Guest guest Posted March 14, 2012 Report Share Posted March 14, 2012 Both T3 and T4 need to be optimized. In general, it is a good idea to raise the T4 med first, since it takes 6-10 weeks to stabilize the blood levels. In this case, it may be a good idea to raise both. I would ask the doc for 25-50 mcg of the T4 med and 5-12.5 mcg of the Cytomel. Do space out the thyroid meds at least four hours from the anticonvulsant. Why is she taking the anticonvulsant? If her convulsions are not due to an injury, they may be due to hypothyroidism. >> Hair loss - all my daughter¹s labs are good for everything (now) and she¹s> having quite a bit of hair loss. Her thyroid numbers are definitely low,> and we need to bump those up. Her Ft3 is 2.7, and Ft4 is .8 - - yes, low.> This is all influenced by an anticonvulsant, which is known to interfere> with absorption, so we need to figure this out, for sure. My question is > does anyone know if either T4 or T3 specifically is related to hair loss?> I¹d start bumping that one up first, if there is a solid answer on this.> She is on 200mcg synthroid and 25 cytomel right now. Someone had suggested> that synthroid itself may be the problem, since their hairloss diminished> when they switched to levothyroid. This hair loss coordinates with the> timing of adding the anticonvulsant, so I have a feeling it¹s connected to> the drop in T levels. But which one? I can¹t find an answer.> > christine> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2012 Report Share Posted March 14, 2012 I am assuming references ranges of .8-1.8 for T4 and 2.4-4.2 for T3.If my assumption is not correct, then my suggestions are not entirely valid. > >> > Hair loss - all my daughter¹s labs are good for everything (now)> and she¹s> > having quite a bit of hair loss. Her thyroid numbers are definitely> low,> > and we need to bump those up. Her Ft3 is 2.7, and Ft4 is .8 - - yes,> low.> > This is all influenced by an anticonvulsant, which is known to> interfere> > with absorption, so we need to figure this out, for sure. My question> is > > does anyone know if either T4 or T3 specifically is related to hair> loss?> > I¹d start bumping that one up first, if there is a solid answer on> this.> > She is on 200mcg synthroid and 25 cytomel right now. Someone had> suggested> > that synthroid itself may be the problem, since their hairloss> diminished> > when they switched to levothyroid. This hair loss coordinates with the> > timing of adding the anticonvulsant, so I have a feeling it¹s> connected to> > the drop in T levels. But which one? I can¹t find an answer.> >> > christine> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2012 Report Share Posted March 14, 2012 Hi, . I don't know which anticonvulsant your daughter is taking, but I took one for 2 years after brain surgery. No one told me that it interfered with thyroid function, so I went through those 2 years with maximum brain fog and weight gain. It makes me happy to know that you know this key bit of information and are applying it to your daughter. kidbobo > > Hair loss - all my daughter¹s labs are good for everything (now) and she¹s > having quite a bit of hair loss. Her thyroid numbers are definitely low, > and we need to bump those up. Her Ft3 is 2.7, and Ft4 is .8 - - yes, low. > This is all influenced by an anticonvulsant, which is known to interfere > with absorption, so we need to figure this out, for sure. My question is > does anyone know if either T4 or T3 specifically is related to hair loss? > I¹d start bumping that one up first, if there is a solid answer on this. > She is on 200mcg synthroid and 25 cytomel right now. Someone had suggested > that synthroid itself may be the problem, since their hairloss diminished > when they switched to levothyroid. This hair loss coordinates with the > timing of adding the anticonvulsant, so I have a feeling it¹s connected to > the drop in T levels. But which one? I can¹t find an answer. > > christine > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 15, 2012 Report Share Posted March 15, 2012 Yes, iron is good, all other numbers are good, she takes 12.5 iodine, is supplemented for est/prog. She is taking an anticonvulsant due to seizures as a result of brain injury (injury also impacted pituitary, hence all the hormonal supplementation for a 23 year old.) The only odd lab is thyroid related. She’s on 200mcg synthroid and 20mcg cytomel. She is extremely sensitive to increases of T3, as I’ve understood those with brain injury are. Might just need to increase that t4. Her hair has been on massive fall-out now for weeks. Awful. Quote Link to comment Share on other sites More sharing options...
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