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My 5 yo son got more energetic, I never noticed any change with the

youngest. Perhaps she's coming down with something?

Lolita

>We are 3 days into this diet and my daughter has been so tired today.

>She slept until 10 am and has gone back to sleep twice. Usually she's

>up at 8 and doesn't nap all day. In fact, she's usually on fast-

>forward all day, constantly moving. Is this fatigue related to the

>diet or probably something else?

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  • 2 years later...

Sounds like hypo to me. did you get regular follow-up for your blood

work?

Liang

> Hi,

> I was diagnosed with Graves disease in July with symptoms of

tremor,

> heart palpitations and weight loss.

>

> After medication of Neo Mercazole 20 mg daily I became extremely

> fatigued and depressed/angry. My medication has been reduced to 10

mg

> two weeks ago but feel no better. I am constantly tired. Do you

ever

> start to feel normal again?

>

> Also, my eyesight has deteriorated over the last couple of months

and

> the skin on the palms of my hands is peeling. What is happening?

> Lana

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Welcome. Pardon the third degree but we ask a lot of questions to get a

clear picture of things.

> I was diagnosed with Graves disease in July with symptoms of tremor,

> heart palpitations and weight loss.

> After medication of Neo Mercazole 20 mg daily

Where do you live? Other members of this group may be able to help you

navigate your country's health scheme.

When did you start, and how long were you on it? Neo mercazole is

chemically similiar to Tapazole (the brand name for methimazole, commonly

used in the US).

I became extremely

> fatigued and depressed/angry. My medication has been reduced to 10

> mg

> two weeks ago but feel no better.

How long did you stay at 20 mg.? How many times a day do you take it?

It's common for adults with active Graves to start at 30 mg. That you had

such a strong reaction at a lower dose indicates a few possibilities:

- that you are very sensitive to medications. If you are then you should

be decreasing your dose very gradually, no more than 5 mg. at a time,

probably 2.5 (cut a 5 mg. in half) would be better.

- and/or that you were kept at 20 mg. for far too long.

> Also, my eyesight has deteriorated over the last couple of months

> and

> the skin on the palms of my hands is peeling.

The skin peeling could be because you're hypo. You may have noticed while

hyper that your skin was soft and moist. Skin dries out with hypo. A good

moisturizer would help, possibly vitamin E. Not the oral vitamin E but E

to rub onto your skin.

About your eyes: being hypo can exacerbate eye problems. Once your levels

are stable and normal, which should come with proper care, you may see an

improvement. You should also consider taking the supplement Omega 3,

which has been shown to ease symptoms of TED. Please share specifics of

your eye problems and discomfort so members who have TED can help.

Here are some suggestions:

Get copies of all your medical records. Familiarize yourself with your

TSH and Free T4, and Free T3 if your doctor chose to run it. Please share

your lab reports along with the ranges your lab gives for normal with the

group. From what you've briefly shared with us, there is reason to

suspect that while you are on a good medication, you are not being

monitored well or dosed properly. It is people who have been in your

position who are vulnerable for opting for more drastic, irreversible

treatments when all it might take for relief is to get educated and

insist on the proper testing, at a schedule appropriate for YOU, not

arbitrarily set up by the health program, and proper dosing.

Take care, Fay

________________________________________________________________

The best thing to hit the internet in years - Juno SpeedBand!

Surf the web up to FIVE TIMES FASTER!

Only $14.95/ month - visit www.juno.com to sign up today!

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Lana,

Yes, you will almost certainly feel better with your thyroid levels (Free

T4 and Free T3) in the normal range (mid-range or a bit higher). Best to

get labs every 4 weeks, so as to prevent levels from getting/staying low.

At 01:53 AM 10/23/2003, you wrote:

>Hi,

>I was diagnosed with Graves disease in July with symptoms of tremor,

>heart palpitations and weight loss.

>

>After medication of Neo Mercazole 20 mg daily I became extremely

>fatigued and depressed/angry. My medication has been reduced to 10 mg

>two weeks ago but feel no better. I am constantly tired. Do you ever

>start to feel normal again?

>

>Also, my eyesight has deteriorated over the last couple of months and

>the skin on the palms of my hands is peeling. What is happening?

>Lana

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Lana,

Yes, you will almost certainly feel better with your thyroid levels (Free

T4 and Free T3) in the normal range (mid-range or a bit higher). Best to

get labs every 4 weeks, so as to prevent levels from getting/staying low.

At 01:53 AM 10/23/2003, you wrote:

>Hi,

>I was diagnosed with Graves disease in July with symptoms of tremor,

>heart palpitations and weight loss.

>

>After medication of Neo Mercazole 20 mg daily I became extremely

>fatigued and depressed/angry. My medication has been reduced to 10 mg

>two weeks ago but feel no better. I am constantly tired. Do you ever

>start to feel normal again?

>

>Also, my eyesight has deteriorated over the last couple of months and

>the skin on the palms of my hands is peeling. What is happening?

>Lana

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Hi Fay,

Thank you for your information. I live on the Central Coast NSW

Australia. I was on Neo Mercazole for 8 weeks and then it was

reduced. I am quite surprised how I have reacted to the medication.

Everything (!) has changed. I'm not a person to crave sleep and have

always been able to stay up 'til all hours but I'm constantly tired.

My specialist is prone to shrug his shoulders and say it's all part

of the process.... a little depressing in itself. I have 4 weekly

blood tests. My last one indicated that levels were returning to

normal but I was on the 'lower end' of the scale. Normal ....I don't

feel!

Thanks again,

Lana

-- In graves_support , cf young <cfyoung4@j...> wrote:

> Welcome. Pardon the third degree but we ask a lot of questions to

get a

> clear picture of things.

>

>

> > I was diagnosed with Graves disease in July with symptoms of

tremor,

> > heart palpitations and weight loss.

>

> > After medication of Neo Mercazole 20 mg daily

>

> Where do you live? Other members of this group may be able to help

you

> navigate your country's health scheme.

> When did you start, and how long were you on it? Neo mercazole is

> chemically similiar to Tapazole (the brand name for methimazole,

commonly

> used in the US).

>

> I became extremely

> > fatigued and depressed/angry. My medication has been reduced to

10

> > mg

> > two weeks ago but feel no better.

>

> How long did you stay at 20 mg.? How many times a day do you take

it?

> It's common for adults with active Graves to start at 30 mg. That

you had

> such a strong reaction at a lower dose indicates a few

possibilities:

> - that you are very sensitive to medications. If you are then you

should

> be decreasing your dose very gradually, no more than 5 mg. at a

time,

> probably 2.5 (cut a 5 mg. in half) would be better.

> - and/or that you were kept at 20 mg. for far too long.

>

> > Also, my eyesight has deteriorated over the last couple of months

> > and

> > the skin on the palms of my hands is peeling.

>

> The skin peeling could be because you're hypo. You may have noticed

while

> hyper that your skin was soft and moist. Skin dries out with hypo.

A good

> moisturizer would help, possibly vitamin E. Not the oral vitamin E

but E

> to rub onto your skin.

>

> About your eyes: being hypo can exacerbate eye problems. Once your

levels

> are stable and normal, which should come with proper care, you may

see an

> improvement. You should also consider taking the supplement Omega 3,

> which has been shown to ease symptoms of TED. Please share

specifics of

> your eye problems and discomfort so members who have TED can help.

>

> Here are some suggestions:

> Get copies of all your medical records. Familiarize yourself with

your

> TSH and Free T4, and Free T3 if your doctor chose to run it. Please

share

> your lab reports along with the ranges your lab gives for normal

with the

> group. From what you've briefly shared with us, there is reason to

> suspect that while you are on a good medication, you are not being

> monitored well or dosed properly. It is people who have been in your

> position who are vulnerable for opting for more drastic,

irreversible

> treatments when all it might take for relief is to get educated and

> insist on the proper testing, at a schedule appropriate for YOU, not

> arbitrarily set up by the health program, and proper dosing.

>

> Take care, Fay

>

> ________________________________________________________________

> The best thing to hit the internet in years - Juno SpeedBand!

> Surf the web up to FIVE TIMES FASTER!

> Only $14.95/ month - visit www.juno.com to sign up today!

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Share on other sites

> My specialist is prone to shrug his shoulders and say it's all part

> of the process.... a little depressing in itself. I have 4 weekly

> blood tests. My last one indicated that levels were returning to

> normal but I was on the 'lower end' of the scale.

The question is, lower end of normal for what:

- If it's for TSH, that's good that your TSH has become detectable so

soon. For many people, TSH stays suppressed well into treatment and

shouldn't be used for determining dose reductions. BTW, what is

considered a normal range for TSH down under? The ranges in the US have

been changed and reflect what many of us have discovered is more

accurate. Do you have copies of your labs? Never settle for a report that

the numbers are normal, you want cold hard numbers.

-If it's for thyroid hormone, preferably tested in the form of FREE (not

TOTAL, capitals for emphasis) T4 that means you have become hypo, and

rather rapidly, because when you started all this your T4 was above the

upper range.

Please feel free to share your numbers and what your lab considers

normal. Take care, Fay

________________________________________________________________

The best thing to hit the internet in years - Juno SpeedBand!

Surf the web up to FIVE TIMES FASTER!

Only $14.95/ month - visit www.juno.com to sign up today!

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Share on other sites

Thanks Fay,

After joining in this chat line I have learnt that I must be more

proactive in my treatment. I can see by the responses here that there

is certainly much more to treatment than I imagined. I resent the

attitude of some doctors that their patients don't have the mental

capacity to process information about illness and treatment. I am

relatively new to " Graves " and am coming to terms with the fact that

I must now be conversant with levels of hormones, what they all mean

and their implication for my well=being.

Thank you for your feed back

Lana

> > My specialist is prone to shrug his shoulders and say it's all

part

> > of the process.... a little depressing in itself. I have 4 weekly

> > blood tests. My last one indicated that levels were returning to

> > normal but I was on the 'lower end' of the scale.

>

> The question is, lower end of normal for what:

> - If it's for TSH, that's good that your TSH has become detectable

so

> soon. For many people, TSH stays suppressed well into treatment and

> shouldn't be used for determining dose reductions. BTW, what is

> considered a normal range for TSH down under? The ranges in the US

have

> been changed and reflect what many of us have discovered is more

> accurate. Do you have copies of your labs? Never settle for a

report that

> the numbers are normal, you want cold hard numbers.

> -If it's for thyroid hormone, preferably tested in the form of FREE

(not

> TOTAL, capitals for emphasis) T4 that means you have become hypo,

and

> rather rapidly, because when you started all this your T4 was above

the

> upper range.

>

> Please feel free to share your numbers and what your lab considers

> normal. Take care, Fay

>

>

> ________________________________________________________________

> The best thing to hit the internet in years - Juno SpeedBand!

> Surf the web up to FIVE TIMES FASTER!

> Only $14.95/ month - visit www.juno.com to sign up today!

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