Guest guest Posted December 20, 2010 Report Share Posted December 20, 2010 Hi Jacquie I would come straight out with what you want to say and tell him that you are no longer prepared to put up with the thyroid therapy he has recommended. First, list all of the symptoms that you are suffering right now and list all of your signs. Check these against those in our web site www.tpa-uk.org.uk under 'Hypothyroidism'. Next, tell him that you have been doing research into why thyroid hormone may not be working as it should and you can refer to the reasons given in the attached document. Tell him that you need the tests in the attached document done in case any of these are low in the reference range, which would show the thyroid hormone is not being properly utilised. Tell him that the present therapy he has recommended of 50mcgs T4 and only 20mcgs T3 is not working and your symptoms are getting worse on a daily basis. Tell him that you know thyroxine is a mainly inactive prohormone which has to convert to the active thyroid hormone T3 in order for all the cells in your body and brain to function efficiently and that you would like a trial of an increase of your T3 as a matter of urgency. Tell him that this has been going on for long enough and that you are now prepared to do whatever is necessary to get back your health. I think if it was me, I would tell him at this stage that if he refuses to work with you and give you a trial of an increase, that he gives you no alternative but to buy some T3 yourself as I am at a point of sheer desperation, but that I would much rather he worked with me, rather than against me, which is what it feels like he is doing now. At the bottom of the letter, ask that your letter of request be placed into your medical notes and for him to contact you as a matter of urgency. The NHS will not do a reverse T3 (rT3) test unfortunately, so you would have to get that done privately, but I don't see that to be the problem from the results below. I think it more that you are not on a sufficiently high dose of T3 or you may be suffering with one of the conditions in the attached document. What is your iron level - often hypothyroid patients find they have very low iron and it is important you find this out. I have sent the list of doctors to you - but you may have to be prepared to travel to see the one of your choice. Luv - Sheila Can anyone advise me on the above results and what I should say to him. I am due to see him again on 26-01-11 but need advice on what to say to him in an email to get him to up my dose as I cannot go on this way and am totally worn out, desperate and so alone (I have become socially isolated and a recluse). Is there any chance that my receptors are blocked or that I am totally T4 resistant? Are the above results enough to warrant asking for a rT3 test.... I don't even know if he would consider it. I did ask for a adrenal salivary test but he said that it was too expensive for the NHS's current budget. _,___ 1 of 1 File(s) WHY ISN'T LEVOTHYROXINE WORKING.doc Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 Hi Sheila Thank you for responding and for the attachment. I have covered most of what's in it with him already. He KNOWS that I am T4 resistant and has continued to leave me on 20mcg T3 and 50mcg T4 daily for three months now. I really don't understand why unless he thinks my last tests taken were fine although this doesn't make sense as he treats by symptoms not just tests. I have been unable to write as my internet went down straight after posting my message and I've been too ill today but called his secretary (she's been away on sick leave) and she says he's on his annual leave until 4 January. She suggested I see him privately but I said I couldn't afford it.... her other suggestion was that I go to A & E but I've been down that route already begging for an increase of T3 two weeks into my 74mcg T4 and 5mcg T3 regime and was refused an increase because I was his patient and the Endo at the hospital said she wouldn't interfere with his patients (he heads the endos at the hospital). I have now decreased my T4 to 25mcg and increased T3 to 15 mcg in the morning but am only left with 5mcg T3 for midday. His secretary said that she would email him explaining my symptoms of sweating and internal shivering, painful weak legs, no energy or stamina and that I am still very ill and hypo and that I want an increase of T3 but she didn't think he would respond as he's on leave. My next appointment with him is on the 26th January and he has provided a TFT form requesting a ferritin test as well - my ferritin was high but in range at 116 (he didn't provide the ref range) and B12 was low but in range at 282 (again the ref range wasn't provided). He says I don't have pernicious anemia and he prescribed Vitamin B Strong Compound tablets for the low B12 of which I take 2 a day. Should I request that he rule out haemachromatosis? You asked what my iron level was... I have only ever been tested for ferritin... is this not the same? I don't want to get on the wrong side of him because I don't know anyone in my area (Chislehurst/Bromley/BR7) who is willing to prescribe T3 or Erfa at my request as I am too weak to travel far and don't have a car and he seems to be the only consultant I know here who believes that one's TSH should be around 1. There's also still no word from the PCT permitting him to prescribe me Erfa and he wrote to them months ago. He somehow seems to believe muscle weakness is a cause of too much T3 when I know it's because it's a lack of T3. Sorry for being so emotive but I'm too ill to have to deal with this and feel I'm banging my head against a brick wall. He also mentioned to me on our first meeting that he thinks that my symptoms may be multifactoral and that there was a possibility I would never be completely well again!? I will see if I can find the words to write to him. Love Jacquie > > The NHS will not do a reverse T3 (rT3) test unfortunately, so you would have > to get that done privately, but I don't see that to be the problem from the > results below. I think it more that you are not on a sufficiently high dose > of T3 or you may be suffering with one of the conditions in the attached > document. What is your iron level - often hypothyroid patients find they > have very low iron and it is important you find this out. > > I have sent the list of doctors to you - but you may have to be prepared to > travel to see the one of your choice. > > Luv - Sheila > > > > Can anyone advise me on the above results and what I should say to him. I > am due to see him again on 26-01-11 but need advice on what to say to him in > an email to get him to up my dose as I cannot go on this way and am totally > worn out, desperate and so alone (I have become socially isolated and a > recluse). > > Is there any chance that my receptors are blocked or that I am totally T4 > resistant? Are the above results enough to warrant asking for a rT3 test.... > I don't even know if he would consider it. I did ask for a adrenal salivary > test but he said that it was too expensive for the NHS's current budget. > > > > > _,___ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 On Wed, 22 Dec 2010 16:28:33 -0000, you wrote: >I don't want to get on the wrong side of him because I don't know anyone in my area (Chislehurst/Bromley/BR7) who is willing to prescribe T3 or Erfa at my request as I am too weak to travel far and don't have a car and he seems to be the only consultant I know here who believes that one's TSH should be around 1. There's also still no word from the PCT permitting him to prescribe me Erfa and he wrote to them months ago. He somehow seems to believe muscle weakness is a cause of too much T3 when I know it's because it's a lack of T3. Can I mail you privately please?? Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 Can anyone tell me if the TFTs below would have been a true reflection since I wasn't allowed to take any of my other medications ie diazepam, moclobemide, calcium tablets, omreprozole, diclofenac etc and was only offered a chicken sandwich, small pot of yoghurt and small cup of orange juice the whole day. Normally at home I would have drunk tea and eaten titbits throughout the day?Thank you!Jacquie23-11-10Planned Investigation Unit (I took no thyroid meds for 24 hours prior testing)Time fT4 (9.4 - 22.7) fT3 (3.5 - 6.5) TSH (0.35 - 6.5)10h55 (before any meds) 12.7 3.0 0.1313h55 (after 50mcg T4 and 10mcg T3 at 10h55 13.8 4.5 0.1116h55 (after 5mcg T3 taken at 13h55) 13.7 4.3 0.12ECG fine except for slight saddle shaped ST changes in inferior and lateral leads. BP no higher than 128/83 and heart rate between 60 and 83. Vital signs normal. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 Thank you for responding and for the attachment. I have covered most of what's in it with him already. He KNOWS that I am T4 resistant and has continued to leave me on 20mcg T3 and 50mcg T4 daily for three months now. I really don't understand why unless he thinks my last tests taken were fine although this doesn't make sense as he treats by symptoms not just tests. It looks like you may need to take your thyroid health into your own hands if this endocrinologist is not going to bend. You should not be left with such suffering when it is obvious you are not being replaced with the correct hormones that you need. I have been unable to write as my internet went down straight after posting my message and I've been too ill today but called his secretary (she's been away on sick leave) and she says he's on his annual leave until 4 January. She suggested I see him privately but I said I couldn't afford it.... her other suggestion was that I go to A & E but I've been down that route already begging for an increase of T3 two weeks into my 74mcg T4 and 5mcg T3 regime and was refused an increase because I was his patient and the Endo at the hospital said she wouldn't interfere with his patients (he heads the endos at the hospital). I doubt that A and E will do anything apart from telling you to make an appointment with your endocrinologist. I have now decreased my T4 to 25mcg and increased T3 to 15 mcg in the morning but am only left with 5mcg T3 for midday. His secretary said that she would email him explaining my symptoms of sweating and internal shivering, painful weak legs, no energy or stamina and that I am still very ill and hypo and that I want an increase of T3 but she didn't think he would respond as he's on leave. Good, and I hope you start to feel the benefit. Why are you taking 15mcgs in the morning though and only 5mcgs in the afternoon. Take 10mcgs morning and 10mcgs later. It sounds as if you are suffering with low adrenal reserve and you need to get this checked out. Do the Adrenal Questionnaire in our Files section and also do the Home Testing for Adrenals. You will find these in the Folder entitled 'Adrenals' Also, take your temperature according to Dr Rind http://www.drrind.com/therapies/metabolic-temperature-graph as this is a quick and easy way to track your metabolic health. You need to keep a graph of these. I would get the 24 hour salivary adrenal profile done by Genova Diagnostics as a matter of urgency. Again, see our Files section under 'Discounts on Tests and Supplements' and click on the 'Genova' file and follow the instructions there and you will get a discouont by being a TPA member. If it is found this is your problem (and I am 99% certain it is) then you would need to get some form of Adrenal supplements, but you would have to stop your thyroid hormone for a week and just take your adrenal glandulars to boost your adrenals. No amount of T3 can get into the cells if your adrenals are fatigued until they have been boosted. My next appointment with him is on the 26th January and he has provided a TFT form requesting a ferritin test as well - my ferritin was high but in range at 116 (he didn't provide the ref range) and B12 was low but in range at 282 (again the ref range wasn't provided). He says I don't have pernicious anemia and he prescribed Vitamin B Strong Compound tablets for the low B12 of which I take 2 a day. Should I request that he rule out haemachromatosis? Did he ask for vitamin D3, folate, magnesium, copper and zinc to be tested. If not, ask for these again as once more, thyroid hormone cannot be absorbed if these are not where they should be in the reference range. You asked what my iron level was... I have only ever been tested for ferritin... is this not the same? No, ferritin is your STORED iron. You need a full blood test. It is VERY important to get your iron levels tested because if you have adrenal fatigue, often the reason is that you are suffering with low iron levels and these must be boosted. I don't want to get on the wrong side of him because I don't know anyone in my area (Chislehurst/Bromley/BR7) who is willing to prescribe T3 or Erfa at my request as I am too weak to travel far and don't have a car and he seems to be the only consultant I know here who believes that one's TSH should be around 1. There's also still no word from the PCT permitting him to prescribe me Erfa and he wrote to them months ago. He somehow seems to believe muscle weakness is a cause of too much T3 when I know it's because it's a lack of T3. Tell him that you have been studying the functioning of the thyroid/adrenal system and want to do whatever is possible to regain your normal health again and that you would very much appreciate his guidance in doing this, but that you do realise that doctors and patients should listen to each other and be guided by each other and therefore, can you work together on this. I would telephone the PCT and tell them that your endocrinologist is waiting to hear from them regarding their funding of Erfa thyroid as you are unable to tolerate synthetic thyroid hormone replacements. It won't do you much good right now over the Christmas holidays, but make this a New Year's resolution. Don't ever think of doctors as 'god' because they are not and never will be. They are supposed to be there to make us better, and we too have a brain and capable of studying what could be the problem, and trying whatever experiment is necessary to see if that is the answer. Sorry for being so emotive but I'm too ill to have to deal with this and feel I'm banging my head against a brick wall. He also mentioned to me on our first meeting that he thinks that my symptoms may be multifactoral and that there was a possibility I would never be completely well again!? This is a cop-out for doctors when they don't know what to do with their patients. We all know that symptoms of hypothyroidism are not 'specific' but a bunch of them altogether ARE specific and then there are 'signs' of hypothyroidism which they don't take into account. A slow Achilles Tendon Reflex, for instance, is specific to hypothyroidism, but I get he never tested you. He also needs to take on board that a thyroid gland may be secreting sufficient thyroid hormone but what doctors do not understand, is that the thyroid hormone does nothing in the blood, it has to be utilised in the cells. If it lies in the blood with nowhere to go, you get symptoms of toxicity - and this is when doctors tell you " It's all in your head " . They NEVER do any tests or checks to find out whether you are suffering with peripheral thyroid hormone deficiencies. I will see if I can find the words to write to him. If you need any help with this, please let me know Jacquie and I will do what I can. Love Jacquie > > The NHS will not do a reverse T3 (rT3) test unfortunately, so you would have > to get that done privately, but I don't see that to be the problem from the > results below. I think it more that you are not on a sufficiently high dose > of T3 or you may be suffering with one of the conditions in the attached > document. What is your iron level - often hypothyroid patients find they > have very low iron and it is important you find this out. > > I have sent the list of doctors to you - but you may have to be prepared to > travel to see the one of your choice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2010 Report Share Posted December 22, 2010 Of course you can Nick. Thank you! > > >I don't want to get on the wrong side of him because I don't know anyone in my area (Chislehurst/Bromley/BR7) who is willing to prescribe T3 or Erfa at my request as I am too weak to travel far and don't have a car and he seems to be the only consultant I know here who believes that one's TSH should be around 1. There's also still no word from the PCT permitting him to prescribe me Erfa and he wrote to them months ago. He somehow seems to believe muscle weakness is a cause of too much T3 when I know it's because it's a lack of T3. > > Can I mail you privately please?? > > Nick > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Hi Sheila I have just received a call from my endo's secretary and he had dictated a letter to my GP copying me which is being posted today. She read it out to me and he says that he is very concerned that I am perspiring and having muscle weakness which are signs of too much T3 and that he had warned me of the dangers of T3 and that he cannot continue to prescribe me more. He is finding it difficult to treat me because I keep changing the doses and that I was told to go to A & E but had refused (this is taken out of context as I was under the impression that I would be seeing a certain consultant which had refused to treat me last time and had been extremely rude to the point of upsetting me for days). He also said that he would be seeing me in January and would take it up with me then. I cannot remember the rest but was advised to go to A & E today. I told his secretary that I have been ill for the best of 6 years and am going on the fourth year of being housebound and bedridden but she said that he was the consultant and she could do nothing more. I also said that I was so desperate I was considering self medicating and she advised against it and told me to go to A & E today and if too ill to call for an ambulance. I asked her to withdraw sending the letter until I had written to him but she said she couldn't but that I should write down my concerns and she would send it on to him. I don't know what to do! Do I go to A & E? Any suggestions? Love Jacquie - > He also needs to take on board that a thyroid gland may be secreting > sufficient thyroid hormone but what doctors do not understand, is that the > thyroid hormone does nothing in the blood, it has to be utilised in the > cells. If it lies in the blood with nowhere to go, you get symptoms of > toxicity - and this is when doctors tell you " It's all in your head " . They > NEVER do any tests or checks to find out whether you are suffering with > peripheral thyroid hormone deficiencies. > > I will see if I can find the words to write to him. > > If you need any help with this, please let me know Jacquie and I will do > what I can. > > > > Love > Jacquie > > > > > > > The NHS will not do a reverse T3 (rT3) test unfortunately, so you would > have > > to get that done privately, but I don't see that to be the problem from > the > > results below. I think it more that you are not on a sufficiently high > dose > > of T3 or you may be suffering with one of the conditions in the attached > > document. What is your iron level - often hypothyroid patients find they > > have very low iron and it is important you find this out. > > > > I have sent the list of doctors to you - but you may have to be prepared > to > > travel to see the one of your choice. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 On Thu, 23 Dec 2010 10:59:07 -0000, you wrote: > >I have just received a call from my endo's secretary and he had dictated a letter to my GP copying me which is being posted today. > >She read it out to me and he says that he is very concerned that I am perspiring and having muscle weakness which are signs of too much T3 and that he had warned me of the dangers of T3 and that he cannot continue to prescribe me more. Nightmare person, to me those symptoms both sound adrenal, are your temperatures stable?? For me adrenals give me an aching feeling in my legs as though I had the flu. >He is finding it difficult to treat me because I keep changing the doses and that I was told to go to A & E but had refused (this is taken out of context as I was under the impression that I would be seeing a certain consultant which had refused to treat me last time and had been extremely rude to the point of upsetting me for days). He also said that he would be seeing me in January and would take it up with me then. In the mean time he puts your life on hold > >I cannot remember the rest but was advised to go to A & E today. I told his secretary that I have been ill for the best of 6 years and am going on the fourth year of being housebound and bedridden but she said that he was the consultant and she could do nothing more. I also said that I was so desperate I was considering self medicating and she advised against it and told me to go to A & E today and if too ill to call for an ambulance. And what are A & E meant to do?? > >I asked her to withdraw sending the letter until I had written to him but she said she couldn't but that I should write down my concerns and she would send it on to him. > >I don't know what to do! Do I go to A & E? Any suggestions? I don't see A & E doing anything apart from making you wait for hours! remind me where you are coming from, in particular:- Did anything trigger feeling like this, an infection you didn't recover properly from or anything? Iron labs, ferritin and any other iron results you have Adrenal saliva labs if you have them plus any treatment you are on for adrenals, temperatures, both on waking and as per Dr rind for a few days? Any thyroid labs you have and what treatment you were on at the time? Sorry if you've already gone through these, I see so many people on line that I don't remember who is who. 20 of T3 is a very low dose, are you splitting it or taking it all at once?? There is no way it will be hyper on that but you may be suffering intolerance, usually adrenal or iron related Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Jacquie - who suggested that you should have your thyroid function testing before any medication, after 50mcgs T4 and 10mcgs T3 and again after 5mcgs T3? I don't even understand the logic behind these. I doubt not taking your medications as listed, or having such a small quantity of food would make any difference to your thyroid function test results. The results below show you most definitely are not suffering with hyPERthyroidism by taking too much T3, in fact, your free T3 readings should be much higher when taking T3. They should be in the upper third of the reference range. However, not taking any TH for 24 hours before the blood test would make the results look lower. T3 peaks in the blood between 2 to 4 hours after taking the medication, and certainly your results show your T3 is working, but not well enough, so there is obviously a need for an increase in dose. However, if you have low levels of ferritin, vitamin B12, vitamin D3, folate, magnesium, copper and zinc, these will stop the T3 from getting into your cells leaving you to suffer the continuing symptoms of hypothyroidism. Show your doctor the attached document to show that patients are being denied adequate relief from symptoms because less than half of the greater thyroid system is being considered. This chart illustrates the flow through the system starting at the top of the chart with signals from your brain to the bottom of the chart where the symptoms are sensed. There are many functions after the 'customary practice laboratory tests', but they are not recognised. Adrenal fatigue is one function that is not recognised also. http://www.tpa-uk.org.uk/greater_thyroid_system_table.pdf Luv - Sheila 23-11-10 Planned Investigation Unit (I took no thyroid meds for 24 hours prior testing) Time fT4 (9.4 - 22.7) fT3 (3.5 - 6.5) TSH (0.35 - 6.5) 10h55 (before any meds) 12.7 3.0 0.13 13h55 (after 50mcg T4 and 10mcg T3 at 10h55 13.8 4.5 0.11 16h55 (after 5mcg T3 taken at 13h55) 13.7 4.3 0.12 ECG fine except for slight saddle shaped ST changes in inferior and lateral leads. BP no higher than 128/83 and heart rate between 60 and 83. Vital signs normal. 1 of 1 Photo(s) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 On Thu, 23 Dec 2010 13:59:05 +0000, you wrote: >remind me where you are coming from, in particular:- > >Did anything trigger feeling like this, an infection you didn't >recover properly from or anything? > >Iron labs, ferritin and any other iron results you have > >Adrenal saliva labs if you have them plus any treatment you are on for >adrenals, temperatures, both on waking and as per Dr rind for a few >days? > >Any thyroid labs you have and what treatment you were on at the time? Back home now and read back the rest of the thread as it wasn't on the PC at work These labs were there >23-11-10 >Planned Investigation Unit (I took no thyroid meds for 24 hours prior >testing) >Time >fT4 (9.4 - 22.7) fT3 (3.5 - 6.5) TSH (0.35 - 6.5) 10h55 (before any meds) >12.7 3.0 0.13 >13h55 (after 50mcg T4 and 10mcg T3 at 10h55 > 13.8 4.5 0.11 >16h55 (after 5mcg T3 taken at 13h55) > 13.7 4.3 0.12 > Reformatted so they come out By those labs you are hypo even on blood draws straight after taking meds WHY were they doing bloods 3 times a day, I've never heard of this before >ECG fine except for slight saddle shaped ST changes in inferior and >lateral leads. BP no higher than 128/83 and heart rate between 60 and >83. Vital signs normal. They are basically proving you are hypo Ideal labs on a full replacement dose of T4/T3 combination would be FT4 of half way up the range and FT3 top of range. TSH would then be about 0.01 Most people taking T3 only do best on 4 or 5 identical doses a day, if you were taking T4 with it then you could take that once a day as levels change slowly If you are feeling little from the T4 then you may as well drop it and ramp up the T3 every few days as the T4 levels decay away What was your last Ferritin? Have you had saliva labs or looked at temperature averages?? Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 > > >> >I have just received a call from my endo's secretary and he had dictated a letter to my GP copying me which is being posted today. > >> >She read it out to me and he says that he is very concerned that I am perspiring and having muscle weakness which are signs of too much T3 and that he had warned me of the dangers of T3 and that he cannot continue to prescribe me more. > > Nightmare person, to me those symptoms both sound adrenal, are your> temperatures stable??I have started logging them today as per Dr RindSo far: 09h30 35.6C 12h30 36.6C 15h30 36.6C (this one taken at A & E) 18h30 36.4C> > For me adrenals give me an aching feeling in my legs as though I had> the flu.> That's more or less how I'm feeling - achy, heavy (treacly) and unsteady > >He is finding it difficult to treat me because I keep changing the doses and that I was told to go to A & E but had refused (this is taken out of context as I was under the impression that I would be seeing a certain consultant which had refused to treat me last time and had been extremely rude to the point of upsetting me for days). He also said that he would be seeing me in January and would take it up with me then.> > In the mean time he puts your life on holdI know....I''m mentally and emotionally exhausted and have so little fight left in me!!> >> >I cannot remember the rest but was advised to go to A & E today. I told his secretary that I have been ill for the best of 6 years and am going on the fourth year of being housebound and bedridden but she said that he was the consultant and she could do nothing more. I also said that I was so desperate I was considering self medicating and she advised against it and told me to go to A & E today and if too ill to call for an ambulance. > > And what are A & E meant to do??> >> >I asked her to withdraw sending the letter until I had written to him but she said she couldn't but that I should write down my concerns and she would send it on to him.> >> >I don't know what to do! Do I go to A & E? Any suggestions?> > I don't see A & E doing anything apart from making you wait for hours!I went to A & E as I honestly didn't want my endo to think I was purposely being difficult. I explained to the doctor as much as possible how long I'd been ill, my symptons and that I felt undermedicated but that I had come at the advice of my endo (it's the same hospital he works at) because he felt that I was hypErthyroid because of my hot flashes, perspiring and night sweats. I mentioned that I was measuring my metabolic temperature and that it had been 35.6C this morning. He took my temperature and it read 36.6C which he confirmed as normal. He obviously didn't understand that it has to taken every 3 hours 3 times a day for several days. He said he didn't know what was expected from him and would refer me back to my endo. I said that was exactly what I said would happen but he had insisted on me coming to A & E and here I am having wasted my time and there's. He said he would run some blood tests. I asked which ones and he said TFT. I told him that I had taken my medication a couple of hours ago and couldn't see what good that would do. I also mentioned that I needed the necessary tests ie iron, magnesium, copper, zinc, B12, Ferritin, Selenium, D3 and folate to be done because if any of these were low in range I would be unable to absorb thyroid hormones into my cells thereby giving normal readings yet leaving me symptomatic. I also mentioned that I needed an ASI test as I believed I had low adrenal reserves which could also be the cause of me feeling so poorly. He said he couldn't do that at A & E. Anyway, my blood was taken and I saw that they hadn't filled in fT3 in the box below or that I was on T3. I was told that they couldn't afford the fT3 test. I tried explaining it was worthless without the fT3 since I was on T3! A few other boxes were ticked and later a consultant came back with the results which he wrote down on a piece of paper but with no ranges even though I insisted but he said not to worry as they were all normal except for the urea:WBC 5.6Hb 13.3Platlet 261Sodium 139Potassium 4.6Urea 10.8 (suggested I drink more water)Creat 95Total Protein 70Albumin 44Alk Phosp 94AST 34Bilorbi? 6 (couldn't read his writing)TSH 0.10 (o.35 - 5.50)fT4 12.4 (9.4 - 22-7)I was incredulous... they had just spent NHS money on taking all these tests which I had had done many times already and the ones that were really needed weren't done. He said he understood where I was coming from but he didn't order the tests and he could understand my frustration. He tried calling my endo's secretary but she had left for home. He suggested I take it up with my doctor (which I don't have yet) or my endo's sec tomorrow and explain that I'm in no danger and that my tests are normal but that maybe I should raise my T4 from 25mcg to 35mcg to raise the results and when I saw my endo to talk to him them (I've only lowered my T4 from 50mcg to 25mcg yesterday and today). I said I had tried but my endo didn't seem to understand. He sat with me for a long while but was just as frustrated that he couldn't help me.> > remind me where you are coming from, in particular:-> > Did anything trigger feeling like this, an infection you didn't> recover properly from or anything?No, except that I stopped taking my oestrogen pill about 7 weeks ago and haven't menstruated since. I was taking it to regulate my periods but was concerned that it may be interfering with the thyroid meds so decided to stop - I had no idea that I would stop menstruating too!Oh, and also after having spent the day in the Planned Investigation Unit on 23-11-10 having all those tests my endo wanted me to have. I was so cold I had to keep asking for more blankets. About a week later I started having internal shivering, sweating profusely and hot flashes.> > Iron labs, ferritin and any other iron results you haveNo iron but on 06-05-10 blood results were given to me in a letter without ranges: Ferritin 116B12 282folate 5.4adjusted magnesium 0.85creatine 94liver function test normal except for elevated gamma GT of 34TSH 5.24 (0.35 - 6.5)fT4 14.8 (9.4 - 22.7)TPO Antibodies normalFSH 1.7He writes:"Thus these results are essentially normal with the exception of the TSH being at the upper limit of normal (some people do better with a TSH closer to 1). Although Cushing's is unlikely I would like to exclude the possibility of adrenal insuffuciency before increasing the dose of thyroxine. I could not see that there was a 9.00am cortisol included in her blood test so I will organise this for her. Once we hae the results I would suggest that she have an additional 25 mcg of Thyroxine with repeat thyroid function test in 6 weeks time which I am happy to organise for her."A later letter on 11-06-10:"Ms Falkowski's short synacthen test is normal - baseline cortisol was 845nmol/l. I would advise that she increase the dose of Thyroxine by 25mcg daily and I will send her a for to have repeat TFT 6 weeks later."> > Adrenal saliva labs if you have them plus any treatment you are on for> adrenals, temperatures, both on waking and as per Dr rind for a few> days?Am doing the Dr Rind at the moment but haven't done the ASI test yet - planning to do the glass test.> Any thyroid labs you have and what treatment you were on at the time?I'm on no other treatment than 2 Vitamin B Strong Compound tablets a day and my meds ie, diazepam, moclobemide, diclofenac, omreprezole, hydrocortizine, and others for Oral Lichen Planus. Also have FM.> 1st TFT my GP of 8 years ever did after complaining for a year and a half:31-07-2008TSH 6.74 (0.35 - 5.50) believed this to be normal!?fT4 15.5 (9.4 -22.7)22-09-2009TSH 6.52 (0.35 - 5.50fT4 15.5 (9.4 -22.7)17-11-2009TSH 5.53 (0.35 - 5.50fT4 15.1 (9.4 -22.7)18-01-2010 (finally on meds... 25mcg T4)TSH 5.10 (0.35 - 5.50fT4 15.9 (9.4 -22.7)15-03-2010TSH 6.47 (0.35 - 5.50fT4 13.8 (9.4 -22.7)12-04-2010 (increased to 50mcg T4)TSH 3.68 (0.35 - 5.50fT4 18.2 (9.4 -22.7)fT3 3.5 (3.5 - 6.5)02-07-2010 (increased to 100mcg T4)TSH 2.99 (0.35 - 5.50fT4 16.8 (9.4 -22.7)fT3 2.9 (3.5 - 6.5)04-08-2010 (increased to 125mcg T4)TSH 1.23 (0.35 - 5.50fT4 20.6 (9.4 -22.7)fT3 2.7 (3.5 - 6.5)27-08-2010 (75mcg T4 and 5mcg T3)TSH 2.15 (0.35 - 5.50)fT4 17.6 (9.4 -22.7)fT3 3.0 (3.5 - 6.5)04-10-2010 (50mcg T4 and 20mcg T3) - he meant to prescribe 10mcg T3 but I stuck to my gunsTSH 3.04 (0.35 - 5.50fT4 14.6 (9.4 -22.7)fT3 3.0 (3.5 - 6.5)23-11-2010 PLANNED INVESTIGATION UNIT (think you've replied to this - I had a mild stroke 12-09 - I was terribly ill with hypo symptoms and he's was nervous me taking the 20mcg T3- said he was liable if anything went wrong so I had to do this test! It cost the NHS £300!!)(I took no thyroid meds for 24 hours prior testing)Time fT4 (9.4 - 22.7) fT3 (3.5 - 6.5) TSH (0.35 - 6.5) 10h55 (before any meds) 12.7 3.0 0.1313h55 (after 50mcg T4 & 10mcg T3 at 10h55) 13.8 4.5 0.1116h55 (after 5mcg T3 taken at 13h55) 13.7 4.3 0.1223-12-2010 (today at A & E)TSH 0.10 (o.35 - 5.50)fT4 12.4 (9.4 - 22-7)> Sorry if you've already gone through these, I see so many people on> line that I don't remember who is who.> > 20 of T3 is a very low dose, are you splitting it or taking it all at> once??Splitting it. Originally I took 5mcg with 50mcg T4 when I woke up; then 5mcg 2pm and 10mcg just before my head hit the pillow/lights out. I felt I had to do it this way because I couldn't wake up in the mornings. Even so, I would wake up any time around 10-12pm and then want to go back to sleep between 3pm and 5pm - I could sleep up to 5 hours. It was so frustrating. I am now taking 10mcg with the 25mcg T4 in the morning and 10mcg around 12 - 1pm. I still feel lethargic but tend not to sleep as much as before. > > There is no way it will be hyper on that but you may be suffering> intolerance, usually adrenal or iron relatedI know I have to to the ASI but finances are tight and I don't know if he would take the results on board and also need to have all the other essential tests done for them to be relevant.> Thanks for taking the time! My heads pounding!! Jacquie> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Hi, Just looking through the post and your B12 and folate are too low.... The NHS won't treat B12 until it drops to 200 according to my doctor, but ideally you need to be around 8 or 900 for the B12. You can buy B12 and folate over the counter, your stomach may not be absorbing it so might be worth trying B12 that dissolves under the tongue... (solgar sublingual nuggets), or you can get B12 injections. . > > Iron labs, ferritin and any other iron results you have > No iron but on 06-05-10 blood results were given to me in a letter > without ranges: > Ferritin 116 > B12 282 > folate 5.4 > adjusted magnesium 0.85 > creatine 94 > liver function test normal except for elevated gamma GT of 34 > > TSH 5.2 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Hi Nick and SheilaHave responded to your questions as thorough as possible in your last post. The only thing I didn't mention is that I have had a front tooth infection for at least a year caused by Oral Lichen Planus and am treating it with 500mcg Betnesol soluble tablets as a mouthwash 3x p/d and Pulmicort CFC-free Inhaler 200 mcg for lesions and ulcer.I had been undiagnosed for years and was debilatingly hypo with chronic chest pains (which my GP shrugged off for more than a year), night sweats, perspiration, palpitations and every other symptom possible, and finally suffered a mild stroke in December 2009. My endo has taken this (perhaps too) seriously and hence having me admitted to the PIU for ECGs and TFTs. There was further confusion when I saw my Endo on 04-10-10 and he asked me what dose I was on and I told him I was taking 10mcg T3 p/d instead of 5mcg T3, in error. I did explain that I had felt an improvement but was still very symptomatic. He said that he had seen many people with terrible side effects on T3. Unfortunately, in my haze, I responded that I knew all about it. What I really meant was that I had suffered so long on such a low dose of 5mcg T3 and being so undermedicated - I was exhausted and weak getting to the consultation and my brain wasn't functioning. The mind boggles why he asked a sick person what their dose was when he should have known from my notes. Anyway, I explained my error the following day when it dawned on me but did receive his letter with a revised dose of 10mcg T3/50mcg T4 until several weeks later without consulting me. I had already started on his new script of 20mcg T3 and 50mcg T4 having not received his letter and when it arrived I was distraught to find that he wanted me to reduce my T3 when I was having raging hypo symptoms. I emailed and said I couldn't reduce to 10mcg T3 as I was still too symptomatic and had felt I'd been left undermedicated for too long on 5mcg T3 (I was on it for 2 months with terrible hypo symptoms). His secretary called me and told me that he would do so but that he wanted me seen in the Planned Investigation Unit the next day to assess my body's response to T3 therapy and make sure that there were no overt cardiac side effects. I finally had to make these arrangements myself as the head of the PIU was away and then his secretary went on leave delaying this visit by a couple of weeks till 23-11-10. If anyone can draw light on this procedure I would be interested to hear!It was only officially recorded in my medical notes of my new dose on 16-12-10. By this time, I had been on 20 T3 and 50 T4 for 10 weeks!! It seems you both concur that I am hypo and not hyper which he seems to think I am, and also have adrenal fatigue. I am also extremely stressed because I have to have an operation on my right hand and also have my home rewired but am too ill for both. I have delayed this now for 3 years.I'm so tired now from my ordeal at A & E yesterday. Woke up at 5.30am drenched with perspiration and currently feel totally drained, headachy, no energy and weak. I have to write to his secretary today that I went to A & E but I feel I'm only capable of going straight back to sleep.Love, Jacquie> >remind me where you are coming from, in particular:-> >> >Did anything trigger feeling like this, an infection you didn't> >recover properly from or anything?> Back home now and read back the rest of the thread as it wasn't on the> PC at work> > These labs were there> > >23-11-10> >Planned Investigation Unit (I took no thyroid meds for 24 hours prior> >testing)> >Time> >fT4 (9.4 - 22.7) fT3 (3.5 - 6.5) TSH (0.35 - 6.5) 10h55 (before any meds) > >12.7 3.0 0.13> >13h55 (after 50mcg T4 and 10mcg T3 at 10h55> > 13.8 4.5 0.11> >16h55 (after 5mcg T3 taken at 13h55) > > 13.7 4.3 0.12> >> Reformatted so they come out> > By those labs you are hypo even on blood draws straight after taking> meds> > WHY were they doing bloods 3 times a day, I've never heard of this> before> > >ECG fine except for slight saddle shaped ST changes in inferior and> >lateral leads. BP no higher than 128/83 and heart rate between 60 and> >83. Vital signs normal.> > They are basically proving you are hypo> > Ideal labs on a full replacement dose of T4/T3 combination would be> FT4 of half way up the range and FT3 top of range. TSH would then be> about 0.01> > Most people taking T3 only do best on 4 or 5 identical doses a day, if> you were taking T4 with it then you could take that once a day as> levels change slowly> > If you are feeling little from the T4 then you may as well drop it and> ramp up the T3 every few days as the T4 levels decay away> > What was your last Ferritin?> > Have you had saliva labs or looked at temperature averages??> > Nick> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Hi Jacquie Unfortunately I can't help with a GP in Chislehurst, but am saying hello from nearby Sidcup :-) I've seen two local endoprats and both of them were a waste of space. You'll get far more help and advice on here. > > PS: If anyone knows of a good GP in the BR7, Chislehurst area, I would > be truely grateful! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Hi How wonderful to know there is someone nearby. Thank you and hello back from Chislehurst. :-) I'm busy writing a letter to my endo right now hoping Sheila will be kind enough to edit it when she's free . Processing all the info from Sheila, Nick and everyone elso on here is exhausting but so appreciated. I'm giving this one last chance as I don't know how his ego will take it. What gets me is that I have printed info from here and also from the STTM website which he has willing accepted and read and yet he won't join up and do the research himself?! I'm realising this more and more, . I'm bowled over by the quick responses, amount of support and tremendous acts of kindness. My email's open to you anytime! Jacquie > > > > PS: If anyone knows of a good GP in the BR7, Chislehurst area, I would > > be truely grateful! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 25, 2010 Report Share Posted December 25, 2010 Hi Jacquie The trouble with endoprats is that they think they are God! They especially hate it when we know more than them too. The last one I saw told me that he didn't know how to prescribe natural desicated thyroxine, but still insisted that my TSH was too low. When I said that TSH would be suppressed on NDT, he just stabbed his fountain pen on the sheet of test results and kept saying that my TSH was too low. I'm on T3 only now so he'd probably have a heart attack if he saw my latest results! If you want to email me the name of the endo you're seeing, I'll tell you if it's one I've seen. Don't publish his name on here though, as we don't write their names in full - don't want you getting done for libel! Best wishes > > Hi > > How wonderful to know there is someone nearby. Thank you and hello back from Chislehurst. :-) > > I'm busy writing a letter to my endo right now hoping Sheila will be kind enough to edit it when she's free . Processing all the info from Sheila, Nick and everyone elso on here is exhausting but so appreciated. I'm giving this one last chance as I don't know how his ego will take it. What gets me is that I have printed info from here and also from the STTM website which he has willing accepted and read and yet he won't join up and do the research himself?! > > I'm realising this more and more, . I'm bowled over by the quick responses, amount of support and tremendous acts of kindness. > > My email's open to you anytime! > > Jacquie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2010 Report Share Posted December 26, 2010 Help! I'm was so ill last night and also today, in such chronic pain with stomach cramps, bad dry cough ~(tastes like blood in my mouth with something stuck in my throat and also tickly), feeling freezing cold and unable to get warm and then drenching night sweats although woke up cold - I honestly nearly called it a day. My temps yesterday were 7.00am 35.9C... 11h30 35.7C... 19h00 37.1C... 22.10 36.4. Took 25 T4 and 20 T3 instead of 25 T3 because I woke up at 3am yesterday morning and couldn't get back to sleep until the early hours this morning. Today I woke up freezing cold (even though the heating was on all night at 23C). I honestly don't know what to do. I'm absolute freezing and can't stop shivering even though I've ramped the thermometer up and am under a 13 tog duvet. My temp at 10h30 wass 38.1C and have just taken it again, 10h50C and it's 38.3C. Took 25 T4 and 10 T3 on waking. I know my adrenals are shot but am too ill to do anything, even bathe. And my sleep is out of sync. Also had a bad fall a few days ago and my ribs and stomach are badly bruised making it difficult to get comfortable. Is it possible i have caught flu or is it thyroid? Don't know what to do anymore! Love Jacquie PS: , have sent you an email with endo's name. x > > > > Hi > > > > How wonderful to know there is someone nearby. Thank you and hello back from Chislehurst. :-) > > > > I'm busy writing a letter to my endo right now hoping Sheila will be kind enough to edit it when she's free . Processing all the info from Sheila, Nick and everyone elso on here is exhausting but so appreciated. I'm giving this one last chance as I don't know how his ego will take it. What gets me is that I have printed info from here and also from the STTM website which he has willing accepted and read and yet he won't join up and do the research himself?! > > > > I'm realising this more and more, . I'm bowled over by the quick responses, amount of support and tremendous acts of kindness. > > > > My email's open to you anytime! > > > > Jacquie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2010 Report Share Posted December 26, 2010 Hi Jacquie - Is there a possibility you could be suffering with 'flu with such a high temperature? Can you telephone the doctor on call - or if not, telephone NHS Direct http://www.nhsdirect.nhs.uk/ .. The fact that you have had such a very low temperature and now it has shot up so high needs investigation. Let us know what they say. Have you anybody there who could get you to A and E? Luv - Sheila Help! I'm was so ill last night and also today, in such chronic pain with stomach cramps, bad dry cough ~(tastes like blood in my mouth with something stuck in my throat and also tickly), feeling freezing cold and unable to get warm and then drenching night sweats although woke up cold - I honestly nearly called it a day. My temps yesterday were 7.00am 35.9C... 11h30 35.7C... 19h00 37.1C... 22.10 36.4. Took 25 T4 and 20 T3 instead of 25 T3 because I woke up at 3am yesterday morning and couldn't get back to sleep until the early hours this morning. Today I woke up freezing cold (even though the heating was on all night at 23C). I honestly don't know what to do. I'm absolute freezing and can't stop shivering even though I've ramped the thermometer up and am under a 13 tog duvet. My temp at 10h30 wass 38.1C and have just taken it again, 10h50C and it's 38.3C. Took 25 T4 and 10 T3 on waking. I know my adrenals are shot but am too ill to do anything, even bathe. And my sleep is out of sync. Also had a bad fall a few days ago and my ribs and stomach are badly bruised making it difficult to get comfortable. Is it possible i have caught flu or is it thyroid? Don't know what to do anymore! Love Jacquie PS: , have sent you an email with endo's name. x > > > > Hi > > > > How wonderful to know there is someone nearby. Thank you and hello back from Chislehurst. :-) > > > > I'm busy writing a letter to my endo right now hoping Sheila will be kind enough to edit it when she's free . Processing all the info from Sheila, Nick and everyone elso on here is exhausting but so appreciated. I'm giving this one last chance as I don't know how his ego will take it. What gets me is that I have printed info from here and also from the STTM website which he has willing accepted and read and yet he won't join up and do the research himself?! > > > > I'm realising this more and more, . I'm bowled over by the quick responses, amount of support and tremendous acts of kindness. > > > > My email's open to you anytime! > > > > Jacquie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2010 Report Share Posted December 26, 2010 Hi Sheila No, I have nobody to take me. I'm a total recluse because of this illness and have lost everyone from being undiagnosed for so many years. So I am really totally alone. I have been trying to sweat it out, burying my head under the duvet and have just checked my temp again at 13h00 and it's fallen to 37.7C If it is flu I must have caught it when I went to A & E at my endo's instructions as I rarely go out. I have written a letter to my endo but it needs editing and would be grateful if you could help me by looking at/edit it/make suggestions when I'm strong enough to send it to you. It feels so trivial now when I look at it - I hate what they've done to me. Unfortunately, being alone has it's disadvantages because they think they can ride roughshod over me. I don't have a good relationship with any of my GPs at my surgery - they are totally ignorant and rude - and I'd be too ashamed for anyone to come to my home because it's in such a state from being too ill to keep it together. I'm also drenched in perspiration now, hair matted to my face and look a wreck and if I call an ambulance they will only take me to A & E but will not take me home, and I'd never make it home alone. My oral lichen planus seems to have flared up and my mouth is on fire. Also sore throat. Not vomiting though so doesn't seem I have this latest virus. Just very achy! I shall try to have a bath and then sweat it out some more. Hopfully, this will pass. I'm afraid of all meds now. This has really given me a scare. Thank you, Sheila, for being such a rock... I shall keep you posted. Love Jacquie > had such a very low temperature and now it has shot up so high needs > investigation. Let us know what they say. Have you anybody there who could > get you to A and E? > > Luv - Sheila > > > > > > Help! I'm was so ill last night and also today, in such chronic pain with > stomach cramps, bad dry cough ~(tastes like blood in my mouth with something > stuck in my throat and also tickly), feeling freezing cold and unable to get > warm and then drenching night sweats although woke up cold - I honestly > nearly called it a day. My temps yesterday were 7.00am 35.9C... 11h30 > 35.7C... 19h00 37.1C... 22.10 36.4. Took 25 T4 and 20 T3 instead of 25 T3 > because I woke up at 3am yesterday morning and couldn't get back to sleep > until the early hours this morning. > > Today I woke up freezing cold (even though the heating was on all night at > 23C). I honestly don't know what to do. I'm absolute freezing and can't stop > shivering even though I've ramped the thermometer up and am under a 13 tog > duvet. My temp at 10h30 wass 38.1C and have just taken it again, 10h50C and > it's 38.3C. Took 25 T4 and 10 T3 on waking. > > I know my adrenals are shot but am too ill to do anything, even bathe. And > my sleep is out of sync. Also had a bad fall a few days ago and my ribs and > stomach are badly bruised making it difficult to get comfortable. Is it > possible i have caught flu or is it thyroid? > > Don't know what to do anymore! > > Love > Jacquie > > PS: , have sent you an email with endo's name. x > > > > > > > > Hi > > > > > > How wonderful to know there is someone nearby. Thank you and hello back > from Chislehurst. :-) > > > > > > I'm busy writing a letter to my endo right now hoping Sheila will be > kind enough to edit it when she's free . Processing all the info from > Sheila, Nick and everyone elso on here is exhausting but so appreciated. I'm > giving this one last chance as I don't know how his ego will take it. What > gets me is that I have printed info from here and also from the STTM website > which he has willing accepted and read and yet he won't join up and do the > research himself?! > > > > > > I'm realising this more and more, . I'm bowled over by the quick > responses, amount of support and tremendous acts of kindness. > > > > > > My email's open to you anytime! > > > > > > Jacquie > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2010 Report Share Posted December 26, 2010 Jackie, What are you doing about the low B12? he B12 is low, it doesn't matter how much T3 or T4 you take, you won;t be able to make full use of it.... > > Help! I'm was so ill last night and also today, in such chronic pain with stomach cramps, bad dry cough ~(tastes like blood in my mouth with something stuck in my throat and also tickly), feeling freezing cold and unable to get warm and then drenching night sweats although woke up cold - I honestly nearly called it a day Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2010 Report Share Posted December 28, 2010 , I've still got a terrible fever from this awful flu. My GP surgery is closed and NHS Direct is inundated. They have a message telling me to go to my pharmacy for meds... but to also stay indoors and keep warm!!... and if it hasn't cleared up in 10 days to seek GP assistance. I've done nothing so far about the B12. Unfortunately, because of this illness, I have been unable to work since 2007 and am barely getting by but am prepared to buy the Solgar except that I'm concerned my iron panel and D3, folate, magnesium, copper and zinc are low and am not sure if fixing the B12 only will get me onto the road to recovery. How much would I have to take a day before I felt a result? I have also completed the Adrenal Stress Questionaire and my results came back as SEVERE! I was also in the middle of doing the Dr Rind temperature graph but then this awful flu virus hit me. My temps have been continually high these last 3 days which won't give a true reflection so I will have to start againn when I am over it. Love Jacquie > > > > Help! I'm was so ill last night and also today, in such chronic pain with stomach cramps, bad dry cough ~(tastes like blood in my mouth with something stuck in my throat and also tickly), feeling freezing cold and unable to get warm and then drenching night sweats although woke up cold - I honestly nearly called it a day > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2010 Report Share Posted December 28, 2010 Jacquie, No... sorry, just fixing one thing on it's own will never work. If everything is down and the adrenals are in a mess, you have to take it slow and fix them all. Lots of B vitamins for the adrenals, nutri adrenal extra if you can run to it, definately tons of vitamin C,. The copper and zinc you can get together from Holland and Barrat and the B12 is available in 1000 Ug nuggets from solgar. You take one a day, but I just read that 1 a day, taken for a month is the equivalent of one, 1000 ug intra muscular injection per month. Sounds like everything has just been allowed to slide.... Ok.. it can't get worse, so you have to start doing something about it all. How about writing to the endo who was supposed to be looking after you and explaining that you are, in fact, worse than when he started and ask whether he is prepared to work with you as you have followed his regime and it isn't working for you. I don't know how much B12 you need to take to feel better, I think it depends on whether it is causing a problem....... Does any one else know? xx > > I've done nothing so far about the B12. Unfortunately, because of this illness, I have been unable to work since 2007 and am barely getting by but am prepared to buy the Solgar except that I'm concerned my iron panel and D3, folate, magnesium, copper and zinc are low and am not sure if fixing the B12 only will get me onto the road to recovery. How much would I have to take a day before I felt a result? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2010 Report Share Posted December 29, 2010 If you have 'flu then do not go out to the pharmacy, but see if there is somebody you can telephone who will collect your prescriptions for you and bring them to the house - also, you do not want to be responsible of passing your 'flu onto any other unsuspecting passer-by. You will be feeling pretty horrible with the symptoms of 'flu and probably are quite unable to tell which symptom belongs to which illness, 'influenza, B12 deficiency, adrenal fatigue. low ferritin or anything else and I would wait until you have fully recovered from the 'flu before deciding what you need to do. As soon as you feel better, start doing Dr Rind's temperature graph again and give us a record of what is happening. Fixing B12 only will not make you well, but is a step in the right direction. Wait until you have all your blood test results back and we can take it from there. If your adrenal fatigue is severe, then it is very important that you start on some form of adrenal supplement such as Nutri Adrenal Extra and build up the amount you take daily on a weekly basis. Luv - Sheila , I've still got a terrible fever from this awful flu. My GP surgery is closed and NHS Direct is inundated. They have a message telling me to go to my pharmacy for meds... but to also stay indoors and keep warm!!... and if it hasn't cleared up in 10 days to seek GP assistance. I've done nothing so far about the B12. Unfortunately, because of this illness, I have been unable to work since 2007 and am barely getting by but am prepared to buy the Solgar except that I'm concerned my iron panel and D3, folate, magnesium, copper and zinc are low and am not sure if fixing the B12 only will get me onto the road to recovery. How much would I have to take a day before I felt a result? I have also completed the Adrenal Stress Questionaire and my results came back as SEVERE! I was also in the middle of doing the Dr Rind temperature graph but then this awful flu virus hit me. My temps have been continually high these last 3 days which won't give a true reflection so I will have to start againn when I am over it. Love Jacquie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2011 Report Share Posted January 2, 2011 Tests taken at A & E on 23 December 2010 for anyone who is able to interpret. Unfortunately, I do not have ranges for AST and Total Protein. Sorry! WBC 5.6 (4.0-11.0 x10ˆ9), HB 13.3 (12.0-15.0 g/dl), Platlet 261 (150-400 x10ˆ9), Sodium 139 (135-145 mmol/L), Potassium 4.6 (3.5-5.0 mmol/L), Urea 10.8 (1.7-8.3 mmol/L), Creatinine 95 (45-84 umol/L), Total Protein 70 (?), Albumin 44 (40-52g/L), Alk Phosp 94 (35-129 lU/L), AST 34 (?), Bilirubin 6 (0-21 umol/L), TSH 0.10 (0.35-5.5), fT4 12.4 (9.4-22.7). They wouldn't take fT3 due to funding - even though I'm on T3!!! Jacquie -================ > > > > There is no way it will be hyper on that but you may be suffering > > intolerance, usually adrenal or iron related > I know I have to to the ASI but finances are tight and I don't know if > he would take the results on board and also need to have all the other > essential tests done for them to be relevant. > > > Thanks for taking the time! My heads pounding!! [#-o] > > Jacquie > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2011 Report Share Posted January 2, 2011 WBC 5.6 (4.0-11.0 x10ˆ9), HB 13.3 (12.0-15.0 g/dl), Platelet 261 (150-400 x10ˆ9), Sodium 139 (135-145 mmol/L), Potassium 4.6 (3.5-5.0 mmol/L), Urea 10.8(1.7-8.3 mmol/L), Creatinine 95 (45-84 umol/L), Total Protein 70 (?), Albumin 44(40-52g/L), Alk Phosp 94 (35-129 lU/L), AST 34 (?), Bilirubin 6 (0-21 umol/L),TSH 0.10 (0.35-5.5), fT4 12.4 (9.4-22.7). Hi Jacquie, What jumps out at me from the above are your Urea and Creatinine.... both are elevated and that indicates that your kidney function might be compromised, which could have the effect of making you feel pretty awful as toxins are building up in your body. Please ask your GP to re-check and if necessary investigate your kidney function further. Best wishes, Quote Link to comment Share on other sites More sharing options...
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