Re: Halfway through 's brilliant book - some questions.

[Guest guest]

Hi Stacey,

It sounds like you had the short Synacthen test. There is some debate about the

value of this short test and I'm not really an expert on it but this is almost

certainly what you had.

As for early morning use of T3 - you need to read the whole book and then put

the Circadian T3 Method in some form of context. Cortisol levels will ideally be

tested rather than assumed. It is too easy to assume that fatigue etc is down to

cortisol and then treat it rather than assume it is because of the symptoms

alone.

The protocol that is embodied in the book titrates T3 with no early morning dose

then has cortisol tested to be sure it is low before using an early morning dose

but that will be very clear once you've read it all as will the reasons for

this.

It is so easy to go around and around in circles wondering if cortisol is an

issue or thyroid hormone is and issue or whether something else is an issue.

Months and years can go by doing that. It is far easier to get the right tests

done at the right time and save a vast amount of time. Often this may require

changing a doctor in order to find a more cooperative one but this can also

saves huge amounts of time.

If I'd known what I know now then I'd have been well after about a year rather

than wasting seven or eight years, losing my career etc etc etc.

Anyway, my very best wishes to you.

>

> Hi all,

>

> First of all , your book is already giving me lots of food for thought and

raising some interesting questions - thank you for publishing. I have stopped

taking T4 and will be starting on my own journey through the new year ahead.

>

> Q1 - Re cortisol and early morning dosing. Can the low cortisol level in the

morning when I wake up be why I can feel low and have this feeling of doom and

negative feelings? (I do know what it feels like to wake up feeling an almost

warm glow of being at one with the world - but this happens rarely these days).

>

> So could dosing early -say 5ish - help to remove that feeling because of the

interaction with the cortisol?

>

> Q2 - The synacthen tests - you mentioned that after the ACTH is injected tests

are taken at regular intervals afterwards. I had only one lot of blood drawn

(about 10.45 am) about 45 mins after and that was it.

> Would that have been the short one then? I was apparently negative anyway but

how can they really know from one snapshot in one part of the day.

>

> A VERY MERRY CHRISTMAS AND A HEALTHY 2012 TO ALL.

>

> XX Stacey

>

[Guest guest]

Would that have been the short one then? I was apparently negative anyway ...

Hello Stacey,

Yes, it sounds like you had a short Synacthen test. They should have drawn the blood again after 30 minutes and not 45, but since your results apparently were normal, it makes not a lot of difference in that particular instance.

But how can they really know from one snapshot in one part of the day....

An SST is not a snapshot. This test is extremely valuable (and most reliable) in diagnosing primary and secondary 's disease as well as Cushing's disease. Primary 's is very rare, subsequently many doctors don't even know how to properly interpret this test.

It is very much more complicated, but in a nutshell just to outline the `rules'....

For an SST result to be `negative' the base cortisol level will have to at least double within the hour after injecting ACTH. So for instance, if you had a base cortisol level of 350, then one hour after ACTH injection the level should have risen to 700 (or slightly less than that after 30 minutes). The object to the exercise is to see if the adrenals glands will respond with producing cortisol when ACTH (which is a natural pituitary hormone) is injected into the body. If they do, then this is proof that the adrenals are in functioning order.... how well they function under normal circumstances, however, is an entirely different matter.

Merry Christmas

[Guest guest]

Hi and ,

Thanks for your replies.

I have now read your book and have made some notes - I now fully appreciate

the Circadian T3 bits and have also ordered some more vits including adding the

D and B complex - I have been taking B12 100mcg sublingual and have rin out now.

Anyway - a Happy New year to all.

Stacey

[Guest guest]

Just a quick post to say that the book is now on FACEBOOK.

I suppose technically I am now on facebook but I'm only using it to help spread

the word that this book exists.

I'm a bit of an old fogey when it comes to facebook really, although the young

guns in my family are also trying to get me to become a twit as well (Twitter or

tweeting or something like that!).

The website and facebook links are in my signature at the end:

Hope you're doing OK Stacey.

------

Author of: Recovering with T3 My Journey from Hypothyroidism to Good Health

Using the T3 Thyroid Hormone

My website: recoveringwitht3.com

My facebook page: http://www.facebook.com/recoveringwitht3

>

>

> Hi and ,

> Thanks for your replies.