Re: Tara's blood results?

[Guest guest]

I

would still demand that she be tested for TgAb antibodies, as it is likely

these will be raised, especially with other members of her family having a

thyroid/autoimmune disease. I would also press for her iron be tested Nuala and

this should include iron, transferrin saturation%, ferritin. If her doctor

refuses, and her iron levels are low, it matters not how much thyroid hormone

Tara is taking, it cannot be properly utilised in the cells. Low

iron/ferritin: Iron deficiency is shown to significantly reduce T4 to T3

conversion, increase reverse T3 levels, and block the thermogenic (metabolism

boosting) properties of thyroid hormone (1-4). Thus, iron deficiency, as

indicated by an iron saturation below 25 or a ferritin below 70, will result in

diminished intracellular T3 levels.

1.

Dillman E, Gale C, Green W, et al.

Hypothermia in iron deficiency due to altered triiodithyroidine metabolism.

Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381.

2.

SM, PE, Lukaski HC. In

vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of

dietary fat. Life Sci 1993;53(8):603-9.

3.

Zimmermann MB, Köhrle J. The Impact of

Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism: Biochemistry

and Relevance to Public Health. Thyroid 2002;12(10): 867-78.

4.

Beard J, tobin B, Green W. Evidence for

Thyroid Hormone Deficiency in Iron-Deficient Anemic Rats. J. Nutr.

1989;119:772-778.

There was a small study done a few years ago that showed that

people taking levothyroxine did better taking it when they went to bed. They

slept better and woke feeling better. If she needs iron supplement, she can

then take this in a morning when she wakes because it must be taken at least

four hours away from thyroid hormone replacement.

When I was diagnosed, I was not aware of any symptoms, but it

was found my TSH was 13.6 - my symptoms came after I started taking

levothyroxine, and never went away until I started taking natural thyroid extract

- which shows how different we all are. She needs to start taking 200mcgs

Selenium daily, with food and D3 (recommended dose is 4000mcg daily).You could

try the 12.5 iodoral to see if that helps too.

You should not be nervous about upsetting your GP - do you

believe your GP  is nervous about upsetting you. Remember the 'Duties of a

Doctor Registered with the General Medical Council' - read these to remind

yourself and know that a doctor must work with his patients and not against

them - and sometimes, we might need to remind our doctors about this http://www.patient.co.uk/doctor/Ideals-and-the-Hippocratic-Oath.htm.

I too was thrown out of my doctors surgery because I challenged their practice

when they refused to prescribe natural thyroid extract. That was the best move

ever. My new NHS doctor had no problem with prescribing it, knowing that my

endocrinologist had recommended this as being the best medication for me. I

think we patients allow our doctors to get away with too much, but I do believe

we need to be careful in our approach and not go charging in there aggressively,

which only gets our doctor's back up, but at all times, we must be assertive if

we know we are right. e.g. if asking for specific blood tests, back up your

reasons for these by citing references to the research/studies to show these

blood tests are needed. In other words, we need to do our homework, put our

requests in writing (so as to avoid face to face confrontation). Basically, ask

your doctor to work with you, and tell him/her that you will be happy to work

with him/her.

Has Tara tried a gluten free diet to see whether this helps?

Luv - Sheila

Also,what about her supplementing of 12.5 iodoral, selenium and d3. ANy view on

if she should continue?

I still cant inderstand how she doesnt display hypo symptoms, if anythign she

is overactive, thin a s a rake, always hungry, neck swells and reduces almost

daily(I think this is gluten related) .

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[Guest guest]

Thankyou very much again Sheila. Ill start preparing a letter.

Nuala