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I take the FT3 hormone Cytomel your liver converts FT4 into FT3. My TSH and FT4 levels have always been normal, it took 2 years to figure out it was T3 and I have some just not enough they also do a usable or good thyroid check (to see how much of the hormone I am producing actually works).
Since surgery I have required more meds, I am not sure if it was due to the surgery or why, but it could be that I had my gallblader out at the same time maybe my liver doesn't work well enough yet :shrug: I get tested again next week, my Doc also said it could be due to a Vitamin defiency D, B12, and Iron, that I didn't know I had until a few weeks ago.
I don't know how it all connects. If after doing the tests next week and if my vitamin levels check out, my Doc will up my meds. He didn't want to do it without checking it twice....So its good to keep your WLS Doc and your Primary Doc talking because the WLS Doc wouldn't test for thyroid, even though they were taking about 12 vials of blood for the vitamin checks already lol.
Anyway I could see someone getting better if they are on the low end of T4 as fat produces estrogens and other hormones....Best Wishes
I thought I was relative informed on thyroid stuff.... tlc just left me in the dust! LOL!
The way the thyroid works is the Pituitary Gland makes TSH when there is a need for more FT4 (Free T4 hormone). This is produced in the Thyroid, usually for most people with thyroid problems the TSH will be high in response to not enough FT4 in the blood. This lets the Doc know that there is a problem with the thyroid Gland. Well the FT4 is converted in the liver to FT3 this is what the body actually uses in the metabolism.
Another thing to note is that the thyroid uses Iodine to process everything. So in third world countries where their salt is not fortified with Iodine, they have a high incidence of Thyroid problems. Hence you need your vitamins to make your thyroid work....
...Anyway, I am allergic to Iodine so they assumed that is why I developed the type of thyroid problem....
....I also think that is why they want the vitamin levels to be normalized before they change thyroid dosage....
...so, in short you should make sure you are taking any vitamins the Doc has suggested, that way you can optimize weight loss..... :D Hope this helps
....
I was a little slow in making the connection between the weight loss and the symptoms of Synthroid overdose. I had gotten so in tune to food intake post RNY, that I thought it must be from something I ate, too many calories at one time or something along those lines.
At around a year out, I called my PCP and she began adjusting my Synthroid. Things got much better with the heart racing and somewhat better with the sweats. I'm down to 100mcg. now.
For me, it seemed to be a case of too much medication for the amount of body to medicate.
Endocrinology is a facinating field of medicine. So very complex! Bodies want everything in balance, so when something changes, seems like all its systems go into a frenzy trying to re establish a new normal.
If you suspect changes are needed in your meds, please do check in with your doc! I could have saved myself lots of discomfort had I made the connection sooner than I did!
Blessings!
Spotz
I know for me... My #'s tend to change, get worse a lot. Seems like I'm always needed my meds upped. This last time it was raised, it's been steady for a few months, which is long term for me! :)
My plan is to stay on top of my blood work now and after surgery to insure I am at the right does...
Before getting pregnant I was rushed to the ER for an allergic reaction, to Iodine but I didn't know that at the time, to me I just had a peice of shrimp and was having a reaction, it wasn't until later when they did the blood tests that they figured it was Iodine
...Anyways while I was prego I swelled and was borderline diabetic, I was told that this would go away after giving birth...I was at my 6 week post pardum checkup about 7 years ago. This was before I knew I had a thyroid problem...anyways, the question I asked the Doc, was how much water a person could drink in a day. I was drinking so much I thought it might be diabeties myself. I also had some kind of weird off and on swelling or edema. They ended up doing a diabeties test were they pricked my fingers about 40 times in an hour, I definately did not have diabeties in fact my pancreas was totally healthy. They also did tests to figure out if my pituitary was working properly, looking at possibly cushing syndrome... everything came back negative.
Well after the test I went back to the Doc, and it was an intern that suggested the thyroid Iodine link and how my T3 could be off they normally dont do extensive tests on thyroid, usually they just test TSH and T4. Anyway they did a conprehensive panel and that was how it was found. (Your thyroid needs Iodine and Selenium to work right.) During this time my mother had surgery for parathyroid she had it removed, so I was doing a lot of research.
The Doc said I had all they symptoms of myxedema, a side effect of hypothyroidism. Once I started the T3 supplements it took about 6 months to normalize but all of the edema went away...because I had hypothriodism for so long, it was affecting a lot of other endocrine systems, like my adrenals and such.
Anyway I joined a group for cushing syndrome even though I didn't have it, the group talked about a lot of endoctorine systems that are connected and how they interact because thats the nature cushings. It all connects to the pituitary...So I thought you might be interested in looking into it. http://www.aboutcushings.com/support-groups/support-groups.jsp They helped me understand how just one little hormone T3 threw my whole system out of wack and what I needed to do to keep it in check, it might also help you figure out what is going on with your endocrine systems...Best Wishes
http://drhedberg.com/2011/02/08/the-thyroid-and-thyroid-hormones/
There is also some discussion on low carb diets and T4, T3 on a thyroid group that I am in.
http://www.healthboards.com/boards/thyroid-disorders/199235-t4-conversion-into-t3.html
So, if your bored and want to read it, its something to chew on :D
I have heard that low carb and/or gluten free works for quite a few hypo folks...
I have edema issues when my thyroid is off... I hate it! I'm all puffy sometimes to the point I feel like I have round feet :)
my newest pcp kept telling me it was cause of my high BP and added a diuretic to my BP meds.... sigh.... Think I finally convinced her my meds were off! Sometimes it is such a battle educating our doctors :) I don't expect them to know it all. But I do think they need to know when to listen and at least check out if we know what we are talking about.
More than once I've had to tell a doc that I have lived in my body all my life... I pay attention, and I have a clue! :)
THanks again for the share!! Another researcher working hard! :)