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Thanks for this input, Val..Interestingly enough (and it may be due to ferritin

as you say) my T4 will get a little high for me, but during

Graves/Hashitoxicosis (which elevated TSI abs will indicate or no), I get

elevated total and Reverse T3..sometimes during these flares, " frees " are okay

or near upper part of the range. However, I had a horrible time with a Graves

flare in '04..lost 20 pounds, temps actually HIGH (low-grade fever range),

fixed/bugged eyes..the whole deal...the ONLY remarkable labs were suppressed TSH

and elevated total T3 and elevated TSI and TPO (close to 2000) abs; oh, and

ferritin of 8 (I wasn't measuring RT3 and didn't know much about it at the

time).

I didn't do TSI abs subsequent to these last labs, so the " pooling " theory may

be accurate..My pulse and BPs were reasonably low at the time..what I'd normally

consider " hypo " ranges.

>

> One other thing, I know your T3 is pooling and not elevated from the

> Graves as your T4 is not high. IN Graves it would be elevated too.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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Thanks for this input, Val..Interestingly enough (and it may be due to ferritin

as you say) my T4 will get a little high for me, but during

Graves/Hashitoxicosis (which elevated TSI abs will indicate or no), I get

elevated total and Reverse T3..sometimes during these flares, " frees " are okay

or near upper part of the range. However, I had a horrible time with a Graves

flare in '04..lost 20 pounds, temps actually HIGH (low-grade fever range),

fixed/bugged eyes..the whole deal...the ONLY remarkable labs were suppressed TSH

and elevated total T3 and elevated TSI and TPO (close to 2000) abs; oh, and

ferritin of 8 (I wasn't measuring RT3 and didn't know much about it at the

time).

I didn't do TSI abs subsequent to these last labs, so the " pooling " theory may

be accurate..My pulse and BPs were reasonably low at the time..what I'd normally

consider " hypo " ranges.

>

> One other thing, I know your T3 is pooling and not elevated from the

> Graves as your T4 is not high. IN Graves it would be elevated too.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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Val:

One more question..I take 1 and 1/4 grains of ERFA or N-T currently..how much

would you lower it by? To maybe 1 grain? or lower?

Thx again..

Angie

>

> With your ferritin at 22 that is the FIRST thing you need ot fix. I

> woulk dstart 200mg daily of elemental iron or look into an iron IV. I

> would lower the NT til you cn get ferritin at least to 50 then I woudl

> stop NT and start straight T3. Your low ferritin is causing most of how

> you are feelign and it is creating the RT3 issue which wil effectively

> block the T3 from reaching the cells and thus bulding high in your blood.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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Val:

One more question..I take 1 and 1/4 grains of ERFA or N-T currently..how much

would you lower it by? To maybe 1 grain? or lower?

Thx again..

Angie

>

> With your ferritin at 22 that is the FIRST thing you need ot fix. I

> woulk dstart 200mg daily of elemental iron or look into an iron IV. I

> would lower the NT til you cn get ferritin at least to 50 then I woudl

> stop NT and start straight T3. Your low ferritin is causing most of how

> you are feelign and it is creating the RT3 issue which wil effectively

> block the T3 from reaching the cells and thus bulding high in your blood.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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I would say if your T4 and thus T3 goes high with supressed TSH you

possibly need Methimazole and T3 in a block & replace system.

Methimazole wil block T4 conversion then oyu replace your thyroid needs

with T3 though this does not owkr for everyione doctors often try to do

this with T4 meds which si poiintless! And guaranteed ot fail. The

reverseT3 goes high as a protective measure from the high T4 levels.

--

http://nthadrenalsweb.org/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://faqhelp.webs.com/

http://health.groups.yahoo.com/group/RT3_T3/

http://www.thyroid-rt3.com/

http://groups.yahoo.com/group/HypoPets/

http://www.stopthethyroidmadness.com/

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I would say if your T4 and thus T3 goes high with supressed TSH you

possibly need Methimazole and T3 in a block & replace system.

Methimazole wil block T4 conversion then oyu replace your thyroid needs

with T3 though this does not owkr for everyione doctors often try to do

this with T4 meds which si poiintless! And guaranteed ot fail. The

reverseT3 goes high as a protective measure from the high T4 levels.

--

http://nthadrenalsweb.org/

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

http://faqhelp.webs.com/

http://health.groups.yahoo.com/group/RT3_T3/

http://www.thyroid-rt3.com/

http://groups.yahoo.com/group/HypoPets/

http://www.stopthethyroidmadness.com/

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Val:

Thx. I have Elaine 's Graves Disease book, so will look this up if you

don't know answer for sure, but..does methimazole (and/or propylthiouracil)

block T4 production or conversion? and if conversion, does it elevate RT3? Are

you then saying that you just try to outpace the RT3 with FT3?

Angie

>

> I would say if your T4 and thus T3 goes high with supressed TSH you

> possibly need Methimazole and T3 in a block & replace system.

> Methimazole wil block T4 conversion then oyu replace your thyroid needs

> with T3 though this does not owkr for everyione doctors often try to do

> this with T4 meds which si poiintless! And guaranteed ot fail. The

> reverseT3 goes high as a protective measure from the high T4 levels.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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O.K...and if I do 8 iron tabs..are these all at once? or spaced out? which

could get a little complicated trying to take it away from thyroid meds..

A.

>

> I would probably lower to 1 grians unless it gives oyu anxiety or alps,

> thne as low as oyu need ot to releive those symotoims.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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O.K...and if I do 8 iron tabs..are these all at once? or spaced out? which

could get a little complicated trying to take it away from thyroid meds..

A.

>

> I would probably lower to 1 grians unless it gives oyu anxiety or alps,

> thne as low as oyu need ot to releive those symotoims.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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Thanks, Val..it is something to keep in mind..

>

> Methimazole inhibits the addition of iodine to thyroglobulin

> <http://en.wikipedia.org/wiki/Thyroglobulin> by the enzyme

> thyroperoxidase <http://en.wikipedia.org/wiki/Thyroperoxidase>, a

> necessary step in the synthesis of triiodothyronine

> <http://en.wikipedia.org/wiki/Triiodothyronine> (T3) and thyroxine

> <http://en.wikipedia.org/wiki/Thyroxine> (T4).

> SO it not only inhibits conversion but also inhibits T4 productipn.

>

> --

>

> http://nthadrenalsweb.org/

>

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> http://faqhelp.webs.com/

>

> http://health.groups.yahoo.com/group/RT3_T3/

> http://www.thyroid-rt3.com/

>

> http://groups.yahoo.com/group/HypoPets/

> http://www.stopthethyroidmadness.com/

>

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Iron panel results of this type are sometimes seen with Vitamin b12 deficiency.

Suggest you test b12.

> >

> > With your ferritin at 22 that is the FIRST thing you need ot fix. I

> > woulk dstart 200mg daily of elemental iron or look into an iron IV. I

> > would lower the NT til you cn get ferritin at least to 50 then I woudl

> > stop NT and start straight T3. Your low ferritin is causing most of how

> > you are feelign and it is creating the RT3 issue which wil effectively

> > block the T3 from reaching the cells and thus bulding high in your blood.

> >

> > --

> >

> > http://nthadrenalsweb.org/

> >

http://health.groups.yahoo.com/group/NaturalThyroidHormonesADRENALS/

> > http://faqhelp.webs.com/

> >

> > http://health.groups.yahoo.com/group/RT3_T3/

> > http://www.thyroid-rt3.com/

> >

> > http://groups.yahoo.com/group/HypoPets/

> > http://www.stopthethyroidmadness.com/

> >

>

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