Guest guest Posted March 16, 2012 Report Share Posted March 16, 2012 No wonder, looks like y our thyroxine is not converting to the active hormone T3. It is T3 your body needs, not T4. How long have you been taking levothyroxine? You are probably suffering with symptoms of T4 toxicity. T4 is lying around in your blood with nowhere to go. Ask your GP for a trial of T4/T3 combination therapy or natural thyroid hormone extract. If he refuses, ask for a referral to an endocrinologist preferably of your choice. You need to see one who you know will treat with T3 if T4 is not working. I will send you my recommended doctors list. You may need to be referred outside of your area, but you can do that. Ask your GP to also check your levels of iron, transferrin saturation, vitamin B12, vitamin D3, ferritin, magnesium, folate, copper and zinc. If any of these are low in the range no amount of thyroid hormone can be fully utilised at the cellular level. Luv - Sheila Outwith my blood tests obviously? Just feeling awful. T4 22 10-25 Tsh 0.10 0.30-3.30 No virus found in this message. Checked by AVG - www.avg.com Version: 2012.0.1913 / Virus Database: 2114/4873 - Release Date: 03/15/12 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 16, 2012 Report Share Posted March 16, 2012 Hi Thanks Sheila My folate & b12 is low. Doc says its fine b12 239 (200-700) folate 3.2 (3.0-7.0) I'm supplementing these myself. I've been on levo 5 years but since I had a baby and breastfed etc, something happened and quick and I'm struggling to sort it. That was January 11.. > > No wonder, looks like y our thyroxine is not converting to the active > hormone T3. It is T3 your body needs, not T4. How long have you been taking > levothyroxine? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2012 Report Share Posted March 17, 2012 Hi , have you had a FT3 done to see if you are converting. many of us don`t convert very well so you need to find this out. if you are not converting then you may need some surt of natural thyroid or T3 only. go to our files on the main site and read what it says about converting and T3. Angel. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Hi Leanne I bet you feel awful. Such a high free T4 level could mean you are not converting this mainly inactive thyroid hormone to the active thyroid hormone T3 - but they haven't tested your free T3 to see whether or not that is low. Check out the following and see whether you might be suffering with one (or more) of these conditions. If you are, no amount of thyroid hormone can be fully utilised at the cellular level. The main condition responsible for stopping thyroid hormone from working is, quite simply, a patient’s thyroid hormone dose is too low because the doctor or consultant refuses to increase it, because the serum thyroid function test results appear OK. Sometimes, the thyroxine dose is too high, yet patients still don't feel well. They continue to suffer. Some reasons for this: 1. You may be suffering with low adrenal reserve. The production of T4, its conversion to T3, and the receptor uptake requires a normal amount of adrenal hormones, notably, of course, cortisone. (Excess cortisone can shut production down, however.) 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 for a long time, the enzyme seems to fail. This conversion failure (inexplicably denied by many endocrinologists) means the thyroxine builds up, unconverted. So it doesn’t work, and T4 toxicosis results. This makes the patient feel quite unwell, toxic, often with palpitations and chest pain. If provision of adrenal support doesn’t remedy the situation, the final solution is the use of the active thyroid hormone, already converted, T3 - either synthetic or natural. You can check for such a possibility by going to the FILES SECTION of our forum http://health.grouops//thyroid treatment/files/ and scroll down to the folder entitled 'Medical Questionnaires' and complete the Adrenal one. Let us know how you score. You can also get the 24 hour salivary adrenal profile from Genova Diagnostics. See the File entitled 'Discounts on Tests and Supplements'. When ordering, write that Thyroid Patient Advocacy is your medical practitioner. They will send out a kit to you and the results will be sent direct to you. When you receive these, post the results on the forum with the reference ranges and we will help with their interpretation. 2. Then, we have systemic candidiasis. This is where candida albicans, 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 terrible sweet cravings. 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, and make successful treatment difficult to achieve until adequately treated. As above, do the 'Candida Questionnaire' and let us know how you score, and again, you can be tested by Genova Diagnostics to give you diagnosis. 3. Then there is receptor resistance which could be a culprit. Being hypothyroid for some considerable time may mean the biochemical mechanisms which permit the binding of T3 to the receptors, is downgraded - so the T3 won’t go in. With slow build up of T3, with full adrenal support and adequate vitamins and minerals, the receptors do come on line again. But this can be quite a slow process, and care has to be taken to build the dose up gradually. 4. And then there are 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. 5. Then we have 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. 6. Then, there is the possibility of mercury poisoning, caused through amalgam fillings - these might need to be removed but you need to seek a Dentist who specialises in the removal of amalgam fillings. 7. One of the main reasons why thyroid hormone is not being utilised at the cellular level is because you might be suffering with low levels of iron, transferring saturation%, ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc - these have to be tested for, and treated. 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 very carefully. Ask your doctor to work with you to help you find the cause. The balancing of these variables is as much up to you as to your doctor – which is why a check of morning, day and evening temperatures and pulse rates, together with symptoms, good and bad, can be so helpful. To this end, check out Dr Rind's Metabolic Metabolic Temperature Graph http://www.drrind.com/therapies/metabolic-temperature-graph If your doctor tries to tell you that low levels of the above mentioned nutrients have nothing to do with your low thyroid state, copy out the following of just a few references to the research/studies that have been done to show that there is a very big connection. Doctors are not taught about this at medical school, so we have to help them where we can - so they, in turn, can help their other patients. Low iron/ferritin: Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone (1-4). Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present (1-4)). 1. Dillman E, Gale C, Green W, et al. Hypothermia in iron deficiency due to altered triiodithyroidine metabolism. Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381. 2. SM, PE, Lukaski HC. In vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of dietary fat. Life Sci 1993;53(8):603-9. 3. Zimmermann MB, Köhrle J. The Impact of Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism: Biochemistry and Relevance to Public Health. Thyroid 2002;12(10): 867-78. 4. Beard J, tobin B, Green W. Evidence for Thyroid Hormone Deficiency in Iron-Deficient Anemic Rats. J. Nutr. 1989;119:772-778. Low vitamin B12: http://www.ncbi.nlm.nih.gov/pubmed/18655403 Low vitamin D3: http://www.eje-online.org/cgi/content/abstract/113/3/329 and http://www.goodhormonehealth.com/VitaminD.pdf Low magnesium: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC292768/pdf/jcinvest00264-0105.pdf Low folate: http://www.clinchem.org/cgi/content/full/47/9/1738 and http://www.liebertonline.com/doi/abs/10.1089/thy.1999.9.1163 Low copper http://www.ithyroid.com/copper.htm http://www.drlwilson.com/articles/copper_toxicity_syndrome.htm http://www.ithyroid.com/copper.htm http://www.rjpbcs.com/pdf/2011_2(2)/68.pdf http://ajplegacy.physiology.org/content/171/3/652.extract Low zinc:http://www.istanbul.edu.tr/ffdbiyo/current4/07%20Iham%20AM%C4%B0R.pdf and http://articles.webraydian.com/article1648-Role_of_Zinc_and_Copper_in_Effective_Thyroid_Function.html · NOTE: When your blood tests come back, ask your doctor for a copy and remember to always get the reference range and post them on the forum. This is because doctors will often tell you that there is not a problem because blood tests have come back within the reference range. You need to know where about in the reference range they are. We will again, help with their interpretation. Luv - Sheila Outwith my blood tests obviously? Just feeling awful. T4 22 10-25 Tsh 0.10 0.30-3.30 No virus found in this message. Checked by AVG - www.avg.com Version: 2012.0.1913 / Virus Database: 2114/4873 - Release Date: 03/15/12 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Hi Sheila My t3 is 6.6 3.0-7.0Lele xSent from my iPhoneOn 19 Mar 2012, at 07:31, "Sheila" <sheila@...> wrote: Hi Leanne I bet you feel awful. Such a high free T4 level could mean you are not converting this mainly inactive thyroid hormone to the active thyroid hormone T3 - but they haven't tested your free T3 to see whether or not that is low. Check out the following and see whether you might be suffering with one (or more) of these conditions. If you are, no amount of thyroid hormone can be fully utilised at the cellular level. The main condition responsible for stopping thyroid hormone from working is, quite simply, a patient’s thyroid hormone dose is too low because the doctor or consultant refuses to increase it, because the serum thyroid function test results appear OK. Sometimes, the thyroxine dose is too high, yet patients still don't feel well. They continue to suffer. Some reasons for this: 1. You may be suffering with low adrenal reserve. The production of T4, its conversion to T3, and the receptor uptake requires a normal amount of adrenal hormones, notably, of course, cortisone. (Excess cortisone can shut production down, however.) 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 for a long time, the enzyme seems to fail. This conversion failure (inexplicably denied by many endocrinologists) means the thyroxine builds up, unconverted. So it doesn’t work, and T4 toxicosis results. This makes the patient feel quite unwell, toxic, often with palpitations and chest pain. If provision of adrenal support doesn’t remedy the situation, the final solution is the use of the active thyroid hormone, already converted, T3 - either synthetic or natural. You can check for such a possibility by going to the FILES SECTION of our forum http://health.grouops//thyroid treatment/files/ and scroll down to the folder entitled 'Medical Questionnaires' and complete the Adrenal one. Let us know how you score. You can also get the 24 hour salivary adrenal profile from Genova Diagnostics. See the File entitled 'Discounts on Tests and Supplements'. When ordering, write that Thyroid Patient Advocacy is your medical practitioner. They will send out a kit to you and the results will be sent direct to you. When you receive these, post the results on the forum with the reference ranges and we will help with their interpretation. 2. Then, we have systemic candidiasis. This is where candida albicans, 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 terrible sweet cravings. 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, and make successful treatment difficult to achieve until adequately treated. As above, do the 'Candida Questionnaire' and let us know how you score, and again, you can be tested by Genova Diagnostics to give you diagnosis. 3. Then there is receptor resistance which could be a culprit. Being hypothyroid for some considerable time may mean the biochemical mechanisms which permit the binding of T3 to the receptors, is downgraded - so the T3 won’t go in. With slow build up of T3, with full adrenal support and adequate vitamins and minerals, the receptors do come on line again. But this can be quite a slow process, and care has to be taken to build the dose up gradually. 4. And then there are 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. 5. Then we have 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. 6. Then, there is the possibility of mercury poisoning, caused through amalgam fillings - these might need to be removed but you need to seek a Dentist who specialises in the removal of amalgam fillings. 7. One of the main reasons why thyroid hormone is not being utilised at the cellular level is because you might be suffering with low levels of iron, transferring saturation%, ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc - these have to be tested for, and treated. 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 very carefully. Ask your doctor to work with you to help you find the cause. The balancing of these variables is as much up to you as to your doctor – which is why a check of morning, day and evening temperatures and pulse rates, together with symptoms, good and bad, can be so helpful. To this end, check out Dr Rind's Metabolic Metabolic Temperature Graph http://www.drrind.com/therapies/metabolic-temperature-graph If your doctor tries to tell you that low levels of the above mentioned nutrients have nothing to do with your low thyroid state, copy out the following of just a few references to the research/studies that have been done to show that there is a very big connection. Doctors are not taught about this at medical school, so we have to help them where we can - so they, in turn, can help their other patients. Low iron/ferritin: Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone (1-4). Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present (1-4)). 1. Dillman E, Gale C, Green W, et al. Hypothermia in iron deficiency due to altered triiodithyroidine metabolism. Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381. 2. SM, PE, Lukaski HC. In vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of dietary fat. Life Sci 1993;53(8):603-9. 3. Zimmermann MB, Köhrle J. The Impact of Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism: Biochemistry and Relevance to Public Health. Thyroid 2002;12(10): 867-78. 4. Beard J, tobin B, Green W. Evidence for Thyroid Hormone Deficiency in Iron-Deficient Anemic Rats. J. Nutr. 1989;119:772-778. Low vitamin B12: http://www.ncbi.nlm.nih.gov/pubmed/18655403 Low vitamin D3: http://www.eje-online.org/cgi/content/abstract/113/3/329 and http://www.goodhormonehealth.com/VitaminD.pdf Low magnesium: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC292768/pdf/jcinvest00264-0105.pdf Low folate: http://www.clinchem.org/cgi/content/full/47/9/1738 and http://www.liebertonline.com/doi/abs/10.1089/thy.1999.9.1163 Low copper http://www.ithyroid.com/copper.htm http://www.drlwilson.com/articles/copper_toxicity_syndrome.htm http://www.ithyroid.com/copper.htm http://www.rjpbcs.com/pdf/2011_2(2)/68.pdf http://ajplegacy.physiology.org/content/171/3/652.extract Low zinc:http://www.istanbul.edu.tr/ffdbiyo/current4/07%20Iham%20AM%C4%B0R.pdf and http://articles.webraydian.com/article1648-Role_of_Zinc_and_Copper_in_Effective_Thyroid_Function.html · NOTE: When your blood tests come back, ask your doctor for a copy and remember to always get the reference range and post them on the forum. This is because doctors will often tell you that there is not a problem because blood tests have come back within the reference range. You need to know where about in the reference range they are. We will again, help with their interpretation. Luv - Sheila Outwith my blood tests obviously? Just feeling awful. T4 22 10-25 Tsh 0.10 0.30-3.30 No virus found in this message. Checked by AVG - www.avg.com Version: 2012.0.1913 / Virus Database: 2114/4873 - Release Date: 03/15/12 Quote Link to comment Share on other sites More sharing options...
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