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Energy decline on T4

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Hello

I wondered if anyone has had a similar experience to mine and can offer some

advice.

I am 43 and have been diagnosed with CFS for 15 years (despite having borderline

hypothyroid problems since I was a child). Last year I got my GP to take the

thyroid seriously, as my TSH was at the top end of the range and I had all the

symptoms.

I did not respond to medication until I reached 75 mcg when I felt more

energetic and improved, still a long way off normal but a big change. But this

gradually deteriorated, the energy declined, culminating in me catching a cold

which knocked me out completely for 2 months. The doctor did not want to raise

my medication any further (he thinks my problems are CFS) so I got referred to

an endocrinologist on Sheila's list.

The endocrinologist was great, said it was evident my thyroid was the problem,

and put up my medication to 100 mcg. I was very ill on this and had new

symptoms of aching bones and muscles as well as feeling toxic, ill and

exhausted. I ended up in bed collapsed for a few days, went back to 75 mcg and

it still took a few weeks for the aching to totally disappear.

I then very gradually increased the medication again, spacing it apart

initially. I felt much better and had days where I was brimming with energy,

unable to sit still, wanting to dash off and do lots. Other days I was tired.

Then the energetic days stopped happening and I was back to tired, and more

tired. And then caught a cold which has flattened me again and I am once more

exhausted a lot!

When this happened last time, the doctor said the flattening effect of colds was

due to me having Epstein-Barr in my system.

I am due to go back to the endocrinologist in a couple of weeks. I am just

interested to know if anyone else has had experiences like this and if it is

likely I just need more T4 or whether it is likely I am likely to need T3 or

NDT. I would like to be a bit informed for seeing the endocrinologist!

Apols this is so long.

Thanks for any help.

Debbie

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