Re: Re: Moving to Dallas - Doctor Recommendations

July 18, 2012

Thanks for sharing that B…it seems wise to start with one supplement at a time, to see if you respond to it…But no one likes pressure…and we have the choice to say, “thanks for the info…I will take some time to make my decision”…they can always ship it, I would hope…for the out of town patients.I have to really practice saying no when I am being pressured…I had no idea they were doing that now… From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of Sent: Tuesday, July 17, 2012 7:37 PMTo: Texas_Thyroid_Groups Subject: Re: Moving to Dallas - Doctor Recommendations I usually get reimbursed 70% *after* the deductible for the year is met - I have United Healthcare. It generally takes a couple weeks to get reimbursed. As someone else noted, Dr. Spurlock will use whatever lab that your insurance requires. For me, it's Labcorp. While he has a Quest lab in the office, he has no problem with my choosing to use Labcorp since I live in FM and it's best to get labwork done in the morning *before* you take anything. No way could I drive to Dallas before taking my thyroid. I have a hard enough time navigating from the bedroom to the kitchen in the morning. B. --I will add one note about Dr. Spurlock's practice that folks that are considering becoming new patients should be aware of. There is now someone in the office that is pushing supplements. They use a Pharmanex device like one that was used on Dr. Oz to test anti-oxidants and then they recommend supplements. I did buy a supplement for my oldest at one appt. that is good for energy and adrenals and it is working for him, so I will likely continue that unless I can find a product that has identical ingredients. I also bought a Metagenics product at my most recent appt that is supportive of the liver detox. Even with that, she was still wanting me to consider other supplements. They are expensive but I know they are high quality and they are competitively priced. However, I don't like the pressure (even my sons noticed). > > > > > **> > >> > >> > > Hello I am moving back to Dallas next week after having been away for over> > > a decade and I need doctor recommendations. Someone on another board> > > recommended this group. I looked through the database but some of the> > > doctors that intrigued me didn't look like they accepted insurance. Here is> > > what I am looking for in a doctor:> > >> > > I would love to see a holistic doctor with a real medical degree that> > > specializes in thyroid issues and who accepts insurance (and I'm not> > > talking about coughing the money up front and we'll give you the codes to> > > give your insurance company and then you hope to god they reimburse you). I> > > would love someone who looks into exploring other things like adrenal> > > fatigue.> > >> > > However, any doctor with a good track record of working with the patient> > > or even one who is willing to perscribe natural thyroid (though I am still> > > hesitant to try that) would be great. Also, do they ever go out of just> > > looking at the thyroid and seeing if you may have any other co-morbid> > > conditions due to the hashimoto's?> > >> > > I also want to give my background because I have been dealing with> > > hypothyroid/hashimoto's for a long time but it is long and if you have> > > doctor recommendations but don't want to read it - that is fine.> > >> > > *****> > >> > > I am 36 and Hashimoto's runs heavily in my mother's family. She has it> > > too. She always pushed to get me tested and I came up low thyroid at 21. I> > > took synthroid on and off (more off then on due to no insurance and just> > > not really caring) during my 20's. I went back on briefly when I got> > > pregnant with my oldest son at 27. I have consistantly been taking> > > synthroid for the last 5 year.> > >> > > I also pushed to get on cytomel which I have been taking (in addition to> > > the synthroid) for about a year (though I don't think the doc actually> > > tests for free T3 he just reluctantly gave me the script because I pushed> > > for it).> > >> > > Also I just had my youngest son in May 2011 and I think pregnancy made my> > > immune system go haywire. I have been having consistent eczema in between> > > two of my fingers and I have never had eczema before in my life (eczema is> > > an allergic reaction due to an over enthusiastic immune system right?).> > >> > > Anyway - the last five years I've been on synthroid I am still sluggish,> > > still tired, and outside of work I have a hard time getting the motiviation> > > to do anything. Even during work my concentration and focus has been so bad> > > since I had youngest. The last endo I saw (no longer seeing him - getting> > > the scripts from a GP) told me since the numbers are right it can't be the> > > thyroid so I should see someone about depression - only I'm not depressed> > > (this was pre-pregnancy so it wasn't that he suspected PPD).> > >> > > Also, since I have been on and off thyroid medications I can honestly say> > > I notice no difference between when I'm on or off. I feel no different. My> > > mom always asks me if I feel better and I can honestly say I feel the same> > > either way.> > >> > > Some other things - I never had the hair falling out or> > > fertility/miscarriage problems associated with low thyroid. I do have the> > > weight gain problem and after my most recent pregnancy my appetite went out> > > of control - I was hungry all the time. It is temproarily being controlled> > > by phentermine so I can lose weight.> > >> > > My point with the rambling background is that I want someone to look at> > > the whole of the history and not just do bloodwork to see if my numbers> > > fall in a normal range. I've seen lots of endos and GP's about this over> > > the years and it is always the same - stick a needle in see if the numbers> > > are right and that is it.> > >> > > > > >> >>

July 18, 2012

May I ask if he is on T3 and what dose? Dr. Spurlock mentioned that he might add T4 into my T3…I can’t take a lot of T3…I don’t ever take more than 25mcg a day,s ometimes less…that stuff is strong! Does anyone have any advice as to what adding the T4 will do, and what brand of T4 is it?Thank you, From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of Sent: Wednesday, July 18, 2012 1:09 PMTo: Texas_Thyroid_Groups Subject: Re: Moving to Dallas - Doctor Recommendations Yeah, I'm curious to see the experiences of others in this regard. They will setup regular shipments (and you do get a good discount in that case). So, I may do that for my son once he goes back to college. But, I need to first make sure he will continue to use the supplements. Fortunately, he is doing very well taking his thyroid after going off (for a third time). Finally, he acknowledges that it really does help. B. > > > > > > > **> > > >> > > >> > > > Hello I am moving back to Dallas next week after having been away for> over> > > > a decade and I need doctor recommendations. Someone on another board> > > > recommended this group. I looked through the database but some of the> > > > doctors that intrigued me didn't look like they accepted insurance.> Here is> > > > what I am looking for in a doctor:> > > >> > > > I would love to see a holistic doctor with a real medical degree that> > > > specializes in thyroid issues and who accepts insurance (and I'm not> > > > talking about coughing the money up front and we'll give you the codes> to> > > > give your insurance company and then you hope to god they reimburse> you). I> > > > would love someone who looks into exploring other things like adrenal> > > > fatigue.> > > >> > > > However, any doctor with a good track record of working with the> patient> > > > or even one who is willing to perscribe natural thyroid (though I am> still> > > > hesitant to try that) would be great. Also, do they ever go out of> just> > > > looking at the thyroid and seeing if you may have any other co-morbid> > > > conditions due to the hashimoto's?> > > >> > > > I also want to give my background because I have been dealing with> > > > hypothyroid/hashimoto's for a long time but it is long and if you have> > > > doctor recommendations but don't want to read it - that is fine.> > > >> > > > *****> > > >> > > > I am 36 and Hashimoto's runs heavily in my mother's family. She has it> > > > too. She always pushed to get me tested and I came up low thyroid at> 21. I> > > > took synthroid on and off (more off then on due to no insurance and> just> > > > not really caring) during my 20's. I went back on briefly when I got> > > > pregnant with my oldest son at 27. I have consistantly been taking> > > > synthroid for the last 5 year.> > > >> > > > I also pushed to get on cytomel which I have been taking (in addition> to> > > > the synthroid) for about a year (though I don't think the doc actually> > > > tests for free T3 he just reluctantly gave me the script because I> pushed> > > > for it).> > > >> > > > Also I just had my youngest son in May 2011 and I think pregnancy made> my> > > > immune system go haywire. I have been having consistent eczema in> between> > > > two of my fingers and I have never had eczema before in my life> (eczema is> > > > an allergic reaction due to an over enthusiastic immune system> right?).> > > >> > > > Anyway - the last five years I've been on synthroid I am still> sluggish,> > > > still tired, and outside of work I have a hard time getting the> motiviation> > > > to do anything. Even during work my concentration and focus has been> so bad> > > > since I had youngest. The last endo I saw (no longer seeing him -> getting> > > > the scripts from a GP) told me since the numbers are right it can't be> the> > > > thyroid so I should see someone about depression - only I'm not> depressed> > > > (this was pre-pregnancy so it wasn't that he suspected PPD).> > > >> > > > Also, since I have been on and off thyroid medications I can honestly> say> > > > I notice no difference between when I'm on or off. I feel no> different. My> > > > mom always asks me if I feel better and I can honestly say I feel the> same> > > > either way.> > > >> > > > Some other things - I never had the hair falling out or> > > > fertility/miscarriage problems associated with low thyroid. I do have> the> > > > weight gain problem and after my most recent pregnancy my appetite> went out> > > > of control - I was hungry all the time. It is temproarily being> controlled> > > > by phentermine so I can lose weight.> > > >> > > > My point with the rambling background is that I want someone to look> at> > > > the whole of the history and not just do bloodwork to see if my> numbers> > > > fall in a normal range. I've seen lots of endos and GP's about this> over> > > > the years and it is always the same - stick a needle in see if the> numbers> > > > are right and that is it.> > > >> > > > > > > >> > >> >>

July 19, 2012

My older son is on a compounded T4/T3 as that was what his previous doc had him on and he seemed to be doing well with it - just seemed to need an increase. Right now is on around 100 T4 and 25 T3, but will increase a tad shortly. My younger son (16) takes only compounded T3 - he was at 87.5 and is moving up to 100 (as he's grown and still seems a bit fatigued).

I find that T4 helps with the brain fog and focus tremendously. There is debate as to whether T3 crosses the blood/brain barrier. If it doesn't then you need T4 so you get some T3 in the brain due to the conversion of T4->T3. For me, increases in T3 have the biggest impact on energy.

Everyone is different as to how much T3 they can tolerate. I take *alot* but I believe very little of it is actually usable as toxins interfere with the processing. If you have a lot of toxins (like I do) then liver function can be impaired and since the majority of the T4 -> T3 conversion happens in the liver, then your body is basically doing nothing with most of the T4 and you also aren't getting any T3.

I have not found a big difference in the T4 brands. I have switched between Levoxyl and Levothroid and not noticed any difference. I get the 50 mcg tablets as those don't contain dyes. It's the same for all brands - they have (the same) different colors for each of the dosages.

B.

May I ask if he is on T3 and what dose? Dr. Spurlock mentioned that he might add T4 into my T3…I can’t take a lot of T3…

I don’t ever take more than 25mcg a day,s ometimes less…that stuff is strong! Does anyone have any advice as to what adding the T4 will do, and what brand of T4 is it?

Thank you,

From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of

Sent: Wednesday, July 18, 2012 1:09 PMTo: Texas_Thyroid_Groups Subject: Re: Moving to Dallas - Doctor Recommendations

Yeah, I'm curious to see the experiences of others in this regard. They will setup regular shipments (and you do get a good discount in that case). So, I may do that for my son once he goes back to college. But, I need to first make sure he will continue to use the supplements. Fortunately, he is doing very well taking his thyroid after going off (for a third time). Finally, he acknowledges that it really does help.

B.

> > > > > > > **> > > >> > > >> > > > Hello I am moving back to Dallas next week after having been away for> over> > > > a decade and I need doctor recommendations. Someone on another board

> > > > recommended this group. I looked through the database but some of the> > > > doctors that intrigued me didn't look like they accepted insurance.> Here is> > > > what I am looking for in a doctor:

> > > >> > > > I would love to see a holistic doctor with a real medical degree that> > > > specializes in thyroid issues and who accepts insurance (and I'm not> > > > talking about coughing the money up front and we'll give you the codes

> to> > > > give your insurance company and then you hope to god they reimburse> you). I> > > > would love someone who looks into exploring other things like adrenal> > > > fatigue.

> > > >> > > > However, any doctor with a good track record of working with the> patient> > > > or even one who is willing to perscribe natural thyroid (though I am> still

> > > > hesitant to try that) would be great. Also, do they ever go out of> just> > > > looking at the thyroid and seeing if you may have any other co-morbid> > > > conditions due to the hashimoto's?

> > > >> > > > I also want to give my background because I have been dealing with> > > > hypothyroid/hashimoto's for a long time but it is long and if you have> > > > doctor recommendations but don't want to read it - that is fine.

> > > >> > > > *****> > > >> > > > I am 36 and Hashimoto's runs heavily in my mother's family. She has it> > > > too. She always pushed to get me tested and I came up low thyroid at

> 21. I> > > > took synthroid on and off (more off then on due to no insurance and> just> > > > not really caring) during my 20's. I went back on briefly when I got> > > > pregnant with my oldest son at 27. I have consistantly been taking

> > > > synthroid for the last 5 year.> > > >> > > > I also pushed to get on cytomel which I have been taking (in addition> to> > > > the synthroid) for about a year (though I don't think the doc actually

> > > > tests for free T3 he just reluctantly gave me the script because I> pushed> > > > for it).> > > >> > > > Also I just had my youngest son in May 2011 and I think pregnancy made

> my> > > > immune system go haywire. I have been having consistent eczema in> between> > > > two of my fingers and I have never had eczema before in my life> (eczema is

> > > > an allergic reaction due to an over enthusiastic immune system> right?).> > > >> > > > Anyway - the last five years I've been on synthroid I am still> sluggish,

> > > > still tired, and outside of work I have a hard time getting the> motiviation> > > > to do anything. Even during work my concentration and focus has been> so bad> > > > since I had youngest. The last endo I saw (no longer seeing him -

> getting> > > > the scripts from a GP) told me since the numbers are right it can't be> the> > > > thyroid so I should see someone about depression - only I'm not> depressed

> > > > (this was pre-pregnancy so it wasn't that he suspected PPD).> > > >> > > > Also, since I have been on and off thyroid medications I can honestly> say> > > > I notice no difference between when I'm on or off. I feel no

> different. My> > > > mom always asks me if I feel better and I can honestly say I feel the> same> > > > either way.> > > >> > > > Some other things - I never had the hair falling out or

> > > > fertility/miscarriage problems associated with low thyroid. I do have> the> > > > weight gain problem and after my most recent pregnancy my appetite> went out> > > > of control - I was hungry all the time. It is temproarily being

> controlled> > > > by phentermine so I can lose weight.> > > >> > > > My point with the rambling background is that I want someone to look> at> > > > the whole of the history and not just do bloodwork to see if my

> numbers> > > > fall in a normal range. I've seen lots of endos and GP's about this> over> > > > the years and it is always the same - stick a needle in see if the> numbers

> > > > are right and that is it.> > > >> > > > > > > >> > >> >>

July 19, 2012

May I ask if he is on T3 and what dose?He just started seeing him, so he is on the very smallest of doses. I was on quite a bit last summer, but I switched to taking cytomel every 3 hours throughout the day and take less. It seems to work better for me than the compound. I recently added the Armour and it has a little T3 in it as well.

Dr. Spurlock mentioned that he might add T4 into my T3…I can’t take a lot of T3…

I don’t ever take more than 25mcg a day,s ometimes less…that stuff is strong!

I take mine in divided doses because it can be strong. I haven't ever had any problems with it, though.

Does anyone have any advice as to what adding the T4 will do, and what brand of T4 is it?

I take Armour with my T3, but he did put me on Synthroid when I first tried T4 with him. I had previously tried a compounded T4/T3 and Levoxyl. I was able to tolerate none of the synthetic T4.

Susie

July 19, 2012

B,Does T4 tend to give the horrible wired and hyper feeling T3 can give? From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of Sent: Wednesday, July 18, 2012 5:52 PMTo: Texas_Thyroid_Groups Subject: Re: Re: Moving to Dallas - Doctor Recommendations My older son is on a compounded T4/T3 as that was what his previous doc had him on and he seemed to be doing well with it - just seemed to need an increase. Right now is on around 100 T4 and 25 T3, but will increase a tad shortly. My younger son (16) takes only compounded T3 - he was at 87.5 and is moving up to 100 (as he's grown and still seems a bit fatigued). I find that T4 helps with the brain fog and focus tremendously. There is debate as to whether T3 crosses the blood/brain barrier. If it doesn't then you need T4 so you get some T3 in the brain due to the conversion of T4->T3. For me, increases in T3 have the biggest impact on energy. Everyone is different as to how much T3 they can tolerate. I take *alot* but I believe very little of it is actually usable as toxins interfere with the processing. If you have a lot of toxins (like I do) then liver function can be impaired and since the majority of the T4 -> T3 conversion happens in the liver, then your body is basically doing nothing with most of the T4 and you also aren't getting any T3.I have not found a big difference in the T4 brands. I have switched between Levoxyl and Levothroid and not noticed any difference. I get the 50 mcg tablets as those don't contain dyes. It's the same for all brands - they have (the same) different colors for each of the dosages. B. May I ask if he is on T3 and what dose? Dr. Spurlock mentioned that he might add T4 into my T3…I can’t take a lot of T3…I don’t ever take more than 25mcg a day,s ometimes less…that stuff is strong! Does anyone have any advice as to what adding the T4 will do, and what brand of T4 is it?Thank you, From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of Sent: Wednesday, July 18, 2012 1:09 PMTo: Texas_Thyroid_Groups Subject: Re: Moving to Dallas - Doctor Recommendations Yeah, I'm curious to see the experiences of others in this regard. They will setup regular shipments (and you do get a good discount in that case). So, I may do that for my son once he goes back to college. But, I need to first make sure he will continue to use the supplements. Fortunately, he is doing very well taking his thyroid after going off (for a third time). Finally, he acknowledges that it really does help. B. > > > > > > > **> > > >> > > >> > > > Hello I am moving back to Dallas next week after having been away for> over> > > > a decade and I need doctor recommendations. Someone on another board> > > > recommended this group. I looked through the database but some of the> > > > doctors that intrigued me didn't look like they accepted insurance.> Here is> > > > what I am looking for in a doctor:> > > >> > > > I would love to see a holistic doctor with a real medical degree that> > > > specializes in thyroid issues and who accepts insurance (and I'm not> > > > talking about coughing the money up front and we'll give you the codes> to> > > > give your insurance company and then you hope to god they reimburse> you). I> > > > would love someone who looks into exploring other things like adrenal> > > > fatigue.> > > >> > > > However, any doctor with a good track record of working with the> patient> > > > or even one who is willing to perscribe natural thyroid (though I am> still> > > > hesitant to try that) would be great. Also, do they ever go out of> just> > > > looking at the thyroid and seeing if you may have any other co-morbid> > > > conditions due to the hashimoto's?> > > >> > > > I also want to give my background because I have been dealing with> > > > hypothyroid/hashimoto's for a long time but it is long and if you have> > > > doctor recommendations but don't want to read it - that is fine.> > > >> > > > *****> > > >> > > > I am 36 and Hashimoto's runs heavily in my mother's family. She has it> > > > too. She always pushed to get me tested and I came up low thyroid at> 21. I> > > > took synthroid on and off (more off then on due to no insurance and> just> > > > not really caring) during my 20's. I went back on briefly when I got> > > > pregnant with my oldest son at 27. I have consistantly been taking> > > > synthroid for the last 5 year.> > > >> > > > I also pushed to get on cytomel which I have been taking (in addition> to> > > > the synthroid) for about a year (though I don't think the doc actually> > > > tests for free T3 he just reluctantly gave me the script because I> pushed> > > > for it).> > > >> > > > Also I just had my youngest son in May 2011 and I think pregnancy made> my> > > > immune system go haywire. I have been having consistent eczema in> between> > > > two of my fingers and I have never had eczema before in my life> (eczema is> > > > an allergic reaction due to an over enthusiastic immune system> right?).> > > >> > > > Anyway - the last five years I've been on synthroid I am still> sluggish,> > > > still tired, and outside of work I have a hard time getting the> motiviation> > > > to do anything. Even during work my concentration and focus has been> so bad> > > > since I had youngest. The last endo I saw (no longer seeing him -> getting> > > > the scripts from a GP) told me since the numbers are right it can't be> the> > > > thyroid so I should see someone about depression - only I'm not> depressed> > > > (this was pre-pregnancy so it wasn't that he suspected PPD).> > > >> > > > Also, since I have been on and off thyroid medications I can honestly> say> > > > I notice no difference between when I'm on or off. I feel no> different. My> > > > mom always asks me if I feel better and I can honestly say I feel the> same> > > > either way.> > > >> > > > Some other things - I never had the hair falling out or> > > > fertility/miscarriage problems associated with low thyroid. I do have> the> > > > weight gain problem and after my most recent pregnancy my appetite> went out> > > > of control - I was hungry all the time. It is temproarily being> controlled> > > > by phentermine so I can lose weight.> > > >> > > > My point with the rambling background is that I want someone to look> at> > > > the whole of the history and not just do bloodwork to see if my> numbers> > > > fall in a normal range. I've seen lots of endos and GP's about this> over> > > > the years and it is always the same - stick a needle in see if the> numbers> > > > are right and that is it.> > > >> > > > > > > >> > >> >>

July 19, 2012

Yes, the autoimmune thyroid problems are genetic. When I found out I had issues, I asked my mother. She told me she had been diagnosed at 19 and took medication for a year and then stopped. She has *many* hypo symptoms. I grew up thinking she was a hypochondriac because she was always feeling unwell and *always* had to have an afternoon nap. A trip to the grocery store wipes her out, etc.

My oldest son was extremely lethargic, so I knew he had problems. My younger son really didn't but due to my problems, the doctor decided to test anyways. My oldest did not have antibodies but a sonogram showed dozens of small nodules and his TSH was around 3. He started on Armour and his TSH actually went up to 5 before it dropped. My youngest had antibodies and a very striated thyroid (which is not good as it's more common to be associated with thyroid cancer especially in boys who have issues in their teens). His labs have always been quite odd. I found this extremely interesting article when my doctor suggested I search on articles about low iron (we all had very low ferritin) and h pylori (bacteria that causes ulcers).

http://www.ncbi.nlm.nih.gov/pubmed/16263823The theory was that we had low ferritin as the h pylori (and other infections) can consume your iron stores.

The article is actually focusing on children who have autoimmune thyroid disease and also have h. pylori with a specific genotype (which my sons and I have). The theory they suggest is that the h. pylori might be the trigger for the autoimmune thyroid disease if you have this particular gene. The interesting thing is the gene they refer to is one that always is associated with the main celiac gene (DQ2). One of the theories of celiac is that it can be triggered by an infection. I will note that I noticed a big difference after I was treated for the H. Pylori (a combo of Doxycyline and Flagyl).

Actually, there's quite a few interesting articles on Helicobacter pylori Infection and Autoimmune disease in pubmed. You should read Mark Starr's book - Hypothyroidism Type 2. He discusses why so many of us are hypo and the genetic correlation. It also has to do with the fact that those that are hypo tend to not have good immune systems, thus we get infections often. Thus, the people that were hypo before abx died. After abx, folks that were hypo could recover from infections and go on and have children (who have children....), etc. There's also the environmental correlation.

B.

I'm on 25 T3 (the generic of cytomel after pushing my GP to prescribe it) and 100 T4. I take it thyroid problems run heavily in your family. My mother's family is rife with hashi sufferers. When did you get your son's tested and did they come up hypo or just elevated antibodies?

The reason I ask is I came up hypo at 21 but have no idea what levels my antibodies were at. In fact I didn't even know it was officially hashi's until 4 years ago when the endo told me and showed me the bloodwork. Up until then I just figured it was a bad thyroid or something. My mother doesn't officially know she has hashi's (or her family for that matter) but I put 2 and 2 together and figure that is what it is.

If I have luck with Dr. Spurlock, I'm going to recommend him to my mother.

>

> > **

> >

> > May I ask if he is on T3 and what dose? Dr. Spurlock mentioned that he

> > might add T4 into my T3…I can't take a lot of T3…****

> >

> > I don't ever take more than 25mcg a day,s ometimes less…that stuff is

> > strong! ****

> >

> > Does anyone have any advice as to what adding the T4 will do, and what

> > brand of T4 is it?****

> >

> > Thank you,****

> >

> > ****

> >

> > ** **

July 19, 2012

No. I would say that the T4 has a calming effect on me if anything. I think that has to do with the impact on the brain. Now, I am probably an extreme case as I have a lot of toxins that I've been working for years to get rid of, but I am a very poor detoxifier but a really good collector of toxins. And, the toxins tend to have the most impact on the brain because they collect in your body fat and our brains are mostly comprised of fat.

B.

B,Does T4 tend to give the horrible wired and hyper feeling T3 can give?

From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of

Sent: Wednesday, July 18, 2012 5:52 PMTo: Texas_Thyroid_Groups Subject: Re: Re: Moving to Dallas - Doctor Recommendations

My older son is on a compounded T4/T3 as that was what his previous doc had him on and he seemed to be doing well with it - just seemed to need an increase. Right now is on around 100 T4 and 25 T3, but will increase a tad shortly. My younger son (16) takes only compounded T3 - he was at 87.5 and is moving up to 100 (as he's grown and still seems a bit fatigued).

I find that T4 helps with the brain fog and focus tremendously. There is debate as to whether T3 crosses the blood/brain barrier. If it doesn't then you need T4 so you get some T3 in the brain due to the conversion of T4->T3. For me, increases in T3 have the biggest impact on energy.

Everyone is different as to how much T3 they can tolerate. I take *alot* but I believe very little of it is actually usable as toxins interfere with the processing. If you have a lot of toxins (like I do) then liver function can be impaired and since the majority of the T4 -> T3 conversion happens in the liver, then your body is basically doing nothing with most of the T4 and you also aren't getting any T3.

I have not found a big difference in the T4 brands. I have switched between Levoxyl and Levothroid and not noticed any difference. I get the 50 mcg tablets as those don't contain dyes. It's the same for all brands - they have (the same) different colors for each of the dosages.

B.

May I ask if he is on T3 and what dose? Dr. Spurlock mentioned that he might add T4 into my T3…I can’t take a lot of T3…

I don’t ever take more than 25mcg a day,s ometimes less…that stuff is strong! Does anyone have any advice as to what adding the T4 will do, and what brand of T4 is it?

Thank you,

From: Texas_Thyroid_Groups [mailto:Texas_Thyroid_Groups ] On Behalf Of

Sent: Wednesday, July 18, 2012 1:09 PMTo: Texas_Thyroid_Groups

Subject: Re: Moving to Dallas - Doctor Recommendations