Re: Qu for about t3 and glucose issues

[Guest guest]

Nudging this gently up

>

> Hi

>

> I've just today started t3 only treatment. I've been diagnosed with reactive

hypoglycemia via an extended GTT. My levels only went down to 3.5, but my endo,

being fairly enlightened on blood sugar (not so on thyroids unfortunately),

[Ed]

[Guest guest]

Hi Susie,

Getting your adrenals up and running is key. The racing pulse is almost

certainly low glucose and then adrenaline (it could also be very low T3 to the

heart but my guess is it is the former).

If you have no fundamental adrenal issue (have you had a Synacthen test?) then

I'd consider using the Circadian T3 Method as soon as your T3 dosage is high

enough that you can be sure that the problems are simply down to lack of T3.

Your doctor sounds sensible.

So, in he short term I think getting the T3 up is a good idea. You could ask for

beta blockers for the short term to avoid the worst times - if you aren't

asthmatic.

Best wishes,

>

> Hi

>

> I've just today started t3 only treatment. I've been diagnosed with reactive

[Guest guest]

Thanks

Yes I've had the synacthen test and that was fine. I was also negative for

adrenal antibodies. My endo did say that I'm at 'high risk' of developing

addisons, given that I have at least 2 AI conditions and there's loads of AI in

my family (though no addisons).

I did try beta blockers (bisoprolol) about 18 months ago when I was on levo.

They did help me to get my dose up to 50mcg - without them, I can only tolerate

up to about 30 before I feel like I'm going to have a heart attack. The only

problem was, they made me very hypo. over a period of a few weeks, I became

extremely fatigued and depressed.

Given that I'm now on t3 only and beta blockers would hopefully be a very short

term solution to enable me to build up the t3 before moving to the circadian

method, do you think it would be worth me trying a different beta blocker?

otherwise, i think I'm going to be stuck in a vicious circle.

Many thanks

Susie

[Guest guest]

Bump. Thanks!

>

>

>

> Thanks

>

> Yes I've had the synacthen test and that was fine. I was also negative for

adrenal antibodies. My endo did say that I'm at 'high risk' of developing

addisons, given that I have at least 2 AI conditions and there's loads of AI in

my family (though no addisons).

>

> I did try beta blockers (bisoprolol) about 18 months ago when I was on levo.

They did help me to get my dose up to 50mcg - without them, I can only tolerate

up to about 30 before I feel like I'm going to have a heart attack. The only

problem was, they made me very hypo. over a period of a few weeks, I became

extremely fatigued and depressed.

>

> Given that I'm now on t3 only and beta blockers would hopefully be a very

short term solution to enable me to build up the t3 before moving to the

circadian method, do you think it would be worth me trying a different beta

blocker? otherwise, i think I'm going to be stuck in a vicious circle.

>

> Many thanks

>

> Susie

>

[Guest guest]

Sue,

I'm concerned that the fast heart rate could be something else other than simply

low T3. Have you had serum iron and transferrin saturation % tested - if not

then low iron could be in play here. Other things are the usual which you've

probably had tested - I'll asjk the question on this at the end.

Ok you've had a Synacthen test and your adrenals can produce on demand but do

you know how bad they are generally? A 24-hour urinary cortisol or an adrenal

saliva test (or even a one shot morning cortisol) would provide some indication

of this.

You should NOT push your T3 up if your heart rate is already in the 90s.

It may well be worth shifting some of your T3 into the main cortisol production

window and see if you can improve the performance of your adrenal glands before

you attempt to increase the T3 any further.

Beta Blockers will mask the issue. You should only use them when your heart rate

is excessive and you feel uncomfortable. Under no circumstance should you

increase the T3 dosage per day by simply using beta blockers to control the

situation. The occasional one when you need to control your symptoms is probably

fine but not as a general mask for the symptoms.

If I was in your situation I'd take some of the T3 dosage for the day - perhaps

only 15 mcg to begin with - and use the Circadian T3 method to see if you can

support your adrenal glands further. However, if you are at risk of 's

then you really need a test that can assess actual adrenal production as you may

need adrenal support.

If I was in your shoes I'd begin with the Circadian T3 Method but plan to have a

lot more tests.

How much T3 are you actually taking and in what divided doses?

Any ideas from people on what else Susie should have tested ?

Have you had a twenty four hour adrenaline test - same as cortisol but measures

adrenaline output? Glucose tolerance test for glucose levels as this can also

affect adrenaline? Other ideas people?

Best wishes,

>

>