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> I did ask him if there could be a problem with me utilizing the

> thyroid hormone at the cellular level...he laughed at me and

> said, " no, I really doubt that! " The tone was, " you just stick to

> being a lowly accountant and let me be the doctor here! "

Hmmmm. Sounds so much like typical Psychogenic Insecure Doctoritis. Or

maybe Doctor Suspecting Patient of Having Intelligentitis Syndrome. One of

the symptoms is that the doctor must cover over the fact his patient may

very well know more than he/she does about her/his own disease. Therefore,

he/she must gloss this over, out of embarrassment to the profession.

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One thing that hasn't been brought up here, I notice, in all our discussions

about B12 shortage, is that B12 should always be taken " in sync " with Folic

Acid. Both of these support each other, and should be taken in balance.

When I initially thought that I had a B12 shortage, I also ran the Red Blood

Cell Folate and the Folic Acid serum test, yet, I won't take one without the

other, and the B12 always in sublingual form, just to be sure that the B12

serum wasn't a fluky test. I now know that the Methylmalonic Acid Urine

test is THE best test for B12 shortage. I have not had that test, but I

still suspect that I was/am also short in that. I have never heard anyone

on these sites say that they had this test.

Re: New Result

> Kate, are you on a prescription B12 or OTC? A couple of months he

> did give me a B12 shot, and I felt great for about 2 days, then

> crashed again. He gave me an rx for monthly B12 injections (I work

> at a clinic so cheaper for me to get them and have the injections

> done at work than pay for an office visit), but as it only seemed to

> last a couple of days, I haven't had another one.

>

> It seems everything we try makes me feel alot better for 2 days, then

> I hit bottom again.

>

> My ferritin was good...it was something like 145.

>

> I'm afraid it's time to move on...one comment he made today keeps

> sticking in my head...that he really looks at the TSH, and he knows

> sometimes it must be suppressed, but he doesn't like to see it get

> below 1, and when it gets close to zero, like mine, it indicates

> there's plenty of thyroid hormone in my system...he concluded that

> sentence by saying the TSH level is the most important and tells more

> about what's going on with the thyroid.

>

> I bit my tongue...I do need him to keep writing my rx until I find

> someone else! My mama always told me, " don't burn your bridges! "

>

> Niki

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,

Thank you, thank you, thank you! I just smiled for the first time in

days! I'm in the middle of this move, have been going non-stop for

days, and feel like a truck ran over me a few zillion times and all I

really wanna do is set my stuff on fire and go find a place to sleep

for about 3 weeks. I really needed a chuckle right now!!!

Niki

> > I did ask him if there could be a problem with me utilizing the

> > thyroid hormone at the cellular level...he laughed at me and

> > said, " no, I really doubt that! " The tone was, " you just stick to

> > being a lowly accountant and let me be the doctor here! "

>

>

> Hmmmm. Sounds so much like typical Psychogenic Insecure

Doctoritis. Or

> maybe Doctor Suspecting Patient of Having Intelligentitis

Syndrome. One of

> the symptoms is that the doctor must cover over the fact his

patient may

> very well know more than he/she does about her/his own disease.

Therefore,

> he/she must gloss this over, out of embarrassment to the profession.

>

>

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oh, niki! i am sorry to hear this. i know how

frustrating it can be.

i am so lucky, because i just got my latest labs back,

and my TSH is below range, while my FT3 is above range

(at noon), but dr. manzanero isn't changing anything

about my thryoid dose yet, and in fact, told me to

keep upping, since i still have tons of hypo symptoms

and no hyper symptoms.

if you are able to niki, maybe you can come see dr. m?

good luck!

rachel.

--- Niki wrote:

> I just got my latest bloodwork back, and I'm feeling

> discouraged.

>

> TSH .1

> ft3 3.2 (2.3-4.2)

> ft4 1.4 (.73-1.95)

>

> The reason I'm discouraged is I still feel like

> hell, but Dr. Ozan

> thinks these labs look great. He acknowledges my

> ft4 is just over the

> halfway mark and my ft3 is still right below the

> halfway mark, but

> stated he really feels the TSH is more important,

> and at .1, its as low

> as he's comfortable with(I'm Hashi's/hypo). I'm on

> 1.5 grains Armour

> right now, and he said he'll go ahead and let me

> increase to 2 grains

> and see if I feel better, but that will be the max,

> and if my TSH goes

> any lower, he'll want me to back off the Armour. (I

> actually increased

> to 2 grains last week after my labs were done, and

> as usual, felt good

> for 2 days, then crashed again and feel like crap!)

>

> He says my labs look good enough to him, and he

> feels if I still feel

> bad, it must not be thyroid. My a.m. cortisol was

> at the very top of

> the lab range and he put me on a cortisol blocker,

> and this a.m.

> cortisol was the same level, so he said to stop the

> cortisol blocker,

> as it's not helping, but he doesn't think I have

> adrenal problems,

> either.

>

> He started me on bio-cream about 6 weeks ago, and

> said I should feel

> better after about 2 weeks on that, but no dice.

> Now I'm not even sure

> I should still be using that!

>

> I told him SOMETHING isn't right if I still feel

> like complete hell,

> and he just sidestepped the question...I could be

> overreacting because

> it was a telephone conversation, but I started

> hearing that tone of

> voice...you know, the one docs use when they think

> nothing is wrong

> with you and you're just a big whiner!

>

> Anyway, someone recently asked how Ozan feels about

> suppressed

> TSH...guess now we know!

>

> So what now???

>

> Niki

>

>

>

>

>

>

>

>

____________________________________________________

Sell on Yahoo! Auctions – no fees. Bid on great items.

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There is a cure for PID (Psychogenic Insecure Doctoritis). . . . .Yes, it is the Schwarzenegger Cranio-Rectal Extraction Procedure! If that fails, then there is the Radical Doctorectomy. Both operations are most successful if they are done without anesthesia. . . .If the doc complains about the pain, tell him, "It's all in your head." wrote:

> I did ask him if there could be a problem with me utilizing the> thyroid hormone at the cellular level...he laughed at me and> said, "no, I really doubt that!" The tone was, "you just stick to> being a lowly accountant and let me be the doctor here!"Hmmmm. Sounds so much like typical Psychogenic Insecure Doctoritis. Ormaybe Doctor Suspecting Patient of Having Intelligentitis Syndrome. One ofthe symptoms is that the doctor must cover over the fact his patient mayvery well know more than he/she does about her/his own disease. Therefore,he/she must gloss this over, out of embarrassment to the profession.

Sell on Yahoo! Auctions - No fees. Bid on great items.

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:

The only type of testing I ever had was by an endo who did a 24 hour

urine for cortisol. First it came out a little high and he wanted

me to go for an MRI to see if I had Cushing's. That freaked me out

because you can't MRI a pituitary gland in an open MRI and I have

severe claustrophobia. So when I was reading about Cushing's I

discovered that stress can raise cortisol levels and I was under A

LOT of family stress at the time of the test. So I asked the endo

to repeat it after things had calmed down. The second test came

out okay.

Dr. Ozan is doing a whole bunch of stuff on me in the next few

weeks. I haven't asked him specifically for adrenal testing, I'll

wait and see what he puts on the lab req and if he doesn't include

it I'll request it from him. Or, if he won't (though I don't

usually have a problem with that with him), I'll do one of those on-

line lab deals with Quest.

Janet

Janet

> Janet

>

> I know I'm answering this several days late, but, I must say that

what you

> have experienced sounds much more like adrenal fatigue, waxing and

waning,

> to me. " Stress " and " in bed for a week " are very key words in this

> scenario. Forgive me, my memory isn't working right, but have you

had

> testing for this. Wish I could.

>

>

>

> Re: New Result

>

>

> > Hi, Niki:

> >

> > Just curious, why do you want your TSH so close to " 0 " ? I'm just

> > asking because, for myself, if I go too below 1 or too close to

2, I

> > become symptomatic. I thought that a very low TSH was indicated

for

> > thyroid cancer or certain antibodies (? I can't get a handle on

all

> > this scientific stuff myself.)

> >

> > I was at 0.3 not to long ago and he said that was fine with Ft4

> > of 1.5 but I asked for a decrease in my meds because I was told

(by

> > another doctor long ago) to keep my TSH where it had always been

> > before TD, which averaged 1.5 for as far back as I could obtain

past

> > labs. I got the decrease, but I think I should have left things

> > where they were because now I feel undermedicated again. I'm due

> > for more labs to figure this out.

> >

> > I had been hyperthyroid to the point of serious catastrophe

before I

> > had finally been diagnosed and had RAI. So I guess I tend to

get a

> > little nervous when I see my TSH drop too much lower than 1 with

my

> > Ft4 edging up to the high end.

> >

> > I do look at TSH more for myself because it has been, for me, the

> > best indicator. On the other hand, Ozan was looking more at my

Ft4.

> > I keep the Free T's in mind, but they don't change consistently

with

> > the TSH. In other words, my TSH can go from one end of the range

to

> > another and my Free T's will not vary that much. I only know

how I

> > feel and compare that to the TSH, and this has been a pretty

> > consistent guage for me.

> >

> > I have found, also, that even when all my levels are good, when

my I

> > get overwhelmed with stressors, like my son going to jail or my

Dad

> > killing himself, or even final exams or moving, I develop the

same

> > symptoms that I have always associated with being either hyper-

or

> > hypo-thyroid.

> >

> > I'm not defending Ozan or questioning your judgement. I am

> > seriously confused by all this thyroid stuff and wonder why what

> > works for one does not work for another. You could probably put

10

> > women in a room with the exact same labs and same disease, but

> > everyone would be in a different place. I suspect female

hormones

> > and environmental factors are what makes us all so different.

> >

> > I hope the stresses from your move pass soon. Been there, done

that

> > a couple of years ago. Had me in bed for a week once it was all

> > over.

> >

> > God Bless!

> > Janet

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Hey !

What level of thyroid meds are you taking these days?

Best--

Courtenay.

--- Slack wrote:

i am so lucky, because i just got my latest labs back,

and my TSH is below range, while my FT3 is above range

(at noon), but dr. manzanero isn't changing anything

about my thryoid dose yet, and in fact, told me to

keep upping, since i still have tons of hypo symptoms

and no hyper symptoms.

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Ok, the deal there is that, in order for a person's cortisol to go caput, it

was running on high speed at one time, trying to make up for all the stress

and/or low thyroid. Sometimes it's the low thyroid that comes first,

sometimes it's the crashed cortisol that comes first. In any event, those

adrenals will run on high speed to try to make up for the energy that the

thyroid is not providing or will just get flat tuckered out from high

ongoing emotional stressors of any kind, changes in one's life that are just

too much to take, etc......This same thing has happened to a whole bunch of

us low thyroiders. The endocrine axis is so intimately knit together, that

you " can't have one without the other " .

Re: New Result

> :

>

> The only type of testing I ever had was by an endo who did a 24 hour

> urine for cortisol. First it came out a little high and he wanted

> me to go for an MRI to see if I had Cushing's. That freaked me out

> because you can't MRI a pituitary gland in an open MRI and I have

> severe claustrophobia. So when I was reading about Cushing's I

> discovered that stress can raise cortisol levels and I was under A

> LOT of family stress at the time of the test. So I asked the endo

> to repeat it after things had calmed down. The second test came

> out okay.

>

> Dr. Ozan is doing a whole bunch of stuff on me in the next few

> weeks. I haven't asked him specifically for adrenal testing, I'll

> wait and see what he puts on the lab req and if he doesn't include

> it I'll request it from him. Or, if he won't (though I don't

> usually have a problem with that with him), I'll do one of those on-

> line lab deals with Quest.

>

> Janet

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And give him/her a Prozac, haha! And this is all done without Preparation H.

Re: Re: New Result

There is a cure for PID (Psychogenic Insecure Doctoritis). . . . .Yes, it is the Schwarzenegger Cranio-Rectal Extraction Procedure! If that fails, then there is the Radical Doctorectomy. Both operations are most successful if they are done without anesthesia. . . .If the doc complains about the pain, tell him, "It's all in your head."

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