Re: Could any one help me with my thyroid results from the endo

March 23, 2011

> >

> The endo has told me it will make no difference to how i feel to take T3 as

it's not my thyroid that is the problem as everything is in range now.

> >

> > TSH 2.0 RANGE (0.3-5.5)

> > FREE THYROID 14.1 RANGE(11.00-23.0)

> > FREE T3 4.0 RANGE(4.1-7.9)

> >

> Oh dear, we've got another one! TSH too high (should be around 1), if that

second one is T4, it is way too lowand your FT3 is below range.

>

> On levels like that I was feeling ill enough to be facing the prospect of

having to give up work, my social life and everything else having already gone.

>

> Time to find an endo who actually knows about thyroid - ask Sheila for her

list?

>

> D

>dollymedlock Hi, thanks for answering ,it just as i thought i wanted other

opinion.I'm so fed up with doctor telling me i'm ok when i know i'm not.I'll

contact Sheila for the list.If anyone wants to give there opinion i'd be very

happy to hear it.

March 23, 2011

.....Could anyone tell me what they think to my thyroid resultsfrom the hospital endo.I felt that T3 may help i asked my Dr for T3 and he packedme off to the endo..My first visit i was told my TSH was out of range at 0.02,so as requested bythe endo i reduced my thyroxine and got it into range at Tsh 2.0range(0.3-5.5).My T3 has come in low but he has refused me T3,i am so angry and upset that noone Dr or endo seems intrested that i feel ill all the time .These are my results can any one have a look and tell me what they think.Theendo has told me it will make no difference to how i feel to take T3 as it's notmy thyroid that is the problem as everything is in range now.TSH 2.0 RANGE (0.3-5.5)FREE THYROID 14.1 RANGE(11.00-23.0)FREE T3 4.0 RANGE(4.1-7.9)Hi,

No wonder you feel rotten.... your TSH is much too high for someone on thyroid medication, your FT4 is barely in range and your FT3 – the most important figure of all – is below the range.... L

The first thing I would do in your position is to fire the endo. Long gone are the times where we had to pay kudos to doctors who don't deserve them. Go on the offensive and tell your GP that you have no intention of seeing that particular endo ever again - that'll make him sit up straight <g>. That's what I did once upon a time, and it worked a treat.... Tell him that you have serious doubts that this endo understands much about the thyroid function, he is probably an expert on diabetes and you have no trust in his ability to make you better .... then ask for a referral to an endo of your own choice (ask Sheila for a list). And don't let anyone tell you that you can't get referred outside your immediate area or that you have no right to choose your own consultant – you can and you have !

Your aim is to get the TSH to 1.0 or below ... it does not matter one iota even if your TSH were depressed and below the ref range. Why can't endo's get that into their blinkered brains? The important parameters are FT3 and FT4 ... and you want both of them in the upper third of their respective ref range and once you have achieved that, you will probably feel ok.

Now, the principle sounds easy, to achieve your goal is a little more complex. When thyroid hormone (natural or synthetic) does not work, one or more of the 8 points below may come into play. So you need to check each one and decide what may apply to you. For clearing up some of the points you may need the help of a GP or endo to check your levels, but things like checking for adrenal fatigue or presence of Candida albicans you will have to tackle yourself – those things "do not exist" you will be told... so no point in even mentioning it. It will just frustrate you. If you test positive for low adrenal function for instance, just get on with it and supplement with something like NAX (Nutri Adrenal Extra) in addition to taking Vit C, Selenium, Co-Q10 (all those you will need anyway) and whatever else you might need to supplement when you get your mineral and vitamin levels checked (you may need to beg your GP for those). If your adrenals are too weak to support thyroid medication, then no amount of thyroid meds would help you ...you need to support the adrenals first and foremost and replace the thyroid hormones second.

There are several conditions that go along with being hypothyroid that will stop his levothyroxine from working. According to Dr Peatfield, some of these conditions are:

1. The thyroxine dose is too low.

Often this is the case, and the doctor or consultant won't increase it, since the blood levels appear perfectly okay. Sometimes, though, the dose of thyroxine is quite high – 200 mcg – 300 mcg – but you still don't feel well.

2. Partial response to the single synthetic thyroxine replacement.

Your thyroid produces other hormones apart from thyroxine (which is a mainly inactive hormone anyway). These are T3, T2, T1, and most of us need them all. Without them our response is limited and synthetic thyroxine may not suit the system as well as the natural thyroid hormones.

3. Adrenal fatigue or exhaustion.

This is very commonly met with indeed. The production of thyroxine (T4), its conversion to the active hormone liothyronine (T3), and the receptor uptake (called `binding') requires a normal amount of adrenal hormones, notably, of course, cortisone. (Excess cortisone can shut production down, however.) Go to our web site www.tpa-uk.org.uk , click on ]'Hypothyroidism' and then click on 'Associated Conditions' and read about the adrenal/thyroid connection there.

4. Failure of the 5 dei-iodinase enzyme.

This is what happens if the adrenals are not responding properly, and provision of cortisone usually switches it on again. But sometimes it doesn't. If the illness has been going on too long, the enzyme seems to fail. This conversion failure (in explicably denied by many endocrinologists) means the thyroxine builds up, unconverted. So it doesn't work, and T4 toxicosis results. This makes you feel quite unwell, toxic, often with palpitations and chest pain. (I refer to this further on.) If provision of adrenal support doesn't remedy the situation, the final solution is the use of the thyroid hormone, already converted, T3.

5. Receptor resistance.

Being hypothyroid for some considerable time may mean the biochemical mechanisms which permit the binding of T3 to the receptors is downgraded; the T3 just won't go in. With slow build up of T3, with full adrenal support and adequate vitamins and minerals, the receptors do actually come on line again. But this can be quite a slow process, and care has to be taken to build the dose up gradually. It is recommended to get the 24 hour salivary adrenal profile done through Genova Diagnostics which tests your cortisol and DHEA levels at four specific times during the day. TPA-UK get discount for thyroid and adrenal tests.

6. Food allergies.

The most common food allergy is allergy to gluten, the protein fraction of wheat. The antibody generated by the body, by a process of molecular mimicry, cross reacts with the thyroperoxidase enzyme, (which makes thyroxine) and shuts it down. So allergy to bread can make you hypothyroid.

There may be other food allergies with this kind of effect, but information on these is scanty. Certainly allergic response to certain foods can affect adrenal function and imperil thyroid production and uptake.

7. Presence of systemic candidiasis.

This is where candida albicans, a yeast, which causes skin infections almost anywhere in the body, invades the lining of the lower part of the small intestine and the large intestine. Here, the candida sets up residence in the warmth and the dark, and demands to be fed. Loving sugars and starches, candida can make you suffer frightful sweet cravings. (I wouldn't be surprised if it can synthesize a neurotransmitter, which causes such craving that you have to have chocolate, on pain of death.)

Candida can produce toxins which can cause very many symptoms of exhaustion, headache, general illness, and which interfere with the uptake of thyroid and adrenal treatment. Sometimes the levels – which we usually test for – can be very high indeed, and make successful treatment difficult to achieve until adequately treated. (More of this further on.)

8. Hormone imbalances.

The whole of the endocrine system is linked; each part of it needs the other parts to be operating normally to work properly. An example of this we have seen already, with cortisone. But another example is the operation of sex hormones. The imbalance that occurs at the menopause with progesterone running down, and a relative dominance of oestrogen is a further case in point – oestrogen dominance downgrades production, transportation and uptake of thyroid hormones. This is why hypothyroidism may first appear at the menopause; the symptoms ascribed to this alone, which is then treated – often with extra oestrogen, making the whole thing worse. Deficiency in progesterone most especially needs to be dealt with, since it reverses oestrogen dominance, improves many menopausal symptoms like sweats and mood swings, and reverses osteoporosis. Happily natural progesterone cream is easily obtained: when used it has the added benefit of helping to stabilise adrenal function.

When you have been quite unwell for a long time, all these problems have to be dealt with; and since each may affect the other, it all has to be done rather carefully.

Good luck J

March 23, 2011

<>

>> [Ed]

<>

> When you have been quite unwell for a long time, all these problems have

> to be dealt with; and since each may affect the other, it all has to be

> done rather carefully.

>

> Good luck J

>

<>

Thank you for your kind words and support ,they mean everything to me.

It's just great to know someone understands,i've been crying most of the day ,i

was so disapointed when the endo said i could not have t3 ,i thought being out

of range he would sort things out.But all he offered me was HRT a bone scan and

treatment for chronic fatigue syndrome(i do not think i have this) i'm worn out

all the time with thyroid problems but he would not except this.I have lost all

hope with the NHS.He had the cheek to say i could probably get T3 by going

private. I'm going to look in to all your advice .I have an appointment soon

with my GP ,i'll see what he has to say and take it from there.I'm going to get

my TSH to around 1 and see where that takes me first. Thank you so much

Best Wishes Helen

>

March 24, 2011

How

can your endo tell you that your problem is not your thyroid " as

everything is within range now " when CLEARLY your TSH is too high at 2.0

(normal TSH should be 1.0 or less) and your free T3 result of 4.0 is CLEARLY

BELOW the bottom of the reference range of 4.1 to 7.9? Also, for anybody not on

any form of thyroid hormone replacement, their free T4 level should be above

the middle of the reference range so 14.1 is again, far too low. It should be around

17 to 18 in the reference range given. This is absolutely ridiculous and this

endoprat should not be in a position where he doesn't have the required level

of knowledge to know how to properly diagnose and treat those with symptoms of

hypothyroidism. Ask your GP to refer you to a doctor who has a speciality in

thyroid disease or at least, who knows more about the functioning of the

thyroid system than this idiot. I will send you a list of 'good' doctors as

recommended by our members privately.

Luv - Sheila

>

The endo has told me it will make no difference to how i feel to take T3 as

it's not my thyroid that is the problem as everything is in range now.

>

> TSH 2.0 RANGE (0.3-5.5)

> FREE THYROID 14.1 RANGE(11.00-23.0)

> FREE T3 4.0 RANGE(4.1-7.9)

>

_,___

March 24, 2011

>

> How can your endo tell you that your problem is not your thyroid " as

> everything is within range now " when CLEARLY your TSH is too high at 2.0

> (normal TSH should be 1.0 or less) and your free T3 result of 4.0 is CLEARLY

> BELOW the bottom of the reference range of 4.1 to 7.9? Also, for anybody not

> on any form of thyroid hormone replacement, their free T4 level should be

> above the middle of the reference range so 14.1 is again, far too low. It

> should be around 17 to 18 in the reference range given. This is absolutely

> ridiculous and this endoprat should not be in a position where he doesn't

> have the required level of knowledge to know how to properly diagnose and

> treat those with symptoms of hypothyroidism. Ask your GP to refer you to a

> doctor who has a speciality in thyroid disease or at least, who knows more

> about the functioning of the thyroid system than this idiot. I will send you

> a list of 'good' doctors as recommended by our members privately.

>

> Luv - Sheila

> >

> The endo has told me it will make no difference to how i feel to take T3 as

> it's not my thyroid that is the problem as everything is in range now.

> >

> > TSH 2.0 RANGE (0.3-5.5)

> > FREE THYROID 14.1 RANGE(11.00-23.0)

> > FREE T3 4.0 RANGE(4.1-7.9)

> >

>

> _,___

>

Thanks so much Sheila, i'm feeling a litte better to day i was realy upset when

i came out of the Hospital.i'm aiming to get my TSH to around 1.I've an

appointment to see my doctor but not until april,it was the endo who got me to

reduce my thyroxine as i changed from taking it in the morning to taking it at

bedtime ,i felt much better for taking it at night time but my TSH shot up

,giving me overactive symptoms.I think it's to low now ,i ve raised it and i'm

feeling a little better.I've lost all faith in the NHS ,it's a battle with them

all the time.They seem more intrested in Ranges and cost than getting us

well.Best Wishes Helen

March 25, 2011

Your TSH shot up to

2.0 because the dose of (or type) of thyroid hormone replacement you are taking

is wrong and needs either adjusting or changing, or you have one of the many

associated conditions going alongside your symptoms of hypothyroidism. See

attached document 'Why thyroid hormone stops working'. Go through all of these

carefully by way of a process of elimination Helen.