Guest guest Posted November 20, 2002 Report Share Posted November 20, 2002 Hi Laurel - Those are some good questions, and it sounds like you have an unusual problem with the T3 levels. You say that you have a " reasonably high T3 and T4. " Is this when you are taking a T3 supplement in addition to the thyroxine, or not? It's interesting that you mention that the T3 is circulating, but might not be going where it should. This is something to consider, but I'm lost as to how to interpret this. I know that T4 is converted to T3 in peripheral tissues (outside the thyroid gland itself) mostly in the liver, but also in the brain, pituitary, brown adipose tissue (body fat, basically). Maybe some of the conversion sites are retaining the T3 and not letting it circulate to where it can be used? Or maybe it ends up somewhere that might affect the heart more than it should? I'm really stumped here, but I would venture to say that you might need to more closely monitor your FT3 levels (yeah, I know how the docs pooh-pooh this, so it's a challenge just getting their attention) and try to find the right level for you. A level that will give you the benefits of ENOUGH T3, but not so much that it affects your heart adversely. Even though you have had RAI, you still have the conversion sites (liver, brain, etc.). Since synthroid, etc. is supposed to be identical to the thyroid's thyroxine, it " should " convert to T3 in the same manner. However, some people seem to have conversion problems anyway. In my case, I seem to be converting too much T4 into T3. My liver enzymes are all at good levels, so I figure I'm getting too much selenium. Have you had a liver profile lately? Maybe you can find some answers there. Just a wild guess. I've posted a few links and excerpts on selenium and triiodothyronine (T3) - maybe you can find something in there that will ring a bell. I did find one study that showed *low* selenium caused *high* T3-- just the opposite of all the other studies I've seen...... That really set my head to spinning. Anyway, look through these links and see if you find something that might help. If not, we'll try some more theories. http://www.psycheducation.org/thyroid/studies.htm Quote: Translation: The authors tried adding T3 in nine people who were already on T4. These patients were all having symptoms of depression, and all taking antidepressant treatment. They were on T4 because of known thyroid problems, which were identified separately from the depression problems. When T3 was added to the T4 they were already receiving, seven of the nine patients (78%) clearly became less depressed. End Quote. ------------------ http://www.whale.to/m/selenium1.html Quote: Regarding the thyroid, selenium is a component of the enzyme that helps convert T4 to T3 peripherally, so deficiencies of selenium may impair thyroid function and promote hypothyroidism. According to the New England Journal, " selenium deficiency can result in thyroid injury and decreased extrathyroidal triiodothyronine production " (reduced peripheral T3 production.) Some experts believe that low T3 levels may be characteristic in areas with insufficient selenium. Studies also show that excess intake of selenium may also depress T3 levels . With some scientists suspecting that there may be a viral component or trigger to certain autoimmune conditions such as the common thyroid condition known as Hashimoto's Disease, the anti-viral properties of selenium also become more interesting, and further research into that connection as relates to thyroid disease particularly would be illuminating. End Quote. ------------------------ http://www.nutritionfocus.com/nutrition_library/healthy_living/seleniu m.html Quote: Hypothyroidism: Selenium is a component of the enzyme that is needed to produce the thyroid hormone triiodothyronine (T3). T3 is the preponderant metabolic thyroid hormone. The selenium-containing enzyme, iodothyronine deiodinase, converts the prohormone thyroxine (T4) into T3. [20] This explains the observation that selenium deficiency impairs thyroid hormone function. Impaired thyroid hormone function is called hypothyroidism and affects many body functions. End Quote. -------------- Best Wishes, Chris > > > I apologize for keeping this message intact but I was hoping that it would > make more sense that way to others. > > I'm in the midst of a T3 mess. Having tried to get mine refilled for weeks > I ran out last Thursday and it wasn't until yesterday I was able to get just > ten more. It took me from the depths of hypo hell to near normal again! > This has to be because of a conversion problem. > > Trouble is I don't really understand the conversion problem stuff. I seem > to have a reasonably high T3 and T4 but it just doesn't go anywhere. I > suspect that it circulates (perhaps as a complex) but can't get where it > needs to go. Since I had RAI, which is what started all this, I'm always > trying to figure out what happens when one no longer has a thyroid, or just > a bit of dying thyroid. > > So what I'm wondering is this, How does selenium work? Where does it work. > And, if one has enough circulating T3 but not in the right place, will that > cause the cardiac problems? I have them nightly and they are really scary, > even though I know what they are. > > It sounds like you have researched this well. Please let me know if you > have this figured out ok. > > Thanks with all my weirdly beating heart, > Laurel > > Quote Link to comment Share on other sites More sharing options...
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