What is Hyperthyroidism
Hyperthyroidism (or "overactive thyroid gland") is the clinical syndrome caused by an excess of circulating free thyroxine (T4) or free triiodothyronine (T3), or both.
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RAI to be or not to be
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here's my test result for the last three months
august 2009 ft4 100.0 ref.range 12.0 to 22.0 ft3 50.0 ref.range 3.10 to 6.80 TSH 0.005 ref.range 0.270 - 4.20 september 2009 ft4 40.74 ft3 13.55 TSH 0.005 october 2009 ft4 19.08 ft3 5.70 TSH 0.006 i've been taking carbimazole 45mg a day for the last 2months and still my endo said that he can not reduce the dose because my thyroid is stubborn, unlike the ave. patients mine was responding very slow with the medication i'm in.. he's still suggesting RAI and keeping option for surgery,,, but i still think i'm still young for that, though 9tablets a day gives me nausea and i'm gaining weight! that i don't like.. help! Posted on 11/01/09, 06:11 pm |
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Hi there:
You're now in range with the Free T3 and the Free T4. Is your doctor dosing you to get your TSH to come up? If so, the TSH is affected by thyroid antibodies. We dose by the Free Ts only. Check with your doctor about dose reduction since your Free Ts are in the ranges. Are you splitting up the Carbimazole into two or three divided doses through out the day? {{{hugs}}} :-) 
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P.S. If your doctor insist on dosing you to get the TSH to come up, it will bring the Free Ts down to low and you will get hypO. Aim the Free Ts at mid ranges to see if you feel your best there at.
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yes i'm splitting the doses 5 tablets in the morning 4 in the evening.. my dr said i will still continue with 45mg this month to see if my TSH will come up..
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Here's couple of links explaining why one does not does according to the TSH as TSH is falsely skewed by thyroid antibodies:
http://www.stopthethyroidmadness.c... http://www.thyroidmanager.org/Chap... If it were me, I'd go and look for another doctor who will not dose the Carbimazole to the TSH, but to the Free T4, especially. {{{hugs}}}
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ok thank you so much, i'll keep in mind what i've read in the links my next lab test is on nov.22 i'll keep u posted... by the way my dr also said last time that whatever treatment i am in now or if i would decide to go with RAI or surgery or stick with the tablets it will all turn me into hypO. is that true???
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Yes ma'am that's correct about having an RAI or a TT (Total Thyroidectomy) does make one hypO. Replace meds will need to be taken for the rest of the life as not to go hypO.
{{{hugs}}} :-) P.S. You can post, ask more questions, research over at the Graves' Disease board. We have more people helping out there who've had an RAI or a TT to answer your questions. :-)
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