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...
{{{hugs}}}
Thinking of you and hoping the day improved after your appointment.
Pam
TSH. 16.184. 0.7-1.7
November FreeT4 0.024. 0.40-5.50
TSH. 1.3. 0.7-1.7
Next lab work is 01/09/12
Check your Free T4 with the TSH numbers in November, is it the other way around?
It looks like 5 mg was too much of a drop. Perhaps the 10 mg might be better.
Take a wait and see. Definitely lab again in four weeks and find out for sure.
How are you feeling?
{{{hugs}}}
There is a network of gyms that if you join one you can usually visit other across the country for a low daily fee each time you go. Or usually you can pop in to a gym for a low daily fee without a membership. Also Dr. Oz has a buddy plan challenge thing going on. You can partner with a buddy across the country and motivate each other.
Ok everyone yell at me:)
But I think you will feel better overall if you can incorporate exercise and perhaps lose some weight. It will help with some of the joint pain especially is you are sitting for longs period in the truck. If you have a higher fat% than muscle you are going to burn less calories during the day and burn muscle stores vs fat stores.
I know the days I don't go the gym I am more tired. The days I go I feel more energized and over all feel better about myself.
As far as the med adjustment no idea.........
Ft4 1.3. 0.7-1.7
Sorry things are not good in my head right now.
If you can walk that would be great and bet will make you feel a bit better:)
Thanks for letting us know your exercise and work routine. I'm sorry your husband lost his job, hopefully another one can be found soon.
Sorry to be a pain, but check again with the Free T4 and TSH numbers and the ranges for October and November.
Did your FT4 slip below the range then for November? If that's the case, bumping up the ATD dosage to 10 mg will make you slip further hypO.
Then I wonder if your doctor is looking at the TSH to come up?
Or is it the TSH that is 0.024 and the FT4 is 1.3 for November?
{{{hugs}}} :-)
Your doctor is dosing to get your TSH to come up. Increasing to 10 mg will make things worst. Leaving at 5 mg is better.
Do talk with your doctor and tell her that the TSH is not to be dosed because it is affected by thyroid antibodies. Instead she should be looking at the FT4.
If she refuses, I suggest you run away from this doctor and look for another one. It does not have to be another Endo.
{{{hugs again}}}
I'm to sorry to hear about the turn of events. My across the street neighbors were a truck driving couple, and the subject of possible accidents / tickets was a constant worry. Trouble is accidents happen to the very best.. they are accidental. The wife stayed home and worked till retirement then traveled with the husband for years. yes.. she married a younger man. :) He just retired this past year.
So your new labs show you are much closer to right.
TSH 0.025 0.40-5.50
Ft4 1.3. 0.7-1.7
As Linda said, the low TSH is normal for a Graves' patient. Our antibodies work in place of TSH.
This FT4 of 1.3 is not bad. Mid point on that range is 1.2, a minimum of where you are most likely to end up feeling right. We vary. This would be much too hypo for me, but just right for a few others.
But.. please don't be discouraged. It is normal to not feel great after all you have been through. This doctor severely overdosed you, and your body was not able to properly use the nutrients in your food.. one becomes malnourished when in a hyper or a hypo state. This affects every cell in the body, and is not magically corrected at the moment we reach a better thyroid level.
Think of it like if you had taken in a poor malnourished child. Feed him a couple good meals and expect him to be perfectly normal ? He will still be tired, weak muscles, have trouble with school work and behaviors. No..it takes time to heal. We need to be kind to ourselves and allow positive changes to take place gradually.
The problem here is this doctor wanting you to raise the dose to double what your taking. That will dramatically lower the thyroid levels you have waited so long to achieve and what positive changes have only just had a chance to begin, will be delayed again.
This poor dose instruction coupled with the stress of the job loss ( and extra family right now I think ? ) is a bad mix.
I wonder.. do you have a trusted family doctor or such. This would be a good time to see him/ her and find some better help.
As far as weight.. right now I would concentrate on maintaining and not worry about loss. Lots of time for that when you are healthier. Once your muscles have a change to strengthen exercise will feel good, instead of harmful.
Walking is great. When I was too hypo it left me very depressed and I tried several things, but getting out and having natural sunlight on my face everyday for at least 20 minutes and walking around the neighborhood watching people gardens was my first step in getting better. Some days it felt impossible to go out.. but if I didn't I did feel worse.. so I forced myself out everyday. Eventually my time out alone walking became my reward during each day. Funny how things change.