Re: Help please re racing heart/high BP

November 4, 2003

Deb,

I have no major suggestions for you. But if you feel a bit hyper, then

perhaps try to increase the Carb some and see how you feel. I think that

the best we can do is to try to stabilize at a level that feels right for

us. That may be difficult if you keep fluctuating, so we take our best

guess in making adjustments, using lab results to guide us.

Best wishes,

At 10:14 PM 11/4/2003, you wrote:

>At that time I was on 5mg Carbimazole once per day, and because I

>was feeling a bit sluggish, I reduced it to 2.5mg once per day

>(telling my Endo after the event). My levels changed to:

>

> July August Sept Oct 27th 2003

>TSH 2.7 2.9 2.5 2.2 (0.5 - 4.5)

>FT4 19 20 20 19 (10 - 20)

>FT3 4.6 4.5 4.7 5.2 (3.5 - 6.0)

>

>About two months ago, my hair started to shed again, my skin rashes

>flared up and my muscles (esp. backs of legs) started to ache. I

>was sure that my thyroid was out of whack, hence the regular tests

>above (I am very lucky that I can get them done any time). However,

>everything still seems to be in the normal range. I decided to add

>another 2.5mg Carbimazole per day anyway, and now take that dose

>twice a day (total 5mg per day) which I have been doing for about a

>week. Also, over the past week or so I have had several unpleasant

>episodes of high BP (up to 185/116) and pulse rate up to 133. On a

>couple of occasions I have taken 40mg Inderal which seems to have

>slowed things down. I am prone to anxiety and panic attacks anyway,

>and these episodes tend to trigger them, which trigger the fast

>heart rate etc. and so it goes on. I seem to be caught in this

>frightening circle and don't know what to do. I am very reluctant

>to return to the Endo as I know he will try to push me into RAI or

>surgery which I am not ready for. (Luckily I have enough

>prescriptions for about twelve months worth of Carbimazole and want

>to Keep trying that, but I'm not sure about the dosage). I have

>tried the recommended dietary changes and supplements. Please could

>someone advise me as to what might be going on (my levels are okay

>but my symptoms seem to be hyper?), and what should I do about it

>i.e. what dose of Carbimazole should I try and for how long, and

>then what adjustment?

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