Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Marc, Your not on any HC meds for Adreals but your higher levels are the start or first stages of Adrenal Problems your higher levels late at night can keep you from sleeping if you dont' sleep good talk to your Dr. about taking this. From this link. http://livingnetwork.co.za/lifestylefunctional-medicine/hormones/adrenal-fatigue\ / And in this link it shows the stages of Adrenal Problems. http://www.chronicfatigue.org/ASI%201%20.html Page through the stages I pray it's your infection doing this fixing it might fix your Cortisol levels. I feel your Dr. is a great Dr. ==================================================== Adrenal insufficiency is linked to insomnia in two ways. 1)If your cortisol drops too low during the night your blood sugar drops too. Your body compensate by releasing adrenaline as an emergency measure to mobilize more sugar. This has the effect of waking you in an instant. This can be reduced by eating high protein snack before retiring e.g. sardines, nuts of high quality protein shake. 2)In early stages of adrenal fatigue cortisol levels tend to rise and if they are high at midnight they can energise you and keep you awake. Phosphorylated serine can be used to lower cortisol at these times due to its ACTH dampening effect. Co-Moderator Phil > From: marc200134470 <cfs38@...> > Subject: Got some test results back > > Date: Thursday, December 23, 2010, 12:55 PM > Well some of my problems are coming > to light I guess finally. Short of Barb and Phil most of you > don't know the saga though. > > Full thyroid panel this time: > TSH - 1.19 (0.40-4.50 mIU/L) > T4 Total - 6.9 (4.5-12.5 mcg/dL) > T4 Free - 1.2 (0.8-1.8 ng/dL) > T3 Free - 2.9 (2.3-4.2 pg/mL) > T3 Total - 90 (76-181 ng/dL) > T3 Reverse - 27 (11-32 ng/dL) > Antibody tests came back normal. > > Anyway, just like Barb said,......T3 Free not optimal. He > wants 3.5 to 4.2 on this. > Reverse T3 while in range is high according to the doc. > Barb also bet it would be. > > He is putting me on a very low dose of T3 only I believe. > He said Armour would drive my reverse higher, and affect > other things. We talked about so many things today. > > My vitamin D25 Hydroxy test came back really low! > Vitamin D, 25-OH Total - 19 (30-100 ng/mL) > Needless to say I am now on 10,000 IU of D3 for a month, > and then 5,000 IU. > > My 4X a day Cortisol was crazy bad! > AM - 37 (13-24nM) > Noon - 13 (5-10nM) > Late Afternoon - 6 (3-8nM) I did this about 5PM > Evening - 20 (1-4nM) Did this about 11PM > > One was normal, and noon was close, but morning and night > were way high. > > On top of all this, my fecal test showed a large infection > of Citrobacter sp. bacterium. It is called an 'opportunistic > bacteria.' > Get to take Cipro for 2 weeks for this one. > I also have a large overabundance of yeast. After the > Cipro, I get to take Diflucan for 2 weeks. > > He says all of this is having a huge impact upon my > absorption of nutrients, and is having an affect on > everything. > > He is starting me on Arimidex as well to bring down my E2 > levels. > No testosterone for now,....said he would start me if I > really wanted to, but he wants to try to adjust all of this > other stuff first. He seems to think that my T levels may do > quite nicely on their own with some time. > > He knows I don't want to take anything I don't have to, and > I am none too thrilled with starting TRT if I might not need > to. If I do, I will NEVER find out what my levels may return > to on their own. He says I am NOT primary,.....no way, no > how. That is why I chose to try to avoid it for now. > > Sorry for the novel, but a couple of you folks wanted me to > report back with the results of all these tests I had done. > Here they are! > Unfortunately it appears Barb is not around > lately,....maybe she will see this after the holidays. > > Any input is appreciated as usual. > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 I have to take probiotics also while taking all the anti-biotics. He is putting me on some kind of cream for my adrenals,.....I think it's called Adaptocrine/Adrenal Calm or something like that. I'm kind of confused about the T3 med, and the Arimidex as he sent those 2 scrips to a compounding pharmacy. I have the scrips for the Cipro and Diflucan of course. I think the Arimidex might be the liquid type some of you have spoken of before. He also wants me to have some test done for celiac disease. I think it is gene testing as some other test he ordered showed that as being borderline. I have had so many tests done I am losing track of it all at this point. Yes,.....I often have trouble sleeping, and I'm sure that is the Cortisol. Amazing what all can happen in a year basically. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 I am not sure about the Arimidex but some men get it compounded so they can take a much lower dose your not on TRT and even taking 1/4 of a pill .25 mgs every 3 days could be very strong. It sounds like you have a dam good Dr. Here is a link I found about the Adaptocrine/Adrenal Calm he gave you might work has all kinds of good stuff in it and the stuff in the link I gave you Phosphorylated serine http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx Co-Moderator Phil > From: marc200134470 <cfs38@...> > Subject: Re: Got some test results back > > Date: Thursday, December 23, 2010, 1:23 PM > I have to take probiotics also while > taking all the anti-biotics. > He is putting me on some kind of cream for my > adrenals,.....I think it's called Adaptocrine/Adrenal Calm > or something like that. > > I'm kind of confused about the T3 med, and the Arimidex as > he sent those 2 scrips to a compounding pharmacy. I have the > scrips for the Cipro and Diflucan of course. I think the > Arimidex might be the liquid type some of you have spoken of > before. > > He also wants me to have some test done for celiac disease. > I think it is gene testing as some other test he ordered > showed that as being borderline. > > I have had so many tests done I am losing track of it all > at this point. > Yes,.....I often have trouble sleeping, and I'm sure that > is the Cortisol. > > Amazing what all can happen in a year basically. > > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 What you said about Arimidex makes sense. I won't hear from the compounding lab until Monday I'm sure, but I bet that is why it went there. He sure seems to know what he's talking about,....I guess I will see as some time passes. You added him to the directory already in case you forgot. The other thing I like about the guy is he tells you what you NEED now, but knows how I feel about all of this stuff. That is why he wants to wait a bit for the TRT. He likes high levels typically, but thinks I might have a chance of increasing substantially by fixing the other things. I agree with that approach for me. If I wanted the stuff, he would have prescribed it though. I also have never seen a doc that will spend as much time with you as he does. Only down side is the waiting room that has mainly women in it! LOL He is the OB/GYN plus 'Functional Medicine' doc I told you about before. There was actually another guy there this AM! > > I am not sure about the Arimidex but some men get it compounded so they can take a much lower dose your not on TRT and even taking 1/4 of a pill .25 mgs every 3 days could be very strong. > > It sounds like you have a dam good Dr. > Here is a link I found about the Adaptocrine/Adrenal Calm he gave you might work has all kinds of good stuff in it and the stuff in the link I gave you Phosphorylated serine > > http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx > Co-Moderator > Phil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Marc every time you post about what your Dr. is dong post his name this way men will know who to look for in the Database section. I need to now look for a new Dr. my Dr. joined MDVIP and is cutting his people down to 600 if I want to keep seeing him I need to pay him $1500 to $1800 per yr. over and above what I pay for my health care plain. To me this is a scam to cheat me out of my money and with all the people in MI. out of work I have been helping my Daughter Pay her bills and house feeding them here everyday for the last 4 yrs. Her husband just finished Collage and got a good job they are just getting back on there feet. But things are so bad here in MI. there is now way I am giving my Dr. this kind of money just to keep seeing him. Wow the more I search into MDVIP it's a scam even Dr.'s that join it are being ripped off. http://www.google.com/search?hl=en & l...MDVIP & gs_rfai= So here I go again I can go see Dr. but he dose not take any kind of Heath Care Plain. I am not rich retired on a fixed income. Co-Moderator Phil > From: marc200134470 <cfs38@...> > Subject: Re: Got some test results back > > Date: Thursday, December 23, 2010, 3:06 PM > > > What you said about Arimidex makes sense. I won't hear from > the compounding lab until Monday I'm sure, but I bet that is > why it went there. > > He sure seems to know what he's talking about,....I guess I > will see as some time passes. You added him to the directory > already in case you forgot. > > The other thing I like about the guy is he tells you what > you NEED now, but knows how I feel about all of this stuff. > That is why he wants to wait a bit for the TRT. > > He likes high levels typically, but thinks I might have a > chance of increasing substantially by fixing the other > things. I agree with that approach for me. If I wanted the > stuff, he would have prescribed it though. > > I also have never seen a doc that will spend as much time > with you as he does. Only down side is the waiting room that > has mainly women in it! LOL > > He is the OB/GYN plus 'Functional Medicine' doc I told you > about before. > There was actually another guy there this AM! > > > > > > I am not sure about the Arimidex but some men get it > compounded so they can take a much lower dose your not on > TRT and even taking 1/4 of a pill .25 mgs every 3 days could > be very strong. > > > > It sounds like you have a dam good Dr. > > Here is a link I found about the Adaptocrine/Adrenal > Calm he gave you might work has all kinds of good stuff in > it and the stuff in the link I gave you Phosphorylated > serine > > > > http://www.myvits.com/product/f0d314eb-1883-428b-ad86-6b4f6a63a2f0.aspx > > Co-Moderator > > Phil > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Sorry to hear that news Phil. So far everything this doc has done has been covered short of one test. I have no clue yet what my insurance will say about the Arimidex, but he says it's needed, and will write a letter if there is a problem. This guy is into traditional RX's, as well as supplements. Sure you could tell that already though. You can buy the supplements from him or online,......he doesn't give a crapola either way. My 'functional medicine' doc is Hall in Ocala, Fl. BTW. > > Marc every time you post about what your Dr. is dong post his name this way men will know who to look for in the Database section. > > I need to now look for a new Dr. my Dr. joined MDVIP and is cutting his people down to 600 if I want to keep seeing him I need to pay him $1500 to $1800 per yr. over and above what I pay for my health care plain. > > To me this is a scam to cheat me out of my money and with all the people in MI. out of work I have been helping my Daughter Pay her bills and house feeding them here everyday for the last 4 yrs. Her husband just finished Collage and got a good job they are just getting back on there feet. But things are so bad here in MI. there is now way I am giving my Dr. this kind of money just to keep seeing him. > > Wow the more I search into MDVIP it's a scam even Dr.'s that join it are being ripped off. > http://www.google.com/search?hl=en & l...MDVIP & gs_rfai= > > So here I go again I can go see Dr. but he dose not take any kind of Heath Care Plain. I am not rich retired on a fixed income. > Co-Moderator > Phil Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 My wife needed a new Dr. to treat her thyroid I called around and found her one just like your new Dr. and I called his office yesterday about his seeing me I was told by his Office Manger he treats a lot of men for low T and has a lot of them that are Secondary like myself and is up on Statin Drug damage to muscles and is board certified in this. I think I ma going to give him a shot at it. Co-Moderator Phil > From: marc200134470 <cfs38@...> > Subject: Re: Got some test results back > > Date: Thursday, December 23, 2010, 4:00 PM > Sorry to hear that news Phil. > So far everything this doc has done has been covered short > of one test. I have no clue yet what my insurance will say > about the Arimidex, but he says it's needed, and will write > a letter if there is a problem. > > This guy is into traditional RX's, as well as supplements. > Sure you could tell that already though. You can buy the > supplements from him or online,......he doesn't give a > crapola either way. > > My 'functional medicine' doc is Hall in Ocala, Fl. > BTW. > > > > > > Marc every time you post about what your Dr. is dong > post his name this way men will know who to look for in the > Database section. > > > > I need to now look for a new Dr. my Dr. joined MDVIP > and is cutting his people down to 600 if I want to keep > seeing him I need to pay him $1500 to $1800 per yr. over and > above what I pay for my health care plain. > > > > To me this is a scam to cheat me out of my money and > with all the people in MI. out of work I have been helping > my Daughter Pay her bills and house feeding them here > everyday for the last 4 yrs. Her husband just finished > Collage and got a good job they are just getting back on > there feet. But things are so bad here in MI. there is > now way I am giving my Dr. this kind of money just to keep > seeing him. > > > > Wow the more I search into MDVIP it's a scam even > Dr.'s that join it are being ripped off. > > http://www.google.com/search?hl=en & l...MDVIP & gs_rfai= > > > > So here I go again I can go see Dr. but he dose > not take any kind of Heath Care Plain. I am not rich > retired on a fixed income. > > Co-Moderator > > Phil > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 23, 2010 Report Share Posted December 23, 2010 Looks like your total T4 dropped from last time, IIRC, so you're now low enough to supplement. But interesting that he wants to start you on T3 only. How much? I hope he's scheduled you for frequent testing. Also interesting that your antibody tests came back normal but he thinks you might be celiac. You said you eat a sandwich a day, so if you were celiac, just getting off the wheat/rye/barley products would really help your gut. That would also help with any bacteria/yeast, which are common in hypo, I think, because of the low body temp. A healthy person has an afternoon temp of 98.6; most hypos are in the 97s. You must be a night owl with those cortisol labs. Did he test your B12? If that was below 550, you should be taking methyl B12 too. That can help with estrogen. Glad to hear you're not having to start shots. They're a literal PITA! Barb > > Well some of my problems are coming to light I guess finally. Short of Barb and Phil most of you don't know the saga though. > > Full thyroid panel this time: > TSH - 1.19 (0.40-4.50 mIU/L) > T4 Total - 6.9 (4.5-12.5 mcg/dL) > T4 Free - 1.2 (0.8-1.8 ng/dL) > T3 Free - 2.9 (2.3-4.2 pg/mL) > T3 Total - 90 (76-181 ng/dL) > T3 Reverse - 27 (11-32 ng/dL) > Antibody tests came back normal. > > Anyway, just like Barb said,......T3 Free not optimal. He wants 3.5 to 4.2 on this. > Reverse T3 while in range is high according to the doc. Barb also bet it would be. > > He is putting me on a very low dose of T3 only I believe. He said Armour would drive my reverse higher, and affect other things. We talked about so many things today. > > My vitamin D25 Hydroxy test came back really low! > Vitamin D, 25-OH Total - 19 (30-100 ng/mL) > Needless to say I am now on 10,000 IU of D3 for a month, and then 5,000 IU. > > My 4X a day Cortisol was crazy bad! > AM - 37 (13-24nM) > Noon - 13 (5-10nM) > Late Afternoon - 6 (3-8nM) I did this about 5PM > Evening - 20 (1-4nM) Did this about 11PM > > One was normal, and noon was close, but morning and night were way high. > > On top of all this, my fecal test showed a large infection of Citrobacter sp. bacterium. It is called an 'opportunistic bacteria.' > Get to take Cipro for 2 weeks for this one. > I also have a large overabundance of yeast. After the Cipro, I get to take Diflucan for 2 weeks. > > He says all of this is having a huge impact upon my absorption of nutrients, and is having an affect on everything. > > He is starting me on Arimidex as well to bring down my E2 levels. > No testosterone for now,....said he would start me if I really wanted to, but he wants to try to adjust all of this other stuff first. He seems to think that my T levels may do quite nicely on their own with some time. > > He knows I don't want to take anything I don't have to, and I am none too thrilled with starting TRT if I might not need to. If I do, I will NEVER find out what my levels may return to on their own. He says I am NOT primary,.....no way, no how. That is why I chose to try to avoid it for now. > > Sorry for the novel, but a couple of you folks wanted me to report back with the results of all these tests I had done. Here they are! > Unfortunately it appears Barb is not around lately,....maybe she will see this after the holidays. > > Any input is appreciated as usual. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Barb,.......my T4 Free was exactly the same as it was in August on the tests the endo ran. Previously all I had ever had done was TSH, and another T4 Free in 2009. August was 1.2,.......2009 was 1.3 so they were very close. This was the first time I had ever done a Total T3/T4. The antibody tests I was referring to were thyroid antibodies BTW. All I know about the T3 med is he said it was a low dose. I seem to recall him saying 5 mcgs? I won't have that or the Arimidex until next week sometime from the compounding pharmacy. I thought you had said last time that my T4 free looked good, and that I was just not optimal on Free T3? You also said that you expected my RT3 to be high when I had it tested? This seems to be exactly what this doc is saying. Am I missing something? The celiac gene testing comes from the fecal test I had done,......something to do with that showed up 'borderline' per se, and he suggested I have this done to be sure. Yes,......my B-12 was 385. I am supposed to start supplements for that as well. The vitamin D I was really not shocked about to be honest. I have spent so much time in the sun in my line of work, and when I was a young person that I basically cover myself totally when working outside. I wear jeans, and I have dozens of these long sleeve t-shirts that I wear, along with a hat, and even an ear/neck drape when out for long periods. Needless to say my body doesn't get exposed to the sun much at all anymore. As far as the cortisol goes,......I am without a clue. Not really a night owl at all, but I am a TypeA personality. I have had the blood version of AM cortisol done a couple of times previously, and I have always been right at top of range or just over. This was the first 4X day saliva based test for me. It was through a company called Diagnos-Techs or something like that. I asked about an adrenal tumor, but he said with that you usually have a high flat line result in Cortisol. Any further input you have is appreciated, as I am a little nervous about starting to mess with my thyroid when it doesn't appear to be THAT bad. Will taking T3 screw up my thyroid, and make me dependent on the med? As you can tell,.....I do NOT like meds at all! > > Looks like your total T4 dropped from last time, IIRC, so you're now low enough to supplement. But interesting that he wants to start you on T3 only. How much? I hope he's scheduled you for frequent testing. > > Also interesting that your antibody tests came back normal but he thinks you might be celiac. You said you eat a sandwich a day, so if you were celiac, just getting off the wheat/rye/barley products would really help your gut. That would also help with any bacteria/yeast, which are common in hypo, I think, because of the low body temp. A healthy person has an afternoon temp of 98.6; most hypos are in the 97s. > > You must be a night owl with those cortisol labs. > > Did he test your B12? If that was below 550, you should be taking methyl B12 too. That can help with estrogen. > > Glad to hear you're not having to start shots. They're a literal PITA! > > Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 The confusion is in total vs Free T4. You've only reported Free T4 in the past, and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure enough, yours is below the halfway mark of 8 that is his cutoff. Above that he won't supplement you with thyroid, because he says you make enough and the problem is downstream in conversion. But yours is below 8, so by that lab, I'd consider you hypo. Celiac is highly correlated with thyroid autoimmune disease, so I would've expected positive thyroid antibodies. With that low of a dose of T3, he is trying to supplement your own production, not replace it, which is good. It may do the trick. Report back in a month. Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3 confirms that you're low. Barb > > > > Looks like your total T4 dropped from last time, IIRC, so you're now low enough to supplement. But interesting that he wants to start you on T3 only. How much? I hope he's scheduled you for frequent testing. > > > > Also interesting that your antibody tests came back normal but he thinks you might be celiac. You said you eat a sandwich a day, so if you were celiac, just getting off the wheat/rye/barley products would really help your gut. That would also help with any bacteria/yeast, which are common in hypo, I think, because of the low body temp. A healthy person has an afternoon temp of 98.6; most hypos are in the 97s. > > > > You must be a night owl with those cortisol labs. > > > > Did he test your B12? If that was below 550, you should be taking methyl B12 too. That can help with estrogen. > > > > Glad to hear you're not having to start shots. They're a literal PITA! > > > > Barb > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Here is what my antibody tests show from Quest on my thyroid panel. Doesn't make a lot of sense to me, but shows within range, and the doc said they were fine. Thyroglobulin Antibodies: <20 (range <20 IU/mL) Thyroid Peroxidase Antibodies: <10 (range <35 IU/mL) I was wrong about the fecal test,.....it came from the saliva test. Gliadin Ab, SIgA (saliva): 14 (13-15 U/ml Borderline) As before,....some of these tests are totally foreign to me. It would take me about 8 pages to list all of the results. Don't worry though, I have no intention of doing that. Back to the T3 med,.....all I know is he mentioned Armour, and that if he gave me that it would do this or that most likely and would be negative for me. It was actually too much info for me to take in at one time to be honest. Pretty sure he said it would drive my RT3 higher, but I wouldn't swear to it. He was pointing to how all of the stuff is converted when he was explaining this. The guy sure SEEMS to know his stuff, but maybe I have too much confidence in him? I appreciate the help folks. T is not off the table,.....he just thinks that I may recover quite nicely with some adjustments and time. I went along with that of my own choice, as he would have started me towards the 1000 mark right off if I wanted it. This guy takes Arimidex himself, and talks about the same ranges as Phil does. 20 being optimal for most males, and 30 being the high limit. > > The confusion is in total vs Free T4. You've only reported Free T4 in the past, and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure enough, yours is below the halfway mark of 8 that is his cutoff. Above that he won't supplement you with thyroid, because he says you make enough and the problem is downstream in conversion. But yours is below 8, so by that lab, I'd consider you hypo. > > Celiac is highly correlated with thyroid autoimmune disease, so I would've expected positive thyroid antibodies. > > With that low of a dose of T3, he is trying to supplement your own production, not replace it, which is good. It may do the trick. Report back in a month. Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3 confirms that you're low. > > Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Barb,...another thing that I believe you suggested previously was my adrenals trying to compensate for my being slightly hypo? I think this is where he is headed also,...if you did not say this forgive me. As you can see I have test results of being slightly hypo, but many of my symptoms are of being hyper-thyroid, as in hypertension, rapid heart rate, weight loss. I think he is trying to take a small load off, and see if my cortisol production drops back a bit towards normal, along with some of my symptoms. In other words trying to confirm the compensatory action of my adrenals, and my being in overdrive due to that. Does this make ANY sense? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Yes, and if you can search the archives, we talked about this WAY back. Thyroid is low, body needs energy, so it secretes adrenaline. That causes your high BP and heart rate. Weight loss could be from low cortisol, which went low to match low thyroid. I know your saliva labs weren't quite low, but I think it's the overall effect that counts. Do you have a gaunt face or are hypoglycemic? It is counterintuitive, but as your thyroid levels go up, your heart rate should go down, and your weight come up. Mine did, anyway. > > Barb,...another thing that I believe you suggested previously was my adrenals trying to compensate for my being slightly hypo? > > I think this is where he is headed also,...if you did not say this forgive me. > As you can see I have test results of being slightly hypo, but many of my symptoms are of being hyper-thyroid, as in hypertension, rapid heart rate, weight loss. > > I think he is trying to take a small load off, and see if my cortisol production drops back a bit towards normal, along with some of my symptoms. In other words trying to confirm the compensatory action of my adrenals, and my being in overdrive due to that. > > Does this make ANY sense? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 They tested you for Hashimoto's, which is the hypo thyroid disease. They did not test you for Graves' which is the hyper thyroid disease. Your thyroid labs are low, so not indicative of Graves' anyway. Gliadin is the protein on wheat/rye/barley that some people react to. Since ideally this number should be zero, it is worthwhile for you to try and eliminate all gluten products for a trial period of a few weeks and see how you do. The holidays, with all the cookies, etc. are not a good time to do this. I tested the same way, not really in positive range, but not zero either. But I have zero willpower and love Christmas cookies I would give this doc a chance. Getting thyroid up can fix a lot of things. So it's good he's not starting you on testosterone yet. As you know, that is a lifelong therapy, and if there's any chance at all that bringing thyroid up will fix it, I'd give it that chance. BTW, both thyroid and B12 are involved in processing estrogen, so you might also want to consider raising those first before the Arimidex. Merry Christmas all! Barb > > > > The confusion is in total vs Free T4. You've only reported Free T4 in the past, and 1.2-1.3 are not bad numbers. Dr. no prefers a total T4, and sure enough, yours is below the halfway mark of 8 that is his cutoff. Above that he won't supplement you with thyroid, because he says you make enough and the problem is downstream in conversion. But yours is below 8, so by that lab, I'd consider you hypo. > > > > Celiac is highly correlated with thyroid autoimmune disease, so I would've expected positive thyroid antibodies. > > > > With that low of a dose of T3, he is trying to supplement your own production, not replace it, which is good. It may do the trick. Report back in a month. Yes, I did say FT3 was too low, and rT3 too high, and it is. Total T3 confirms that you're low. > > > > Barb > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 He says I am a unique challenge!LOL No,.....my face is not gaunt per se, and I actually have the opposite issue with glucose. Fasting glucose is slowly creeping up on me. He says this is due to my high night-time cortisol levels. I seem to have stabilized at about 176 pounds,.....I am 5'11 " tall. When I get my episodes of mild sinus tach, it happens just like something was injected into my body. There is no rhyme or reason for it to happen, so adrenaline makes sense. I still have to take some test called a 'Pre-DX' I believe. My mother has been in that pre-diabetic range for a long time. Merry Christmas to you also Barb! > > Yes, and if you can search the archives, we talked about this WAY back. Thyroid is low, body needs energy, so it secretes adrenaline. That causes your high BP and heart rate. Weight loss could be from low cortisol, which went low to match low thyroid. I know your saliva labs weren't quite low, but I think it's the overall effect that counts. Do you have a gaunt face or are hypoglycemic? > > It is counterintuitive, but as your thyroid levels go up, your heart rate should go down, and your weight come up. Mine did, anyway. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 I do want to put off TRT until I KNOW I HAVE to have it. One other thing that comes into play with my B-12 levels is the fact I have GERD, and I take Nexium on a regular basis. Low B-12 is common in folks on PPI's. I try to go on and off, but I have been on the stuff for close to 5 years. Gastro doc says no problem,...many folks have to live their lives on a PPI. I am going to try and ween myself off of the stuff slowly. Start out by skipping one day for a week, and replacing the PPI with an H2 antagonist like Zantac 150 on that day. Repeat with a day added each week or two. It takes months, as the increased gastrin actually develops more acid pump cells in the stomach, and when you quit there is a severe 'rebound' effect. With all of my issues, the only drugs I have taken for years is my Cozaar for hypertension, and the Nexium. I simply hate drugs, and don't even take things like Ibuprofen! Yea,......I know,.....I am strange! LOL I will check back when I get the actual drugs. Didn't want to turn down the Arimidex whether I use it or not right away. > > They tested you for Hashimoto's, which is the hypo thyroid disease. They did not test you for Graves' which is the hyper thyroid disease. Your thyroid labs are low, so not indicative of Graves' anyway. > > Gliadin is the protein on wheat/rye/barley that some people react to. Since ideally this number should be zero, it is worthwhile for you to try and eliminate all gluten products for a trial period of a few weeks and see how you do. The holidays, with all the cookies, etc. are not a good time to do this. I tested the same way, not really in positive range, but not zero either. But I have zero willpower and love Christmas cookies > > I would give this doc a chance. Getting thyroid up can fix a lot of things. So it's good he's not starting you on testosterone yet. As you know, that is a lifelong therapy, and if there's any chance at all that bringing thyroid up will fix it, I'd give it that chance. > > BTW, both thyroid and B12 are involved in processing estrogen, so you might also want to consider raising those first before the Arimidex. > > Merry Christmas all! > Barb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Phil,.....thank you so much for all of your advice as well! What you said makes me feel better about this. > > Marc, > > As long as you don't do more then 5 mcgs 2x's a day of T3 to start you will find it will make you feel better it makes eveyone needing it or not feel better. So do what your Dr. says then do labs again. > Co-Moderator > Phil > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 Isn't it funny how people we talk to via the internet look nothing like we would expect when a pic is shown! LOL I use photo-bucket myself Phil, but really don't want to go through all the stuff of scanning lab reports,......blocking my personal info, and then uploading it here. Just as easy for me to list the stuff that's important. This site will not allow you to directly load a photo/scan,.....I just tried it. Simply gives the URL to click on. Other non-health forums I belong to will post the pic from the image code. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 If you're having panic attacks, you need to follow a low-carb diet. Sometimes the attack is simply a hypoglycemic episode: heart rate speeds up because adrenaline is released so that sugar can be supplied to the brain. > > > > Yes, and if you can search the archives, we talked about this WAY back. Thyroid is low, body needs energy, so it secretes adrenaline. That causes your high BP and heart rate. Weight loss could be from low cortisol, which went low to match low thyroid. I know your saliva labs weren't quite low, but I think it's the overall effect that counts. Do you have a gaunt face or are hypoglycemic? > > > > It is counterintuitive, but as your thyroid levels go up, your heart rate should go down, and your weight come up. Mine did, anyway. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 GERD is from hypo, not too much acid. Your stomach is supposed to have acid or nothing would digest. Your sphincter that holds the stomach contents down is too loose because you're hypo. Joints like knees get loose and carpal tunnel is also common in hypos. The Nexium could be contributing to some of your problems. 20% of thyroid conversion is done in your gut. You may also just be gluten intolerant because digestion is suboptimal. > > > > They tested you for Hashimoto's, which is the hypo thyroid disease. They did not test you for Graves' which is the hyper thyroid disease. Your thyroid labs are low, so not indicative of Graves' anyway. > > > > Gliadin is the protein on wheat/rye/barley that some people react to. Since ideally this number should be zero, it is worthwhile for you to try and eliminate all gluten products for a trial period of a few weeks and see how you do. The holidays, with all the cookies, etc. are not a good time to do this. I tested the same way, not really in positive range, but not zero either. But I have zero willpower and love Christmas cookies > > > > I would give this doc a chance. Getting thyroid up can fix a lot of things. So it's good he's not starting you on testosterone yet. As you know, that is a lifelong therapy, and if there's any chance at all that bringing thyroid up will fix it, I'd give it that chance. > > > > BTW, both thyroid and B12 are involved in processing estrogen, so you might also want to consider raising those first before the Arimidex. > > > > Merry Christmas all! > > Barb > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 I always expected Phil to have full, gray beard, kinda like Santa Claus, ya know? > > Isn't it funny how people we talk to via the internet look nothing like we would expect when a pic is shown! LOL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 No panic attacks here. I have used my mothers glucose meter at all times of the day and night over the past year. I eat very few simple carbs BTW. About the only bread I eat is at lunch, or special occasions. I eat a lot of low fat meat,.....and a ton of veggies, and fresh fruit with the occasional 'treat' mixed in like a large pizza from a real NY style place with extra cheese and lots of meat. That is about every 3 months or so. Only time mine is high is when arising in the morning with no food for over 8 hours. I have checked the under 140 two hours after a meal as well,......all is fine and usually well under 140. This doc says my glucose is being driven by cortisol in the early AM. I simply get mild sinus tach for no apparent reason. I don't even flip out about it honestly, kind of used to it at this point. Cardiologist said it is a totally normal sinus rhythm and is not dangerous short term. He still wants to put me on a beta-blocker though,......something named Coreg now at the lowest dose of 3.125 mg. Trying to wait and see what happens for now, although Dr. Hall said what the Cardiologist is trying to do makes sense and will do me no harm at that dose. Can someone transport me back about a year and a half for Christmas? LOL > > > If you're having panic attacks, you need to follow a low-carb diet. Sometimes the attack is simply a hypoglycemic episode: heart rate speeds up because adrenaline is released so that sugar can be supplied to the brain. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2010 Report Share Posted December 24, 2010 You are saying once again what Dr. Hall is saying. He says I have too little acid, and need to get off the Nexium. I basically have a war of Docs going on! ) For me,.....I am all in favor of fewer meds so I am going to try to get off it. > > GERD is from hypo, not too much acid. Your stomach is supposed to have acid or nothing would digest. Your sphincter that holds the stomach contents down is too loose because you're hypo. Joints like knees get loose and carpal tunnel is also common in hypos. > > The Nexium could be contributing to some of your problems. 20% of thyroid conversion is done in your gut. You may also just be gluten intolerant because digestion is suboptimal. > Quote Link to comment Share on other sites More sharing options...
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