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Re: sub-clinical hypothyroid

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Hello Ann,

I am fairly new to the forum and was interested to read your e-mail.

We have many similarities. I was diagnosed with

sub-clinical hypothyroidism in Feb this year. This was after a few years of the

same complaints you describe, extreme fatigue & pain in the joints.

You don’t say if you have gained weight, but I also gained three stone in

weight very quickly.

I don’t have the full range of results you have as I have

only ever been told my TSH and T4 levels. Anyway, for your information, my

first levels in Feb were T4 11pmol and TSH 6.61 mu/L. I was straight away

put on 25mcg of Levothyroxine – one a day.

Six months later my test showed T4 at 14 pmol and TSH at

4.41. I was told to keep taking the tablets!

Last week my T4 was 13 pmol and my TSH was 0.8. My GP phoned and

told me to start taking 2 tablets a day instead of the one. No explanation or

nothing. I was told to pick up a blood test form to do in two months to see if

this makes any difference to the levels now that I am taking 50mcg a day. (It

isn’t so far, I’ve just been asleep for two hours as I feel whacked

out.)

I’ve made an appointment to see the Doctor on Wednesday as

I want my results explained to me in person and I will be asking if my T3 and

antibodies have been tested. I am also going to ask if I can be referred

to an NHS endocrinologist.

I cannot comment on depression as I do allow myself to get

depressed and I don’t believe you are either. I think all Doctors use

this as their excuse to get you out the door. If you are like me you are

just fed up with feeling so unwell all the time. I get easily annoyed and I’m

getting fed up with being fobbed off.

If I was you I would see another Doctor and get a second

opinion.

You are not alone. We are all in this together here. Hope

that helps.

Keep smiling,

Gillian

From: thyroid treatment

[mailto:thyroid treatment ] On Behalf Of annparsons67

Sent: 14 December 2008 16:12

thyroid treatment

Subject: sub-clinical hypothyroid

I have been diagnosed with a sub-clinical

hypothyroid condition. I am

waiting to hear from a specialist to see if he can treat me, he was

away last week and I feel so ill I feel like death. I have no energy

at all, ache all over my body most of the time, feel depressed and

can't wait to feel like my old self again. I recently found out that

I was borderline hypothyroid two years ago, but the doctors didn't

tell me at the practice, and steadily over two years I have felt worse

and worse.

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Hi Ann,

Sub-clinical hypothyroidism looking like this

is an alarm bell clanging:-

[[ Basis for recommendation

These recommendations are based on expert opinion [Vanderpump et al, 1996].

If a person has suspected secondary hypothyroidism (e.g. a low serum free thyroxine level with a low or normal thyroid-stimulating hormone level) urgent referral is necessary to investigate for hypopituitarism (in particular secondary adrenal insufficiency) and pituitary or hypothalamic disease ]]

from the source that Dawn posted few days back

best wishes

Bob

>> I have been diagnosed with a sub-clinical hypothyroid condition. I am> waiting to hear from a specialist to see if he can treat me, he was> away last week and I feel so ill I feel like death. I have no energy> at all, ache all over my body most of the time, feel depressed and> can't wait to feel like my old self again. I recently found out that> I was borderline hypothyroid two years ago, but the doctors didn't> tell me at the practice, and steadily over two years I have felt worse> and worse.

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Hi Gillian,

It might be worth taking someone along with you on Wednesday.

a) to remember things that you forget

B) to make notes if necessary

c) to help insist that the referral be made urgently

d) perhaps, to question why you've been left on such a low dose of L-

T4 for so long?

e) 'choose and book' will need a bit of care for the referal; ask the

doc if s/he can recommend anyone

f) if indeed you have secondary hypothyroidism, ask if there are any

additional risks that the doctor hasn't considered

eg cardiac problems.

g) is it worthwhile running an ECG on another appointment before

refering to a cardiac consultant as well.

h) failing any quick response a tertiary referral (teaching hospital)

may be more appropriate ~ would that mean a long journey?

best wishes

Bob

> Hello Ann,

>

> I am fairly new to the forum and was interested to read your e-mail.

>

> We have many similarities. I was diagnosed with sub-clinical

hypothyroidism in Feb this year. This was after a few years of the

same complaints you describe, extreme fatigue & pain in the joints.

You don't say if you have gained weight, but I also gained three

stone in weight very quickly.

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Hello

Its strange to see someone with a high TSH and a fairly normal/not too bad T4, it would be normal practice to treat someone who has a TSH over the range like yours is and I cant see why you havent been treated, your T3 could be higher too and may be why you feel depressed because low T3 causes depression. Usually people with high TSH have low T4, yours could be higher but isnt as bad as some people have had. You certainly do need some treatment though as your TSH is over range, I hope you get the help from the specialist

I would like to put my blood test results here on this web page to seeif anyone has any insight into them until I can get to see a specialist.Serum TSH level above range 6.13 miu/L fasting (normal range 0.35 - 5.5)Serum free T4 level 16.3 pmol/L fasting (normal range 10.3-18.3)Total Thyroxine T4 105 nmol/L (normal range 59-154)Free T3 4.8 pmol/L (normal range 4.0-6.8)Thyroglobulin Antibody <0.9 IU/mL 0-4.9 (Negative)Thyroid Peroxidase Antibodies <0.25 IU/mL <9 (Negative)Free Thyroxine 16.0 pmol/L normal range 12.0 - 22.0I have been told by the G.P.'s that I am depressed, and 'have I seen apsychiatrist' but I feel unwell in my body. I do takeanti-depressants anyway, and I know this is not the normal sort ofdepression, but I would be grateful to know if I can be treated for athyroid problem or do I have depression I really am confused.Thanks and look forward to

hearing from anyone.Ann

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Hi Bob,

This is very helpful of you, although you’ve got me a bit

worried now if there is the possibility of heart problems. I thought that was

for those who were in the last chance saloon.

I am determined to speak up on Wednesday and I am taking my

mother along for support. She’s nearly 80 but I know she won’t let

me leave the room until we have some satisfactory answers, so look out Doc!

I will post the outcome of my visit on Wednesday evening so

watch this space!!!

Kind Regards

Gillian

PS: I am not familiar with tertiary hospitals. What/where are

they? I live in Bedford by the way.

From: thyroid treatment

[mailto:thyroid treatment ] On Behalf Of bob.m9uk

Sent: 14 December 2008 17:55

thyroid treatment

Subject: Re: sub-clinical hypothyroid

Hi Gillian,

It might be worth taking someone along with you on Wednesday.

a) to remember things that you forget

B) to make notes if necessary

c) to help insist that the referral be made urgently

d) perhaps, to question why you've been left on such a low dose of L-

T4 for so long?

e) 'choose and book' will need a bit of care for the referal; ask the

doc if s/he can recommend anyone

f) if indeed you have secondary hypothyroidism, ask if there are any

additional risks that the doctor hasn't considered

eg cardiac problems.

g) is it worthwhile running an ECG on another appointment before

refering to a cardiac consultant as well.

h) failing any quick response a tertiary referral (teaching hospital)

may be more appropriate ~ would that mean a long journey?

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Hi,

I have always had good T4 and High TSH, my GP even commented on how

strange he thought it was that my TSH was rising but my T4 staying

pretty steady in the early 20's.

My recent realisiation that I have issues with conversion has made me

think that the TSH has responded to the lack of T3 and not the T4, so

I wonder if that is what the problem for you too...

I know that even with a TSH of 4.5 (within range) I felt absolutely

awful, so I am certain the symptoms you are describing are related to

your thyroid and not anything else.

You should be treated with a high TSH like that, esp as you are

demonstrating symptoms. It's really up to you though how you want to

go about it - whether you want to persuade your GP (or another), see

a private specialist such as Dr P or try and treat yourself...

You are in the right place for help - just read and learn all you

can, and post any questions you have and someone will answer them!

Take Care

Leah xx

> Serum TSH level above range 6.13 miu/L fasting (normal range 0.35 -

5.5)

> Serum free T4 level 16.3 pmol/L fasting (normal range 10.3-18.3)

> Total Thyroxine T4 105 nmol/L (normal range 59-154)

> Free T3 4.8 pmol/L (normal range 4.0-6.8)

> Thyroglobulin Antibody <0.9 IU/mL 0-4.9 (Negative)

> Thyroid Peroxidase Antibodies <0.25 IU/mL <9 (Negative)

> Free Thyroxine 16.0 pmol/L normal range 12.0 - 22.0

[Edit Abbrev Mod]

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Thanks for your reply. I would like to know how expensive is this Dr.

P and where has he a clinic near me i.e. London border with Essex. I

was waiting to see when Dr. Elrishi was coming back from holiday (he

was away last week, he was recommended to me by Sheila )but now

I'm beginning to think I need to go straight to a specialist without

getting a letter of referral from my G.P. I phoned Dr. Elrishi's

secretary and even if I go private to him I still have to get a letter

of referral from my G.P. The G.P. does not want to treat me for a

thyroid problem at the moment he told me I had depression, and yes I

have put on a lot of weight over three stone! Who wouldn't be

depressed if you couldn't get into your nice clothes and go out

feeling good. I can't go out at the moment socialising as I feel

awful about putting on all this weight.

I hope to hear from anyone soon.

Ann

>

> Hi,

>

> I have always had good T4 and High TSH, my GP even commented on how

> strange he thought it was that my TSH was rising but my T4 staying

> pretty steady in the early 20's.

[Edit Abbrev Mod]

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Oh dear, yes I have gained alot of weight and feel depressed about

that too as I don't feel confident about going out much and can't get

into my clothes, can't really afford all these clothes all the time.

I am going to try to get to see a private specialist that I don't need

to get a letter of referral from my G.P. as he is not helping me with

this thyroid problem he's not going to give me a letter of referral to

a specialist if he doesn't see its a problem. I have emailed Sheila

who I have spoken to on the phone last week to see if she knows

any specialist that I can see without going to my doctors first, there

is a long list of specialists I have seen so there must be one or two

that I can go straight to, what about this Dr. P. they all talk about?

Ann

>

> Hello Ann,

>

>

>

> I am fairly new to the forum and was interested to read your e-mail.

> We have many similarities. I was diagnosed with sub-clinical

> hypothyroidism in Feb this year. This was after a few years of the

> same complaints you describe, extreme fatigue & pain in the joints.

> You don't say if you have gained weight, but I also gained three

> stone in weight very quickly.

[Edit Abbrev Mod]

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>

>

> Hi Ann,

>

>

>

> Sub-clinical hypothyroidism looking like this

>

> is an alarm bell clanging:-

>

>

>

> [[ Basis for recommendation

>

> * These recommendations are based on expert opinion [Vanderpump et

> al, 1996

> <http://cks.library.nhs.uk/hypothyroidism/evidence/references#A3316> ].

> *

>

> If a person has suspected secondary hypothyroidism (e.g. a low serum

> free thyroxine level with a low or normal thyroid-stimulating hormone

> level) urgent referral is necessary to investigate for hypopituitarism

> (in particular secondary adrenal insufficiency) and pituitary or

> hypothalamic disease ]]

>

>

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Hi

Dr P is £140 pound for one and a half hours, he cannot prescribe and does not run blood tests etc but he can tell you where to get these done and where to buy anything he recommends, its a shame really because we shouldnt have to pay for the drugs/hormones we need, the NHS should be helping us but all they will give any hypoT person is thyroxine and for many this is completly useless.

I'm beginning to think I need to go straight to a specialist withoutgetting a letter of referral from my G.P. I phoned Dr. Elrishi'ssecretary and even if I go private to him I still have to get a letterof referral from my G.P. The G.P. does not want to treat me for athyroid problem at the moment he told me I had depression, and yes Ihave put on a lot of weight over three stone! Who wouldn't bedepressed if you couldn't get into your nice clothes and go outfeeling good. I can't go out at the moment socialising as I feelawful about putting on all this weight.I hope to hear from anyone soon.Ann>> Hi,> > I have always had good T4 and High TSH, my GP even commented on how> strange he

thought it was that my TSH was rising but my T4 staying> pretty steady in the early 20's.[Edit Abbrev Mod]

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I would be grateful to know if I can be treated for a

thyroid problem or do I have depression \\

Welcome hon

I think your depression should lift somewhat if you are properly

treated for your thyroid problem. Unfortunately if your FT3 remains

low despite higher T4 levels you may not benefit from the mood lifting

as I believe it is the T3 that lifts my moods. I have been diagnosed

with depression many years ago early on in my hypothyroid illness and

put on various anti ds since then. I have used the lot with varying

successes. If I had known about the thyroid problem causing it years

ago I maybe wouldn't have got so bad. Anyway, better late than never.

If you can get the doc to get your ft3 towards the upper third of the

range you would be better mentally I think.

Good luck

Dawnx

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I hear this Dr P is very good but he is private and it’s bad

timing at the moment for me finance wise.

I am going to wait and see how I get on with the NHS, although I

am not holding my breath! I may well have to find the money to see Dr P later. I

suppose you can’t put a price on your health if you value it and want to

be well.

I do know he has written a book ‘The Great Thyroid Scandal’

available on Amazon which is supposed to be very good too. (It’s on my

xmas wish list, so hopefully I’ll find it in my stocking on xmas

morning!)

I wish you well.

Gillian

From: thyroid treatment

[mailto:thyroid treatment ] On Behalf Of annparsons67

Sent: 14 December 2008 20:13

thyroid treatment

Subject: Re: sub-clinical hypothyroid

Oh dear, yes I have gained alot of weight and feel depressed about

that too as I don't feel confident about going out much and can't get

into my clothes, can't really afford all these clothes all the time.

I am going to try to get to see a private specialist that I don't need

to get a letter of referral from my G.P. as he is not helping me with

this thyroid problem he's not going to give me a letter of referral to

a specialist if he doesn't see its a problem. I have emailed Sheila

who I have spoken to on the phone last week to see if she knows

any specialist that I can see without going to my doctors first, there

is a long list of specialists I have seen so there must be one or two

that I can go straight to, what about this Dr. P. they all talk about?

Ann

>

>

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Hi there,

I like your thinking, at least give your local system a try, and your

attitude is great, don't hold your breath for miracles. Sub-

clinical, borderline etc is language not always likely to galvanise

the Dr's into action on your behalf. In all honesty, I don't believe

they understand the link with thyroid function depressiona and

anxiety.

I'm just inside the refernce range for free t4, neither gp or private

endo will treat me, due to nhs protocols. Despite a looooong thyroud

history and a full set of symptoms and signs. (Dr P said my lack of

eyebrows was one of the worst he'd seen) This did bother me months

ago, pre tpa days, but I'm unconcerned now. Sadly, too many folk are

being treated inappropriately anyway and not getting better as a

result.

I went to see Dr P this week, due to some back pay forthcoming this

month, it was well worth the trip. He strongly believes I am

hypothyroid and hypoadrenal. I have a treatment plan, so feel

empowered. But, you may have to consider, there's no quick fix, it is

going to take time to get well, I applaud the use of natural

supplements, but they don't come cheap either. It's about managing

your condition on a daily basis and monitoring the responses.

Take lots of care, keep talking and reading up.

Bye for now,

x

> I hear this Dr P is very good but he is private and it's bad timing

at the

> moment for me finance wise.

>

> I am going to wait and see how I get on with the NHS, although I am

not

> holding my breath!

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Hi Ann,

If you have the means to go private then Dr Peatfield does have a

clinic in Crawley nr gatwick...

See the main TPa site for info - http://www.tpa-

uk.org.uk/drpeatfield_clinics.php

In the meantime you could get his book " your thyroid and how to keep

it healthy " form Amazon...

Leah x

> >

> >

> > Hi Ann,

> >

> >

> >

> > Sub-clinical hypothyroidism looking like this

> >

> > is an alarm bell clanging:-

> >

> >

> >

> > [[ Basis for recommendation

> >

> > * These recommendations are based on expert opinion

[Vanderpump et

> > al, 1996

> >

<http://cks.library.nhs.uk/hypothyroidism/evidence/references#A3316> ]

..

> > *

> >

> > If a person has suspected secondary hypothyroidism (e.g. a low

serum

> > free thyroxine level with a low or normal thyroid-stimulating

hormone

> > level) urgent referral is necessary to investigate for

hypopituitarism

> > (in particular secondary adrenal insufficiency) and pituitary or

> > hypothalamic disease ]]

> >

> >

>

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Hi Ann,

With family members also showing thyroid problems, did your doctor take a proper history to discover if your symptoms are consistent with hypothyroidism?

Antidepressants might just exacerbate the problem.

Many doctors like to act 'efficiently' and tell you it's all in your head, since that's the first thing that 'pops' into their heads ~ looking to be able to prescribe something that will 'lift your mood' ~ just like that pretty sales lady from the drug company told them to say.

....and, of course, the sales lady from the drug company will be keeping tabs on your doctor to make sure he's prescribing the 'right' antidepressant.

....any words that evade taking note of the dire set of symptoms that you have mentioned will come under the heading of 'medical neglect'.

Ask PALS to take up your case and suggest a route that will get your doctor's attention.

PALS ~ Pateint Advice and Liaison Service - should be with your PCT in the phone book

best wishes

Bob

>> --- In thyroid treatment , "bob.m9uk"> > I'm glad there are other people out there like me, I don't feel like> I'm alone with this problem, but I need to get the right treatment as> soon as possible I don't even want to go through Christmas feeling> like this, my mother is ill as well, I didn't mention it so far, but

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I was interested to read about your eyebrows. Is that a symptom

of hypothyroidism?

I seem to have lost all the outer bits of my eyebrows and I have

to pencil them in or they look weird! I thought they had just

stopped growing after years of plucking.

From: thyroid treatment

[mailto:thyroid treatment ] On Behalf Of

Sent: 14 December 2008 21:59

thyroid treatment

Subject: Re: sub-clinical hypothyroid

(Dr P said my lack of

eyebrows was one of the worst he'd seen) This did bother me months

ago, pre tpa days, but I'm unconcerned now.

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Apparently so, my eyebrows are scarce, and the outer third don't

exist. I have a longish fringe and wear glasses, so no action

required!

M

x

>

> I was interested to read about your eyebrows. Is that a symptom of

> hypothyroidism?

>

>

>

> I seem to have lost all the outer bits of my eyebrows and I have

to pencil

> them in or they look weird! I thought they had just stopped

growing after

> years of plucking.

>

>

>

> From: thyroid treatment

> [mailto:thyroid treatment ] On Behalf Of

> Sent: 14 December 2008 21:59

> thyroid treatment

> Subject: Re: sub-clinical hypothyroid

>

>

>

> (Dr P said my lack of

> eyebrows was one of the worst he'd seen) This did bother me months

> ago, pre tpa days, but I'm unconcerned now.

>

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A

sign of hypothyroidism is that you lose the outer third of your eyebrows. You

can lose body and cranial hair in extreme cases too. I also have to pencil in

my eyebrows too - good job I'm an artist ;o)

Luv -

Sheila

I was interested to read about your eyebrows. Is that a symptom

of hypothyroidism?

I seem to have lost all the outer bits of my eyebrows and I have

to pencil them in or they look weird! I thought they had just

stopped growing after years of plucking.

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Guest guest

Ha! I've seen the photos, you look fab!

x

>

> A sign of hypothyroidism is that you lose the outer third of your

eyebrows.

> You can lose body and cranial hair in extreme cases too. I also

have to

> pencil in my eyebrows too - good job I'm an artist ;o)

>

>

>

> Luv - Sheila

>

> I was interested to read about your eyebrows. Is that a symptom of

> hypothyroidism?

>

> I seem to have lost all the outer bits of my eyebrows and I have

to pencil

> them in or they look weird! I thought they had just stopped

growing after

> years of plucking.

>

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Gee -

thanks - this should see me when I take off mi 'at and take out mi teef -

you'd scream ;o)

Luv -

Sheila

Ha! I've seen the photos, you look fab!

x

>

> A sign of hypothyroidism is that you lose the outer third of your

eyebrows.

> You can lose body and cranial hair in extreme cases too. I also

have to

> pencil in my eyebrows too - good job I'm an artist ;o)

>

>

>

> Luv - Sheila

>

> I was interested to read about your eyebrows. Is that a symptom of

> hypothyroidism?

>

> I seem to have lost all the outer bits of my eyebrows and I have

to pencil

> them in or they look weird! I thought they had just stopped

growing after

> years of plucking.

>

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Good grief, I never realised this. It gets worse by the sound of

things….I wonder what other ‘horrors’ I’ve got to look

forward to…my husband will leave me!

Seriously though, that school friend I told you about, (on 200mcg

levothyroxine, who used to be slim and is now grossly overweight) well,

she has lost a lot of her cranial hair. In fact, I did not recognise her when I

saw her earlier this year. She has been taking 200mcg of leveothyroxine for

over 10 years now.

I will have to contact her again and persuade her to join the

forum. She is deaf too and she suffers from severe depression.

From: thyroid treatment [mailto:thyroid treatment ]

On Behalf Of Sheila

Sent: 15 December 2008 12:41

thyroid treatment

Subject: RE: Re: sub-clinical hypothyroid

A

sign of hypothyroidism is that you lose the outer third of your eyebrows. You

can lose body and cranial hair in extreme cases too. I also have to pencil in

my eyebrows too - good job I'm an artist ;o)

Luv -

Sheila

I was interested to read about your

eyebrows. Is that a symptom of hypothyroidism?

I seem to have lost all the outer bits

of my eyebrows and I have to pencil them in or they look weird! I

thought they had just stopped growing after years of plucking.

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…that

should have read " thi' (you) should see me when I take off mi (my) 'at

(hat) and take out mi (my) teef (teeth) - you'd scream 'o(

Gee - thanks - this should see me

when I take off mi 'at and take out mi teef - you'd scream ;o)

Luv - Sheila

Ha! I've

seen the photos, you look fab!

x

>

> A sign of hypothyroidism is that you lose the outer third of your

eyebrows.

> You can lose body and cranial hair in extreme cases too. I also

have to

> pencil in my eyebrows too - good job I'm an artist ;o)

>

>

>

> Luv - Sheila

>

> I was interested to read about your eyebrows. Is that a symptom of

> hypothyroidism?

>

> I seem to have lost all the outer bits of my eyebrows and I have

to pencil

> them in or they look weird! I thought they had just stopped

growing after

> years of plucking.

>

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I have the reverse situation - I lost the 'inner' third of my

eyebrows. It looks like I've overplucked my brows. I used to be

proud of my bushy eyebrows but now they are pencil thin, even though I

never pluck.

I now look after all of my eyebrow hairs because they are an

endangered species.

P

>

Good grief, I never realised this. It gets worse by the sound of

things..I wonder what other 'horrors' I've got to look forward to.my

husband will leave me!

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I read an interesting article about sub-clinical hypothyroidism on

this web site www.medicalnewstoday.com/articles/72529.php regarding

(title) 'The Treatment Of Common Thyroid Disease Reduces Tiredness And

The Risk Factors For Heart Disease'. The article reads 'Until

recently many doctors considered this condition not worthy of

treatment. Now a new study led by Dr Jolanta Weaver of Newcastle

University and Gateshead NHS Foundation Trust published in this

month's issue of THE JOURNAL OF CLINICAL ENDOCRINOLOGY AND METABOLISM

shows that treatment (for sub-clinical hypothyroid) leads to

significant improvements for patients.

This article is very interesting for people like me who are ill, with

alot of the symptoms of a hypothyroid, like my mum and sister were

before they were treated, and I just don't want to go through any more

hell of feeling ill, most of the time I ache all over my body and in

my body and have absolutely no energy to do normal things during the

day and have had to give up two college courses because of this, not

to mention I have put on over three stone in weight. I'm fed up with

blood test results giving doctors the answers, whereas what I read is

that until there were blood tests docs. used to just treat people with

the symptoms of hypothyroidism.

>

> I typed in 'sub-clinical hypothyroidism Weetman' into google as I

> know he has written a paper saying he feels sub-clinical

> hypothyroidism should be treated, and I found the following which I > thought

was interesting

> http://www.thyroidclub.be/Images/Pdf/2006-II-5.pdf

[Edit Abbrev Mod]

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And they still should treat people by the symptoms even if blood tests show 'normal'

I am lucky in a way that my docs have let me increase my thyroxine in the past even with good bloods because I said I still didnt feel right, they said they would monitor me for any over medication signs, I have never been refused an increase, but that was all before I new about poor adrenal function and no increase made me feel 100% better. So in the end I stopped the thyroxine to start HC and get my adrenals supported as I feel that was the problem, this was without my doc knowing at the time, I am now on 25mg of HC a day with stable temps, have been for a while now, just need to correct the thyroid and hey presto! Heres hoping anyway! lol

Good luck

I read an interesting article about sub-clinical hypothyroidism onthis web site www.medicalnewstoda y.com/articles/ 72529.php regarding(title) 'The Treatment Of Common Thyroid Disease Reduces Tiredness AndThe Risk Factors For Heart Disease'. The article reads 'Untilrecently many doctors considered this condition not worthy oftreatment. Now a new study led by Dr Jolanta Weaver of NewcastleUniversity and Gateshead NHS Foundation Trust published in thismonth's issue of THE JOURNAL OF CLINICAL ENDOCRINOLOGY AND METABOLISMshows that treatment (for sub-clinical hypothyroid) leads tosignificant improvements for patients. >> I typed in 'sub-clinical hypothyroidism Weetman' into google as I> know he has written a

paper saying he feels sub-clinical > hypothyroidism should be treated, and I found the following which I > thought was interesting> http://www.thyroidc lub.be/Images/ Pdf/2006- II-5.pdf[Edit Abbrev Mod]

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