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Re: Can you guys help me? (thyroid)

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Change in activity level since the stroke?

Dianne Kiyomoto, RD

================================================

> Questions I would ask:

> Were her thyroid levels rechecked after

administration of meds to check for efficacy?

> Is she on a lot of synthetic estrogen, eat a lot of

> soy, other goitrogens or estromimetic agents? (tends

to increase thyroxin binding).

>

> I had an endo tearing her hair out trying to balance

> this one person's thyroid levels: It turned out

the patient was drinking 3 soy shakes per day the week

before one of the blood draws. Because of food

sensitivities she had to d/c soy anyway, and it was

much simpler to titrate dosage of synthroid for

> her poor beleaguered and confused doc...

>

> <shrug> for what it's worth... your usual

> " dietitian to the rescue " story..

> sure you all have a ton of them, too... <have a good

> day and go get em!>

>

> I want to hear from more folks who treat thyroid

> pts...

>

> Michal Hogan, RD, LD

=================================================

> I have a patient coming to see me for weight loss.

> She has always been 120# until last year, she had a

stroke and later went on synthroid. Within a month

> or so, she gained 25 pounds. She can't think of

> anything different she has done. They did a CT scan

and it was fine. Any ideas??

>

> Collier, RD

> Shore Memorial Hospital

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