to hear from someone who is involved in swimming. I think I recognise your name from somewhere. Do you swim for Romford?

I have gone to the chief medical officer at the ASA, but have not yet had a response. I will try your link tomorrow!

We just don't know what to do for the best. We don't even know if she should be taking more thyroxin as an athlete as she should be using more through exercise.

I will let you know how things go

From: keith m <keith.mann14@...>thyroid treatment Sent: Sunday, December 14, 2008 10:26:06 AMSubject: Re: under active thyroid in an elite athlete

P>

[Edit Abbrev Mod]

[Guest guest]

-

are you able to take your daughter to see Dr Peatfield?

Luv -

Sheila

Nice to hear from someone who is involved in swimming. I think I

recognise your name from somewhere. Do you swim for Romford?

I have gone to the chief medical officer at the ASA, but have not yet

had a response. I will try your link tomorrow!

We just don't know what to do for the best. We don't even know if she

should be taking more thyroxin as an athlete as she should be using more

through exercise.

I will let you know how things go

,_._,___

[Guest guest]

Hi

Had you thought of asking Steve Redgrave (the rower) what he might

suggest?

best wishes

Bob

> >

> > Hi Shelia & Hans,

> >

> > Is there a list of doctors I can look at? We are based in Essex

but

> > quite close to London as well.

> >

> > I must admit when I read the foums responses to my daughters

> > condition I am finding it all quite scary! I spoke to our GP

earlier

> > last week in light of her upcoming competition and he agreed to up

> > her dose to 75mcg as she was not feeling any effect of the

thyroxin

> > at all. Since the increasing the dose, she is finding that she

has a

> > bit more energy.

> >

> > I was very interested in Hans' comments re calorie intake as she

has

> > always been a light eater. I have always struggled to get her to

eat

> > properly. She quite often missed breakfast after training. I now

make

> > sure that she eats breakfast before she goes to school, but

sometimes

> > she skips her lunch (or should I say leaves the nutritional stuff

and

> > eats the fillers). When she does have a munch mission, she can eat

> > for England, but most of the time she can take it or leave it.

This

> > was also made worse by her training regime at our previous

swimming

> > club as we were not getting in from training until 9/9.30pm and

> > trying to eat the evening meal then before getting up at 5am the

next

> > day. She was having a snack before evening training but she was

often

> > too tired to eat by the time we got in a night. I realise now that

> > that has probably contributed to her condition now.

> >

> > I will try & get the adrenal test Shelia recommended tomorrow -

the

> > website is out of order today.

> >

> > I do have a copy of her full blood test results. You asked about

her

> > B12 levels and they are 473. I don't think her tested her vit D -

> > unless it's called something else on the report. Her red & white

> > blood count is good as is pretty much everything else except the

TSG

> > & free T4 and something called Alk.Phos (ALP) which was high at

173.

> > The gp didn't say anything about that at all.

> >

> > Thanks

> >

> >

> >

>

[Guest guest]

Hi , Yes I am one of the Romford mob, hopefully I can get back to

training and competing once I can get my thyroid sorted out. When you

say you don't know that to do for the best I think you have already

started, by educating yourself and your daughter about her condition.

Please do let everyone know if you have any success with the London

Hospital or the ASA CMO, it will be intresting to see how they deal

with hypothyriodism within sports medicine.

Best wishes

>

> Hi

>

> Nice to hear from someone who is involved in swimming. I think I

recognise your name from somewhere. Do you swim for Romford?

>

> I have gone to the chief medical officer at the ASA, but have not yet

had a response. I will try your link tomorrow!

>

> We just don't know what to do for the best. We don't even know if she

should be taking more thyroxin as an athlete as she should be using more

through exercise.

>

> I will let you know how things go

>

>

>

>

>

>

> ________________________________

> >

[Guest guest]

Hi Shelia,

Does Dr P have a surgery near Essex/London coming up?

She has had another blood test done and whilst I am getting it clarified by the doctor, they are now telling me that her results are normal. I just can't understand how she can go from a TSH of 20.95 to 'normal' in 6 weeks and still feel as tired and exhausted as she does. I am really struggling to get her out of bed in the morning! All she says is that she is sooooo tired.

We competed in Sheffield last weekend and she came away very disheartened about the whole thing so we do need some urgent expert advice.

Thanks

From: Sheila <sheila@...>thyroid treatment Sent: Friday, December 19, 2008 9:07:09 AMSubject: RE: Re: under active thyroid in an elite athlete

- are you able to take your daughter to see Dr Peatfield?

Luv - Sheila

Nice to hear from someone who is involved in swimming. I think I recognise your name from somewhere. Do you swim for Romford?

I have gone to the chief medical officer at the ASA, but have not yet had a response. I will try your link tomorrow!

We just don't know what to do for the best. We don't even know if she should be taking more thyroxin as an athlete as she should be using more through exercise.

I will let you know how things go

,_._,___

[Guest guest]

Hi Bob,

I knew he was diabetic, but is he hypothyroid as well? Diabetics tend to cope better with sport as I know that the top 15 year old girl swimmer in Britain is diabetic and she is the junior record holder in a number of events! Could of course be that she has been medicated for a number of years and it is no longer an issue for her.

Thanks

From: bob.m9uk <Bob.m9uk@...>thyroid treatment Sent: Friday, December 19, 2008 9:17:54 AMSubject: Re: under active thyroid in an elite athlete

Hi Had you thought of asking Steve Redgrave (the rower) what he might suggest?best wishesBob> >> > Hi Shelia & Hans,> >> > Is there a list of doctors I can look at? We are based in Essex but> > quite close to London as well.> >> > I must admit when I read the foums responses to my daughters> > condition I am finding it all quite scary! I spoke to our GP earlier> > last week in light of her upcoming competition and he agreed to up> > her dose to 75mcg as she was not feeling any effect of the thyroxin> > at all. Since the increasing the dose, she is finding that she has a> > bit more energy.> >> > I was very interested in

Hans' comments re calorie intake as she has> > always been a light eater. I have always struggled to get her to eat> > properly. She quite often missed breakfast after training. I now make> > sure that she eats breakfast before she goes to school, but sometimes> > she skips her lunch (or should I say leaves the nutritional stuff and> > eats the fillers). When she does have a munch mission, she can eat> > for England, but most of the time she can take it or leave it. This> > was also made worse by her training regime at our previous swimming> > club as we were not getting in from training until 9/9.30pm and> > trying to eat the evening meal then before getting up at 5am the next> > day. She was having a snack before evening training but she was often> > too tired to eat by the time we got in a night. I realise

now that> > that has probably contributed to her condition now.> >> > I will try & get the adrenal test Shelia recommended tomorrow - the> > website is out of order today.> >> > I do have a copy of her full blood test results. You asked about her> > B12 levels and they are 473. I don't think her tested her vit D -> > unless it's called something else on the report. Her red & white> > blood count is good as is pretty much everything else except the TSG> > & free T4 and something called Alk.Phos (ALP) which was high at 173.> > The gp didn't say anything about that at all.> >> > Thanks> >> > > >>

[Guest guest]

Hi

You

can see all of the venues where Dr Peatfield holds his metabolic clinics in our

website www.tpa-uk.org.uk On the Home

Page, scroll down the right hand column list under TPA-UK News, and you can

find his clinics there. He doesn't hold one in London or Essex (perhaps he

should) and you might have to travel. Let me know if there is one you can get

to.

Incidentally,

when you send a response to anybody's messages , please can you check that

you have deleted other people's messages and leave just a few lines of what you

are responding to because those who opted to receive a Daily Digest 9where they

get up to 25 messages in one email) or who read directly from the website, have

no choice but to scroll, and scroll, and scroll… to get to the next message.

It is very frustrating for them.

Luv -

Sheila

Does Dr P have a surgery near Essex/London coming up?

[Guest guest]

Hi Shelia,

I have emailed Dr P. I can get to Crawley but there are no valid dates showing.

Thanks

[Guest guest]

Hi , I live in Ilford near you, and I was wondering if you know

a doctor that prescribes natural thyroid extract Armour near where we

live? Please let me know.

Thanx

Ann

> Hi , Yes I am one of the Romford mob, hopefully I can get back to

> training and competing once I can get my thyroid sorted out.

> >

> Best wishes

>

>

>

> >

> > Hi

> >

> > Nice to hear from someone who is involved in swimming. I think I

> recognise your name from somewhere. Do you swim for Romford?

> >

> > I have gone to the chief medical officer at the ASA, but have not yet

> had a response. I will try your link tomorrow!

> >

> > We just don't know what to do for the best. We don't even know if she

> should be taking more thyroxin as an athlete as she should be using more

> through exercise.

> >

> > I will let you know how things go

> >

> >

> >

> >

> >

> >

> > ________________________________

> > >

>

[Guest guest]

Me too. I have been looking for 5 years for someone round this end of Essex who prescribes Armour. I have a feeling the endo from Clacton hospital might.

Lilian

Hi , I live in Ilford near you, and I was wondering if you knowa doctor that prescribes natural thyroid extract Armour near where welive? Please let me know. ThanxAnn