exhausted all day after taking am natural thyroid.- more energy at night

[Guest guest]

Happy Holidays all!

I am still needing help as to why I feel so tired. (Non functioning really)

Diagnosed Oct '11 Hypothyroidism TSH 3.8 (Fasting)

Started Compounded natural thyroid FELT AWESOME!!!! last about 1.5 weeks then

crashed.

Labs on 11/15: (non fasting- have taken 30 mg or 1/2 grain compound natural

thyroid for 16 days)

T3 total 99 (71-180)

TSH 1.34 (.450-4.5)

Free T4 1.10 (.82-1.77)

Doc recommends I am fine no increase and possibly just depressed- Grrr..

did my own research took ZRT saliva tests... all is well there.

DHEAS 5 (2-23)

Cortisol am 6.2 (3.7-9.5)

Cortisol Noon 2 (1.2-3.0)

Cortisol Evening .9 (.6-1.9)

Cortisol Bed .4 (.4-1.0)

New labs 12/23/11 (non-fasting)

T3 Free 3.2 (2.0-4.4)

T4 Free 1.15 (.82-1.77) - would you expect this to be higher than the last labs

run? seems like it stayed the same, I thought T4 builds in your system.

DHEA 231.4 (60.9- 337)- so lab draw is different from saliva

Thyroid Peroxidase TPO AB 11 (0-34

Antithyroglobulin AB <20 (0-40)

RT3 not back yet

Still tired, tried Armour for 3 days, literally thought I was going to die. Went

back to natural compound and felt GREAT the first day then slowly steadily

crashing. Any help or feedback would be greatly appreciated.

Dr Sheldon was aweful dismissed all my symptoms and instructed me to come off

thyroid medication that I do not have a thyroid disorder. I have to say I did

feel better not being on any medication, just a little tired...on meds I am

EXHAUSTED.

Dr Gutsmann is very kind and caring she said that even though Im only taking a

small dose that it still maybe too much for my body all at one sitting and

suggested to split the doses throughout the day.

GRRR... and the weight gain! It seems like my own metabolism did a better job.

12 pounds now in two months. (And yes I am eating usual Christmas crap, but in

the past its only a 3-4 pound increase and usually about 2 weeks to come off).

Thanks!

[Guest guest]

Your experience is quite typical for someone after they start thyroid - you feel

great for 1-2 weeks and then crash. That's because you need an increase as your

body adjusts to having some extra thyroid, it's letting you know it still needs

more. Your Free T4 is still quite low and since you didn't have Free T3 run

originally, it's hard to see if that's moved at all. Splitting doses might help

somewhat but ISTM that you are still under medicated - 30mg/.5 grain is a very

small dosage.

One question is whether you took the thyroid before they did the labs? If so,

you're numbers are likely falsely high.

Most folks find that increasing every 2-4 weeks works best till you get to an

optimal dose. You should ask your doctor about this. My son's doc has written

two separate Rxes - one that is the amount he was taking with a small increase

and then a separate one with a smaller dose that allows him to add these pills

and increase every couple weeks.

Your cortisol actually isn't in the ideal range. Many clueful docs suggest that

your cortisol should be near the upper end of the range in the morning and you

are at the bottom of the range in the evening. So, it looks to me that your body

is struggling as you drop lower in the range as the day goes by. Intolerance to

thyroid hormone is a sign of adrenal issues (even the package inserts for the

synthetics note that you should first treat adrenal issues). Also, the more

energy at night is another symptom - your body is making a last ditch effort to

get your cortisol up.

One important thing to consider is that cholesterol is what your body uses to

produce all your hormones. Many folks have bought into the cholesterol is evil

story and don't have enough healthy fats in their diet. Also, vitamin B5 is

essential for hormone production. You might ask your doctor to look at your

vitamin B levels (B12 is one that is often low as most of us have low levels of

the enzymes necessary to absorb it in the gut). You might ask the doctor about

taking a vitamin B supplement - a B50 or B100.

Good luck!

B.

>

> Happy Holidays all!

>

> I am still needing help as to why I feel so tired. (Non functioning really)

> Diagnosed Oct '11 Hypothyroidism TSH 3.8 (Fasting)

>

> Started Compounded natural thyroid FELT AWESOME!!!! last about 1.5 weeks then

crashed.

> Labs on 11/15: (non fasting- have taken 30 mg or 1/2 grain compound natural

thyroid for 16 days)

> T3 total 99 (71-180)

> TSH 1.34 (.450-4.5)

> Free T4 1.10 (.82-1.77)

>

> Doc recommends I am fine no increase and possibly just depressed- Grrr..

> did my own research took ZRT saliva tests... all is well there.

> DHEAS 5 (2-23)

> Cortisol am 6.2 (3.7-9.5)

> Cortisol Noon 2 (1.2-3.0)

> Cortisol Evening .9 (.6-1.9)

> Cortisol Bed .4 (.4-1.0)

>

> New labs 12/23/11 (non-fasting)

> T3 Free 3.2 (2.0-4.4)

> T4 Free 1.15 (.82-1.77) - would you expect this to be higher than the last

labs run? seems like it stayed the same, I thought T4 builds in your system.

> DHEA 231.4 (60.9- 337)- so lab draw is different from saliva

> Thyroid Peroxidase TPO AB 11 (0-34

> Antithyroglobulin AB <20 (0-40)

> RT3 not back yet

>

> Still tired, tried Armour for 3 days, literally thought I was going to die.

Went back to natural compound and felt GREAT the first day then slowly steadily

crashing. Any help or feedback would be greatly appreciated.

>

> Dr Sheldon was aweful dismissed all my symptoms and instructed me to come off

thyroid medication that I do not have a thyroid disorder. I have to say I did

feel better not being on any medication, just a little tired...on meds I am

EXHAUSTED.

>

> Dr Gutsmann is very kind and caring she said that even though Im only taking a

small dose that it still maybe too much for my body all at one sitting and

suggested to split the doses throughout the day.

>

> GRRR... and the weight gain! It seems like my own metabolism did a better

job. 12 pounds now in two months. (And yes I am eating usual Christmas crap,

but in the past its only a 3-4 pound increase and usually about 2 weeks to come

off).

>

> Thanks!

>

[Guest guest]

Hello and thank you for the explanation. Doctor (one who was recommended on

this site and in my opinion would give me more meds if I asked for it) stated

that I do not need an increase and actually decreased my medication to 15 mg

(1/4 grain) she thinks I am getting too much. She also thinks cortisol looks

great and has a nice and has a nice decline curve throughout thee day. I did

not take medication that day for the labs. And fasted other than coffee with

cream about 6 hrs prior.

Thanks again.

> >

> > Happy Holidays all!

> >

> > I am still needing help as to why I feel so tired. (Non functioning really)

> > Diagnosed Oct '11 Hypothyroidism TSH 3.8 (Fasting)

> >

> > Started Compounded natural thyroid FELT AWESOME!!!! last about 1.5 weeks

then crashed.

> > Labs on 11/15: (non fasting- have taken 30 mg or 1/2 grain compound natural

thyroid for 16 days)

> > T3 total 99 (71-180)

> > TSH 1.34 (.450-4.5)

> > Free T4 1.10 (.82-1.77)

> >

> > Doc recommends I am fine no increase and possibly just depressed- Grrr..

> > did my own research took ZRT saliva tests... all is well there.

> > DHEAS 5 (2-23)

> > Cortisol am 6.2 (3.7-9.5)

> > Cortisol Noon 2 (1.2-3.0)

> > Cortisol Evening .9 (.6-1.9)

> > Cortisol Bed .4 (.4-1.0)

> >

> > New labs 12/23/11 (non-fasting)

> > T3 Free 3.2 (2.0-4.4)

> > T4 Free 1.15 (.82-1.77) - would you expect this to be higher than the last

labs run? seems like it stayed the same, I thought T4 builds in your system.

> > DHEA 231.4 (60.9- 337)- so lab draw is different from saliva

> > Thyroid Peroxidase TPO AB 11 (0-34

> > Antithyroglobulin AB <20 (0-40)

> > RT3 not back yet

> >

> > Still tired, tried Armour for 3 days, literally thought I was going to die.

Went back to natural compound and felt GREAT the first day then slowly steadily

crashing. Any help or feedback would be greatly appreciated.

> >

> > Dr Sheldon was aweful dismissed all my symptoms and instructed me to come

off thyroid medication that I do not have a thyroid disorder. I have to say I

did feel better not being on any medication, just a little tired...on meds I am

EXHAUSTED.

> >

> > Dr Gutsmann is very kind and caring she said that even though Im only taking

a small dose that it still maybe too much for my body all at one sitting and

suggested to split the doses throughout the day.

> >

> > GRRR... and the weight gain! It seems like my own metabolism did a better

job. 12 pounds now in two months. (And yes I am eating usual Christmas crap,

but in the past its only a 3-4 pound increase and usually about 2 weeks to come

off).

> >

> > Thanks!

> >

>