Re: another nodule

[Guest guest]

Jan, any idea how much Synthroid would be a good amount to start adding in? Should I just start out at lowest dose? I am wondering because I may need to give dr. some guidance as to what I want to do. I upped my Armour this morning by 15 mg but won't go up again for a couple of weeks, so I don't think I will be at suppressive dose of Armour for a while (at 1 grain now).

Thanks,

Re: another nodule

To have a chance of keeping the nodules from growing, you need to be on a suppressive dose of thyroid hormone. If you cannot tolerate a suppressive dose of straight Armour at this time, then you may want to talk to the doc about adding a small amount of synthetic T4 to your Armour. Suppression will give you about a 50% chance of shrinking small nodules. Cauley <lrcauleyhouston (DOT) rr.com> wrote:

I am hypo and had a PT last December and am currently on 1 grain Armour, which I know is not enough. On Monday I am having lab work done and then will go ahead and increase my dosage. Remember, I am one of the lucky people who have to go up very slow due to side effects. I am not even going to wait on the results, just go ahead and increase by 15 mg.

I have another nodule growing on my right lobe. I have 20% left of that lobe. I am surprised that another nodule is growing this fast as my surgery was just 8 months ago. Has anyone had this happen? It is getting increasingly more painful, which is why the other nodules had to be removed. I am going to see surgeon so they can do tests but my gut is telling me to have the rest of that lobe removed so that no more nodules will grow. Or, will they just start growing on the other side?

I am so upset about this. My incision was just starting to fade. Any advice would be appreciated.

results - please help

I now have my son's free T3/T4 and TSH results. Can someone help meinterpret them? He is always tired and has dry skin. He is 6, if thatmakes a difference, and fatigue, excema and dry skin have beenproblems for about 2 years. Free T3: 3.9 (range 2.3-4.2)Free T4: .99 (.73-1.95)TSH: 2.2I thought this was strange, because at the beginning of the summer hisTSH was 2.6. I didn't expect it to change so much so fast. I am takingmy son to Dr. Manzanero tomorrow - do I have any basis for asking himto try a low dose of armour with him? We have done a lot of testing -metabolic, iron, Epstein-Barr etc - to try to figure out what iscausing the fatigue, but nothing is coming back as a problem. Thanks,> > From: Texas_ his> TSH that recently, but last time it was 2.9. He has low morning temps> (avg is around 97.4 or 97.5) and has extreme fatigue, dry skin/lips).> > My son is 6, if that makes a difference. I'm taking him to Manzanero> next week, and was hoping to have lab work to take with me - but I> don't think this is what he will want to see. > > Thanks,>

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[Guest guest]

Jan, doesn't she have to account for the T3 in the Armour. If not, I'm doing my calculations incorrectly. I'm taking 100mcg Eltroxin and 1/2 grain Armour and I'm thinking that's a total equivalent of 137mcg. I added the 100 + the 19 Armour T4 + 4X Armour T3 (4.5*4=18) for a total of 137mcg. I made a chart so that I can switch as I go on and I have 88mcg + 60mg Armour as a total equivalent of 162mcg (88+38+(4*9)). If I don't have to count the T3, then I'm not taking enough. What do you think... Judy

You probably need something close to the 125 mcg of T4 you were taking before. 60 mg of Armour has 38 mcg of T4. If you added 88 mcg of a T4 med to your 60 mg of Armour that would give you the full amount. But since you are sensitive to med increases, I would ask the doc if you can start with 50 mcg of Unithroid or Levoxyl and increase by 12.5 mcg every six weeks or so, with blood tests in between.

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[Guest guest]

She was undermedicated on the T4 med alone. Her Free T4 was just barely at midpoint and her Free T3 was very low in its range. We are not talking about equivalency charts here. They are quite frankly not very good. The apples do not always equal the oranges. She probably needs about 125 mcg of T4 to keep her Free T4 where it was. She needs to add some T3 to bring her Free T3 up. But because she is very sensitive to increases, I have suggested that she start with a much lower dose. Ultimately, she needs an increase, not an equivalent dose. Not everyone who adds T3 needs to reduce their T4 med. It all depends on their Free T3 and Free T4 tests and their tolerance for thyroid meds. You have probably already posted them, but if you would like to post your Free T3 and Free T4 on levothyroxine, we may be able to make some comment. Judy P wrote: Jan, doesn't she have to account for the T3 in the Armour. If not, I'm doing my calculations incorrectly. I'm taking 100mcg Eltroxin and 1/2 grain Armour and I'm thinking that's a total equivalent of 137mcg. I added the 100 + the 19 Armour T4 + 4X Armour T3 (4.5*4=18) for a total of 137mcg. I made a chart so that I can switch as I go on and I have 88mcg + 60mg Armour as a total equivalent of 162mcg

(88+38+(4*9)). If I don't have to count the T3, then I'm not taking enough. What do you think... Judy You probably need something close to the 125 mcg of T4 you were taking before. 60 mg of Armour has 38 mcg of T4. If you added 88 mcg of a T4 med to your 60 mg of Armour that would give you the full amount. But since you are sensitive to med increases, I would ask the doc if you can start with 50 mcg of Unithroid or Levoxyl and increase by 12.5 mcg every six weeks or so, with blood tests in between.

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[Guest guest]

Ok, I see what you're saying. I guess I did a similar thing in increasing my T3 and T4. Here are my labs and I'd love you to comment. I don't have free T3, but I did ask for it. I'll get if for sure next time.

These were done while on 100mcg T4.

TSH, 1.185 , (.350-5.50)

T4, 11.5 , (4.5-12)

T4 Free (Direct) , 1.50 , (0.61-1.76)

T3, 102 , (85-205)

Free Thyroxine Index , 3.8 , (1.2-4.9)

T3 Uptake , 33% , (24-39)

RT3 , 143 , (90-350)

TPO , <10 , (0-34)

Antithyroglobulin Ab , <20 , (0-40)

I have been taking the 100mcg Levo and 1/2 grain Armour, but I'm getting tired again, so I think I'm just going back to the Levo for now, either 125 or 150. Do you think the labs warrant a jump to 150mcg? If I'm going to be moving, it would be much easier for me to get access to that and then take another shot at the Armour when I'm settled. I'll let you know how all that pans out. Thanks in advance... Judy

You have probably already posted them, but if you would like to post your Free T3 and Free T4 on levothyroxine, we may be able to make some comment.

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[Guest guest]

Here are my sex hormone labs. What would you consider if your labs looked like this?

TF Testosterone, 24, (8-20)

Estone, 27, (26-64)

Estradiol, 9, (1-13)

Estriol, 11, (7-38)

Progesterone, 140, (5-300)

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[Guest guest]

Your Total T3 is quite low in its range. Your Free T4 direct looks good, but you do have some wiggle room to go up. Some folks will convert more of their T4 to T3 if their Free T4 is quite high in its range. Your TSH is higher than most of us would like. TSH is your pituitary gland asking for more thyroid hormone. When you move, it will be easier to get a doc to keep you on a combination protocol than to find one willing to start you on that protocol. For that reason, I would suggest that you stay with a combination of levothroxine and Armour and play with the amounts. It is very difficult to find a doc willing to prescribe a combination. If you are feeling undermedicated, I would suggest you ask the doc about increasing the Armour to 60 mg and keeping the 100 mcg of the Eltroxin. That will give you 138 mcg of T4 and 9 mcg of T3. Judy P wrote: Ok, I see what you're saying. I guess I did a similar thing in increasing my T3 and T4. Here are my labs and I'd love you to comment. I don't have free T3, but I did ask for it. I'll get if for sure next time. These were done while on 100mcg

T4. TSH, 1.185 , (.350-5.50) T4, 11.5 , (4.5-12) T4 Free (Direct) , 1.50 , (0.61-1.76) T3, 102 , (85-205) Free Thyroxine Index , 3.8 , (1.2-4.9) T3 Uptake , 33% , (24-39) RT3 , 143 , (90-350) TPO , <10 , (0-34) Antithyroglobulin Ab , <20 , (0-40) I have been taking the 100mcg Levo and 1/2 grain Armour, but I'm getting tired again, so I think I'm just going back to the Levo for now, either 125 or 150. Do you think the labs warrant a jump to 150mcg? If I'm going to be moving, it would be much easier for me to get access to that and then take another shot at the Armour when I'm settled. I'll let you know how all that pans out. Thanks in advance... Judy You have probably already posted them, but if you would like to post your Free T3 and Free T4 on levothyroxine, we may be able to make some comment. How low will we go? Check out Yahoo! Messenger’s low PC-to-Phone call rates.

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Your testosterone looks good. Slightly over range is a good thing.You could probably use a little bit of estrogen. Do you have any symptoms of low estrogen? Stress incontinence? Judy P wrote: Here are my sex hormone labs. What would you consider if your labs looked like this? TF Testosterone, 24, (8-20) Estone, 27,

(26-64) Estradiol, 9, (1-13) Estriol, 11, (7-38) Progesterone, 140, (5-300) Stay in the know. Pulse on the new Yahoo.com. Check it out.

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[Guest guest]

While we're on a roll, how about these ones... Judy

(Taken around 10:00AM)

Cortisol AM , 12.2 , (4.3-22.4)

DHEA Sulfate , 105 , (26-200)

Free DHEA + DHEA-S Pool, 6, (3-10)

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[Guest guest]

Cortisol levels are best taken at 8 am. That is what that particular range is for. But I would say you might benefit from treatment. Judy P wrote: While we're on a roll, how about these ones... Judy (Taken around 10:00AM) Cortisol AM , 12.2 , (4.3-22.4) DHEA Sulfate , 105 , (26-200) Free DHEA + DHEA-S Pool, 6, (3-10)

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[Guest guest]

Although it was 10am, in my opinion, I think your Am Cortisol is low. I

haven't studied DHEA enough to comment.

Kate

At 09:39 AM 8/30/2006, you wrote:

>While we're on a roll, how about these ones... Judy

>

>(Taken around 10:00AM)

>

>Cortisol AM , 12.2 , (4.3-22.4)

>

>DHEA Sulfate , 105 , (26-200)

>

>Free DHEA + DHEA-S Pool, 6, (3-10)

[Guest guest]

I think so too. I'm going to ask the doc about it. I just found a direct connection between adrenal insufficiency and hypoglycemia which I've suffered silently with for about 12 years now. Above everything else, if I could get relief from that, my life would change dramatically. Thanks for the input... Judy

Although it was 10am, in my opinion, I think your Am Cortisol is low. I haven't studied DHEA enough to comment.

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[Guest guest]

There is a connection! You need to get that taken care of. It helped my

life 100%.

Kate G

At 08:49 AM 9/1/2006, you wrote:

>I think so too. I'm going to ask the doc about it. I just found a direct

>connection between adrenal insufficiency and hypoglycemia which I've

>suffered silently with for about 12 years now. Above everything else, if

>I could get relief from that, my life would change dramatically. Thanks

>for the input... Judy

>

>----------

>Although it was 10am, in my opinion, I think your Am Cortisol is low. I

>haven't studied DHEA enough to comment.

[Guest guest]

Hi Sara, it was nice meeting you too. If I'm around for the next one, I'd love to chat with you more. I'm going to focus on the adrenals I think for the low blood sugar. I don't eat any refined or processed foods and absolutely no sugar. I do put a couple drops of stevia in a decaf coffee once in a while and I bake muffins with stevia, whole wheat flour and oats. One of the reasons that I think it's adrenal related is that I can tolerate sugar in the evening, but even thinking about sugar earlier in the day would make me nauseous. I do eat about 5 times a day because I have no choice and I stick to the GI scale as much as possible. I had cut out all of the white stuff for about 4 weeks, but it wasn't helping with the hypoglycemia and I wasn't losing any weight, so I put the potatoes and whole/wild rice back in and started losing again. I was also exhausted even more without those two carbs. Otherwise it's meat, salad, veggies, fruit and cheese etc. I cannot tolerate fruit alone, but I do have apple & cheese or celery & peanut butter, that sort of thing.

My DHEA was 105 ( 26-200) do you think that's too low? Do you remember what yours was?

I also have DHEA Free pool (DHEA + DHEA-S) 6 (3-10).

Cortisol was 12.2 (4.3-22.4) at 10AM

Hi, Judy. Nice to meet you the other night here in Dallas.Just some ideas - Dr. put me on a diet that omits sugars - flours - processed foods, and told me to eat more small meals, to help with the blood sugar swings and put less stress on my exhausted adrenals. I've been on compounded pharmaceutical DHEA for 18 months, too, and felt a lot more healed this past spring.From my experience, eating more small meals, maybe 2-3 hours apart, even into the evening, really helped my blood sugar and anxiety. And, with a suggestion from Courtenay, I learned to pop some low glycemic fresh fruit into my mouth when I started to fix breakfast, and I felt a lot better. And I eat fresh fruit right away if I feel like there's going to be any delay before I can fix or get a meal. It's made a world of difference.

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