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Hi ee,

About 4% of people with Hashimoto's thyroiditis or autoimmune hypothyroidism

develop thyroid eye disease. About 10% of all cases of TED occur in

hypothyroidism, and another 10% occurs in people who haven't yet developed a

thyroid

disorder. My book on TED just came out and I have a number of articles on TED on

www.suite101.com. Best to you, Elaine

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Hi Beth,

I'm sorry you're having trouble with TED; I keep wishing mine would

just go away, although I do expect it to resolve in time. Has your

doctor run antibody tests to determine what's going on? An eye doctor

specializing in TED is very important. Mine is supposedly the local

specialist but is encouraging me to have surgery when it would be

more appropriate to let my eyes heal on their own. Elaine , who

wrote Graves' Disease: A Practical Guide, has just published a book

on TED, which you should get if you want a really comprehensive view.

Here's a post I sent out recently describing some ways to help TED.

Best wishes,

---

Lots of drops--artificial tears, preservative free are better. A

thicker drop or gel for night. Someone recently mentioned boric acid

washes as being soothing. Some people tape their eyes shut at night

to reduce irritation. I wear sunglasses whenever I'm out of the house.

Flaxseed oil (EFAs) to reduce inflammation, 1 tablespoon per 100 lbs

weight a day, with a bit of protein like yogurt. Other useful

supplements are B vitamins and antioxidants, like alpha lipoic acid.

I'm also taking a combination of bilberry and lutein.

Keeping your thyroid levels from getting too high or low. Along these

lines, if you are taking an antithyroid drug, this can help reduce

antobodies and hence help your eyes.

Avoid cigarette smoking and smoke (I find even residue on a smoker's

skin can make my eyes itch uncontrollably).

Get a baseline exam with someone who's experienced with TED, to rule

out pressure on the nerve.

Other steps to heal your immune system, such as avoiding sugar,

cafeine (it's not easy!), and saturated animal fats; practicing a

stress reducing method like yoga or meditation.

My doctor offered me a course of prednisone, a steroid, but as I

understand it the symptoms will rebound afterwards. Other options go

from here. My eye doctor is ready to do surgery on my " moderate " TED

but I've been advised by people here to wait till the antibody

activity subsides, both because things can get worse after surgery if

you still have antibodies, and also because once you go into

remission, your eyes can improve. (/Hiroshima recently posted pix

showing great improvement in her eyes over the past year.)

Best wishes,

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