Guest guest Posted December 1, 2008 Report Share Posted December 1, 2008 Hi Lilian (and -- because I am aware you are looking for evidence to show that suppressed TSH is the norm. for people taking any form of T3 (either synthetic or natural). Here are some links for you to show your doctor, and if he still refuses to look at the science - he should have his registration removed. The first link is from none other than the now President of the British Thyroid Association - the second reference is also recognised by a previous President of the BTA (Toft) -- so if they are aware of the causes of a suppressed TSH, why is your endocrinologist not aware? If you went back onto your previous dose of Armour and you have to have six monthly diabetes and thyroid testing, then I would personally be tempted to stop the Armour for a month before the test was due and see what the results would show. Luv - Sheila In 36-47 % of cinically euthyroid patients receiving adequate long-term thyroid therapy for hypothyroidism, an undetectable serum TSH is found · lyn JA, Black EG, Betteridge J, Sheppard MC. Comparison of second and third generation methods for measurement of serum thyrotropin in patients with overt hyperthyroidism, patients receiving thyroxine therapy, and those with nonthyroidal illness. J Clin Endocrinol Metab 1994; 78(6): 1368-71 · Gow SM, Caldwell G, Toft AD, Seth J, Hussey AJ, Sweeting VM, Beckett GJ. Relationship between pituitary and other target organ responsiveness in hypothyroid patients receiving thyroxine replacement. J Clin Endocrinol Metab. 1987; 64(2): 364-70 After intake of thyroid hormones, the serum TSH is transitorily depressed within 60 minutes and remains low for up to 9 hours after intake · Chopra U, Carlson HE, DH. Comparison of inhibitory effects of 3,5,3'-triiodothyronine (T3), thyroxine (T4), 3,3,',5'-triiodothyronine (rT3,), and 3,3'-diiodothyronine (T2) on thyrotropin-releasing hormone-induced release of thyrotropin in the rat in vitro. Endocrinology. 1978;103(2):393-402 Aging · Urban RJ. Neuroendocrinology of aging in the male and female. Endocrinol Metab Clin North Am. 1992;21(4): 921-31 · Sawin CT, Geller A, Kaplan MM, Bacharach P, PW, Hershman JM. Low serum thyrotropin (thyroid-stimulating hormone) in older persons without hyperthyroidism. Arch Intern Med. 1991; 151(1): 165-8 Non-thyroidal diseases: diabetes mellitus, Cushing’s syndrome, renal failure, cancer, myocardial infarction, AIDS, post-traumatic syndromes, chronic alcoholic liver disease, other illnesses · C, Montoya-E, Jolin T. Effect of streptozotocin diabetes on the hypothalamic pituitary thyroid axis in the rat. Endocrinology 1980; 107(6): 2099-103 · Rossi GL, Bestetti GE, Tontis DK, Varini M. Reverse hemolytic plaque assay study of luteinizing and follicle-stimulating hormone and thyrotropin secretion in diabetic rat pituitary glands. Diabetes 1989; 38(10): 1301-6 · Adriaanse R, Brabant G, Endert E, Wiersinga W. Pulsatile thyrotropin secretion in patients with Cushing's syndrome. Metabolism. 1994 Jun;43(6):782-6 · Beyer HK-, Schuster P, Pressler H. Studies on hypothalamic pituitary thyroid regulation in hemodialysis patients. Nuklearmedizin 1981;20(1):19-24 · Kokei S, Inoue T, lino S. Serum free thyroid hormones and response of TSH to TRH in nonthyroidal illnesses. Nippon Naibunpi Gakkai Zasshi. 1986; 62(11): 1231-43 · De Marinis L, Mancini A, Masala R, Torlontano M, Sandric S, Barbarino A. Evaluation of pituitary-thyroid axis response to acute myocardial infarct. J Endocrinol Invest. 1985; 8(6): 519-22 · Rondanelli M, Solerte SG, Fioravanti M, Scevola K, et al. Circadian secretory pattern of growth hormone, insulin-like growth factor type I, cortisol, adrenocorticotropic hormone, thyroid-stimulating hormone, and prolactin during HIV infection. AIDS Res Hum Retroviruses. 1997; 13(14): 1243-9. · Wintemitz WW, Dzur JA. Pituitary failure secondary to head trauma. Case report. J Neurosurg. 1976; 44(4): 504-5 · Dzur JA, Wintemitz WW. Posttraumatic hypopituitarism: Anterior pituitary insufficiency secondary to head trauma. South Med J. 1976; 69(10): 1377-9 · Modigliani E, Periac P, Perret G, Hugues JN, Coste T. TRH response in 53 patients with chronic alcoholism. Ann Med Interne Paris. 1979; 130(5):297-302 · Ekman AC, Vakkuri 0, Ekman M, Leppalusto J, Ruckonen A, Knip M. Ethanol decreases nocturnal plasma levels of thyrotropin and growth hormone but not those of thyroid hormones or protection in man. J Clin Endocrinol Metab. 1996; 81(7):2627-32 · Bacci V, Schussler GC, Kaplan TB. The relationschip between serum triidothyronine and thyrotropin during systemic illness. J Clin Endocrinol Metab. 1982; 54:1229-35 · Hamblin PS, Dyer SA, Mohr VS, Le Grand BA, Lim CF, Tuxen DV, Topliss DJ, Stockigt JR. Relationship between thyrotropin and thyroxine changes during recovery from severe hypothyroxinemia of critical illness. J Clin Endocrinol Metab. 1986 Apr;62(4):717-22 · Bermudez F, Sucks MI, Opperheimer JH. High incidence of decreased serum triiodothyronine concentration in patients with nonthyroidal disease. J Clin Endocrinol Metab. 1975; 41: 27-40.Devos P. Rationele keuze van schildklierfunctie tests. Tijdschr Geneesk. 1990; 46(8): 591-9 · CM, Kaptein EM, Lum SMC, Spencer CA, Kumar K, Nicoloff JT. Pattern of recovery of thyroid hormone indices associated with treatment of diabetes mellitus. J Clin Endocrinol Metab. 1982; 54: 362-366 · Andrade SF, Kanitz-Ml, Povoa H Jr. Study of thyrotropic reserve in diabetics of adult type. Acta-Biol Mod Ger 1977; 36(10): 1479-81 _______________________ Unfortunately Val I have to have my blood tested every six months because of the diabetes, and TSH is automatically requested and sometimes T4. As my TSH does not rise very quickly even after stopping the Armour and being on an undermedicated dose of thyroxine it only just crept in the reference range. I am seeing the diabetic nurse tomorrow morning and will have the results of a cholesterol test, the first since stopping Armour which might be of interest too. Also the latest TSH and maybe T4. Lilian Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.