Graves' Disease Support Group
Graves-Basedow disease is a medical disorder that may manifest several different conditions including hyperthyroidism (over activity of thyroid hormone production), infiltrative exophthalmos (protruberance of one or both eyes and associated problems) and infiltrative dermopathy (a skin condition usually of the lower extremities). This disorder is the most common cause of...
I do hope you doctor has ordered a thyroid panel of the Free T3, Free T4, and TSH as this should be done every four weeks. If your Free Ts have dropped, especially heading for the mid ranges of the normal ranges, doses reductions should be happening.
It sounds like you may be over dosed now to get the rashes. If that's the case, simple dose reductions according to the latest labs will help you.
Also you mentioned being scatterbrained which leads me to think you could be heading hypO.
Please check with your doctor ASAP.
{{{hugs}}}
{{{hugs}}} :-)
How much MMI ( Methimazole) do you take each day ?
ft4 302 ranges of 58 to 164 marked high
thyroid stim immunoglobulin 254 ranges 0 to 139
thyroid peroxidase 64 ranges of 0 to 34
i didnt put the periods i tried it the last time and it messed it up hopefully this goes through
ft4 3.02 rangers of .58 to 1.64
thyroid stim immunoglobhulin 254 ranges of 0-139
thyroid perozidase 64 ranges of 0-34
I'm not sure how long you've been taking the MMI ? The most common time for the rash and hives is at about 3 1/2 weeks.
Personally I would get new labs tomorrow and lower my dose after the blood draw. , but I' experienced.. . new people can get in trouble doing that.
If you stop meds and wait till Monday those labs will not show what the medication did, because you will become more hyper each day not on meds.
For those initial labs 10 mg would work fine from the start.. but 20 and a working down with frequent labs is fine too.
This is so hard. I understand how you feel, but have never had a lack of doctors to choose from. For me it's been a matter of availability of money to see those doctors. :(
Here are you labs:
" tsh .20 ranges of .34 to 5.60
ft4 3.02 rangers of .58 to 1.64
thyroid stim immunoglobhulin 254 ranges of 0-139
thyroid perozidase 64 ranges of 0-34 "
The thyroid stim immunoglobhulin is our unique Graves' antibody. These antibodies stimulate the thyroid gland to make hormone. They work in place of TSH, a pituitary hormone normally used by the body to regulate thyroid hormone production. Unfortunately our TSI antibodies only stimulate.. they don't regulate.. so we need to slow production down with the ATD ( anti-thyroid drugs).
These same TSI antibodies can also affect our eyes, skin, brain.. etc, so reducing them , as the meds do, will , in time, cause remission. But this is the big picture.. now we just know that what you have is Graves'. A positive diagnosis.
thyroid perozidase antibodies... are a sign of inflammation of the thyroid gland. They say 70 to 80 % of us have these antibodies. They will also reduce and your levels normalize.
Here's info for you.
http://www.medicinenet.com/thyroid_peroxidase_test/article.htm
tsh .20 ranges of .34 to 5.60
The fact that you have this much TSH is a bit odd. Normally I expect to see .01, .001, .002 or such. Wonder if that's a lab error ? Not a big deal either way.. it's low and does show that thyroid levels are too high.
This is the most important number you will learn to watch.
ft4 3.02 rangers of .58 to 1.64
That's the low reference range and we will need to adjust our thinking due to that..but for now it's close enough. Using that range you will probably find you feel best somewhere closer to the top. Mid range would be 1.10.. so you will need to be higher than that for sure.
Right now what your looking for is for the 3.20 to be closer to 1.64 the top.. your probably just a little over if I was to guess. As soon as you hit the 1.64 the dose must be lowered. This is where so many veer off the path and get send hypo. Their doctors look at the TSH and tell them they are hyper.. it all goes bad from there.
Hope I haven't confused you now. I do type too much sometimes.
Great book:
Thyroid for Dummies..and a great doctor too.
http://books.google.com/books?printsec=frontcover&id=Shq6Y7Px9b8C#v=onepage&q&f=false
If Google books is new to you.. find the place up towards the top marked " contents"...that will open a place where you can see the chapters and quickly go to the hyper part of the book.
There's also a link on the right to go directly to Amazon if you wanted to buy the book. There are only two books I recommend.. this one and Elaine's book.. the rest have too many errors for a new Graves' patient. Save them for later..then you can play "find the mistakes". LOL