Guest guest Posted July 25, 2011 Report Share Posted July 25, 2011 Hi , You'll probably get a lot of other answers on this. I'd start with several things: 1) Have your serum iron, serum ferritin, B12, folate and vitamin D levels checked. Get the the actual result numbers and the units used and the laboratory 'normal' ranges for all of these results and then have them posted back here. 2) Once the nutrient tests have been done then consider going on a good range of supplements to ensure that there are no missing co-factors that can impair the adrenal and thyroid metabolic pathways. So, a strong B complex, vitamin C, 3000-4000 IUs of vitamin D, a decent multi-mineral which includes all the macro and trace minerals (including selenium). I'd start this as soon as the blood tests are done and then increase any that the test results say are low according to feedback from here and your doctors guidelines. 3) Have your TSH, FT4 and FT3 also done and posted back here with the ranges. 4) You will be a a better position if you know that either your GP or an endo is willing to consider other medication than straight T4. Have you asked your GP this question? Is your GP supportive and open minded? In parallel to doing 1+2 then you should be working out how you are going to find and work with either a new GP or an endo if you don't think your GP is going to provide better support. Sheila has a list of 'good docs' that may be helpful if you need them (I can also mail this to you if needed). The bottom line at the moment is that a nutrient issue could be in the way of your thyroid hormones as could cortisol/adrenals. However, if the thyroid hormones aren't working well then it is likely that the adrenals aren't as well - so I'm guessing that your cortisol is off anyway. Do you have a lot of dizziness when standing up after sitting down? Beyond looking at nutrients it will be possible to see whether your T4 is at a decent level when the full thyroid results are visible including FT4 and FT3. If the nutrients look fine and healthy (not just normal according to your GP) and your T4 dosage is reasonable then the next things to be suspicious off are the adrenals/cortisol and the type of thyroid medication you are on. There are different approaches that people/docs use - some prefer to treat the adrenals first and then look at the thyroid meds. Some others prefer to work on the thyroid hormones and assume that the adrenals will recover (and then treat the adrenals if they don't). I prefer the latter approach but often it is a judgement call. The choices you have on a change to the thyroid meds will be dependent on your doctor or endo and what they are willing to prescribe. The next alternative to the T4 you are on now would either be to add some T3 to the T4 i.e. a T4/T3 combination or to use natural thyroid. You'll probably need to be working with a supportive doctor or endo before these options become available to you - hence the need to treat resolving this doctor/endo problem as a priority in parallel to sorting out some basic tests as discussed at the beginning of this message. If these T4/T3 meds don't work then T3 is the final option - this can usually be made to work but it is harder to use and I wouldn't suggest that you go there until you have to. Does the above make sense? Everyone else - have I missed anything important (I may have) ? Keep using the forum - you'll get a lot of help here. Expect a few bumps in the road. Take care, > > I was diagnosed with Hashimotos in 2006 with TSH of 150 and T4 of 7. Since then I've been on increasing levels of Levothyroxine which is currently 175 daily. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2011 Report Share Posted July 25, 2011 Thank you for your comprehensive reply, . My lovely cuddly doctor is indeed open-minded and has just arranged a blood test for all your recommendations in the morning. He's willing to discuss T3 prescription depending on results... To answer your question..I don't suffer dizziness on standing... presumably this is a good sign for adrenals? Many thanks again, _________________________________________________________________ Have your serum iron, serum ferritin, B12, folate and vitamin D levels checked. Have your TSH, FT4 and FT3 also done and posted back here with the ranges. You will be a a better position if you know that either your GP or an endo is willing to consider other medication than straight T4. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 25, 2011 Report Share Posted July 25, 2011 Yes, dizziness is clearly not the only indicator of low cortisol but if it was really low then I'd expect it. I had a time when I was passing out cold every day due to low adrenals - standing up and then dropping like a rock and being out for a while. Fantastic news about your doc - wish everyone on this site had someone who is obviously as supportive as your doc is. Post the results back and we'll take it from there. My personal expertise area is in using T3 correctly however there are lots of people here who have a variety of experience (personal and of other people) with a variety of other medications and combinations. Please do take a day or two and take your body temperature when you are at home and relaxed. Take it several times per day. Body temperature will provide additional information on how the thyroid hormones are working. Please post the results back here with some indication of average levels. I'd also be interested in how heart rate varies during the day also. If I were you I'd also consider investing in a home blood pressure monitor. These are quite inexpensive these days and are useful for heart rate and BP measures. I'd like to know how your heart rate and BP correlate over a day or so. This stage is a data gathering one. Being absolutely clear on what the symptoms and signs are before deciding on a course of action is vital. It is worth putting a lot of effort into this and fortunately you have a supportive GP. Take care, > My lovely cuddly doctor is indeed open-minded and has just arranged a blood test for Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2011 Report Share Posted September 16, 2011 My son has Asperger's Syndrom. He is 16 and a junior in high school. At the moment he is on medication for anxeity and depression so he can deal with school and other issues. I am interested in the method to see if we can use it with him. We live in Denham Springs, Louisiana. Kathi Calamari Director of Music Trinity Lutheran Church Baton Rouge Lutheran School 10925 Florida Blvd. Baton Rouge, LA 70815 225-272-3110 Ext. 133 The Flutist-One who has perceived the melody of angels and then ventures to respond.Deus Caritas Est (God is Love) Those who draw near to God do not withdraw from men, but rather become truly close to them. Quote Link to comment Share on other sites More sharing options...
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