Advice please

[Guest guest]

On Wed, 24 Nov 2010 23:14:36 -0000, you wrote:

>Had follow up blood test start of Nov TSH 0.1, FT3 5.8, FT4 27.8 & soon had

terrible headaches every day, nausea, uncontrollable temperature either freezing

cold or boiling hot and having very poor sleep so I have stopped taking the T4

on Sunday as I think I may have a coversion problem & may be T4 toxic??

Welcome to the world of reverse T3, you are about to end up learning

more than most of the NHS do which is a very sad commentary on medical

training,

T4 can convert in 2 directions, T3 or an inactive mirror image called

" reverse T3 " .

If your FT4 has normal ranges then that 27 is well over half range and

a marker that you will be producing a lot of reverse T3, although this

is inactive it ends up blocking the T3 receptors leaving you resistant

to thyroid hormone.

The solution is to eliminate T4 from your body by taking a full

replacement dose of T3 which suppresses TSH and turns off your own

thyroid, About 12 weeks after starting this the receptor blockage

clears and you end up feeling a lot better.

To be able to do this you need enough cortisol, you are supplementing

but 10mg is not much and you may need to increase it, temperature

stability is the way to monitor dosage

You also need enough iron, have you had a minimum of a ferritin test

and preferably a full iron panel?

http://thyroid-rt3.com/ talks all about it

Nick

[Guest guest]

Hello puddinanpie,

I think your symptoms and results say it all. You are suffering

with low adrenal reserve and Reverse T3. Please read Nick's web site to

acquaint yourself with the details and copy whatever is necessary to show to

your GP http://thyroid-rt3.com/.

Thank goodness you have an understanding GP who is prepared to listen to you -

they are very few and far between when it comes to adrenal and thyroid

problems. Like you, I was also diagnosed with having a prolapsed disk when I

suffered such debilitating pain but after getting on to the thyroid hormone

replacement my body needed (not T4) the pain miraculously disappeared and 7

years later has not been back once.

You need to stop taking thyroxine (T4) completely and start

taking some form of T3 (but not the natural) gradually raising the dose

sufficiently so it knocks the Reverse T3 on the head and the correct T3 (the

active thyroid hormone) starts to get into the cells again. If you have any

questions about any of the things Nick has written in his web site, just shout.

I have sent to you a list of doctors and you can see the one in

Birmingham. Not sure whether any of these will take account of the Adrenal

Stress Profile, but you can try. Most doctors know nothing about low adrenal

reserve, only about 's or Cushing's. When you do show this to doctors in

the NHS, take with you a copy of the attached to show that this laboratory is

highly rated.

Luv - Sheila

Started taking 50 micro of Levothyroxine as per GP then increasing to 75 after

4 weeks then to 100 after 5 weeks. Was taking 10mg of cortef & told GP why

I was doing this. Started to see some small improvement in my energy levels

& felt quite excited at the prospect of being 'normal'but that soon

plateaud & then I started with small headaches. Had follow up blood test

start of Nov TSH 0.1, FT3 5.8, FT4 27.8 & soon had terrible headaches every

day, nausea, uncontrollable temperature either freezing cold or boiling hot and

having very poor sleep so I have stopped taking the T4 on Sunday as I think I

may have a coversion problem & may be T4 toxic?? These symptoms are slowly

subsiding now. I have an appt with my GP to discuss this soon & want to be

clear in my mind about a way forward. My Gp is actually quite supportive &

will look at any info I give him including reading Dr P's book. He will also

refer me to another endo if I wish as he knows I am concerned about my ASI. Do

you know of any that recognise the ASI test within the South Staffs/ West Mids

area. Someone mentioned an endo at City hospital in B'ham that may have this

understanding - have you heard of anyone there?

1 of 1 File(s)

Genova Quality Assurance.pdf

[Guest guest]

Hi,

I went to the doctors in April with extreme tiredness and had my thyroid tested

my TSH was 4.3 and the doctor said this was on the high side. I was also

diagnosed with a B12 deficiency and was put on medication for this. The doctor

wanted to see if this would help before doing anything about the thyroid.

I was tested again in August by another doctor who said my thyroid was normal.

Went back to the original doc at the end of october with tiredness and various

other symptons. Thyroid was tested again and came back at TSH 4.5, I was told

again this was on the high side but to come back in a month for another test.

I had this done last week and phoned for the results today because the doctor's

hadn't phoned me. The receptionist told me they came back as normal and my TSH

is 4.8

I'm still constantly exhausted and have various other symptoms which I've found

out are common with an underactive thyroid.

I can't understand if my TSH is rising why is it now normal. Is this the only

thing that relates to the thyroid? I've been reading up on it and keep coming

across T3 & T4 levels but finding it quite hard to understand.

Can anyone explain it in a straight forward way???

[Guest guest]

First, I would get the results of your reference range for each

of the tests done from your GPO together as we need to know exactly where in

the range your T4 and T3 levels lie. We also need to know what your free T4

result was, again, with the reference range. TSH is too high, and without the

fT3 reference range, the fT3 looks too low. Your doctor cannot withhold these

results from you. When you get them, post them here and we will help with the

interpretation.

Did you take your T3 medication on the morning you had your

blood drawn, because if you did, this would have shown your fT3 was 'normal'

simply because T3 has a very short half-life and it peaks in the blood between

2 to 4 hours after taking it. Whenever you have your blood drawn for a thyroid

function test, it is best not to take any thyroid hormone on that day.

I am not sure about your loose stools being a result of

hypothyroidism, this usually applies to those suffering with hyPERThyroidism,

but as you say you have other symptoms plus weight loss and anxiety, this could

be that you are suffering with low adrenal reserve (adrenal fatigue). Check out

the FILES section accessible from the Home Page of this forum thyroid treatment

and on the list that opens, scroll down to 'Medical Questionnaires' and answer

the questions in the Adrenal Questionnaire and see how you score. You may need

to get the 24 hour salivary adrenal profile done through Genova Diagnostics and

you will find details of how to get a discount as a TPA member in the FOLDER

'Discounts on Tests and Supplements'.

You should also ask your GP to test your levels of ferritin,

vitamin B12, vitamin D3, magnesium, folate, copper and zinc to see whether any

of these are low in the reference range. If any are, your thyroid hormone will

not be getting properly absorbed at cellular level and your symptoms may be

caused through thyroid toxicity. Whatever is found to be low would need to be

supplemented. Again, when you get these results, post them here with the

reference range for each test.

Luv - Sheila

Hi everyone haven't posted in awhile as my

daughter is still very poorly and I've been caring for her. About 5 weeks ago i

started to have really bad loose stools and cramps thought it was a bug, 5

weeks later I'm still loose I've had a test and nothing shown up, i had a

thyroid test at the same time including a T3 which they actually did!.My GP has

informed me I'm slightly more under active than before and T3 is normal.I have

been taking half a 25mcg T3 tablet and 1 adrenal extra for about a year, i know

this is probably wrong but because i was OK on this i just carried on as my

daughters health just took up all my brain power.I thought i was over active as

my current symptoms are shaking hands loose stools a bit of weight loss

anxiety.I would be so grateful if someone could read my results for me the GP

wants to put me back on Levo but it really didn't suit me but i need to get

some strength back to care for my family.I'm due to speak to Dr P on the

23rd.Warm Regards . Serum free triiodothyronie -3.8 Serum TSH - 4.36.

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