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Re: What I've Learned

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Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over time.

The gland burns itself out. Endos know that and rush along the inevitable

with RAI. I'm new to the list and haven't been around long enough to hear

all of the supposed long term effects of RAI. Would be interested in

finding out, since I had it done a little over two years ago. For me, after

taking meds for 18 months and then coming out of remission, I didn't want to

bother with the meds and then have a roller coaster ride of coming in and

out of remission until I finally went hypo. Any other thoughts on the

topic?

Renée

Mom to , 10,

and Sierra Dawn, 08/22/99

http://cscoggin.home.netcom.com

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Are you saying you are not taking synthroid or an equivalent now?

Elaine

RE: What I've Learned

> Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

time.

> The gland burns itself out. Endos know that and rush along the inevitable

> with RAI. I'm new to the list and haven't been around long enough to hear

> all of the supposed long term effects of RAI. Would be interested in

> finding out, since I had it done a little over two years ago. For me,

after

> taking meds for 18 months and then coming out of remission, I didn't want

to

> bother with the meds and then have a roller coaster ride of coming in and

> out of remission until I finally went hypo. Any other thoughts on the

> topic?

>

> Renée

> Mom to , 10,

> and Sierra Dawn, 08/22/99

> http://cscoggin.home.netcom.com

>

>

>

>

>

> ------------------------------------------------------------------------

> DON'T HATE YOUR RATE!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2120/3/_/585824/_/955043152/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

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Is it a proven fact that most Grave's patients end up hypothyroid over

time? And do you mean on a permanent basis? This is the first I have

heard it is inevitable. My new endo gave me these statistics:

50% of ATD patients go into remission.

Of the 50% that do not go into remission, or stay in remission, another 50%

will ultimately go into remission with further meds.

Did I get the numbers wrong? Am I supposed to read " hypothyroid " when he

said " remission? " If the numbers above are close to correct, seems to me

I have a very good chance with the meds, since 100% of RAI patients will go

hypo. Plus, there's always hope for a different treatment around the corner.

Speaking of alternative treatment, my new endo said they are now working on

ways to kill the antibodies that attack the thyroid - sounds closer to the

source, but still does not address the root of the problem -- why did our

autoimmune systems feel obliged to act in the first place?

At 01:16 PM 04/06/2000 -0400, you wrote:

>Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over time.

>The gland burns itself out. Endos know that and rush along the inevitable

>with RAI. I

Shen

Holy Macro!

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,

Regarding your statistics, my doctor swears that my high level of thyroid

can not be controlled with ATDs. I took Tapazole for 3 weeks and my thryoid

levels keep going up. My doctor told me that by continuing ATD's I am

endangering my health by putting stress on my heart and increasing my

chances of developing eye problems. Basicly, he told me that I did not have

the " time " to waste getting more effective treatment. I am not a candidate

for Radioactive Iodine either, being that I can not do without medication

for 6-8 weeks prior to Radioactive Iodine due to my symptoms.

e

RE: What I've Learned

> Is it a proven fact that most Grave's patients end up hypothyroid over

> time? And do you mean on a permanent basis? This is the first I have

> heard it is inevitable. My new endo gave me these statistics:

>

> 50% of ATD patients go into remission.

> Of the 50% that do not go into remission, or stay in remission, another

50%

> will ultimately go into remission with further meds.

>

> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when he

> said " remission? " If the numbers above are close to correct, seems to

me

> I have a very good chance with the meds, since 100% of RAI patients will

go

> hypo. Plus, there's always hope for a different treatment around the

corner.

>

> Speaking of alternative treatment, my new endo said they are now working

on

> ways to kill the antibodies that attack the thyroid - sounds closer to the

> source, but still does not address the root of the problem -- why did our

> autoimmune systems feel obliged to act in the first place?

>

>

> At 01:16 PM 04/06/2000 -0400, you wrote:

> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

time.

> >The gland burns itself out. Endos know that and rush along the

inevitable

> >with RAI. I

>

>

>

> Shen

> Holy Macro!

>

>

> ------------------------------------------------------------------------

> DON'T HATE YOUR RATE!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2120/3/_/585824/_/955046434/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

>

>

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So what are your options?

At 03:27 PM 04/06/2000 -0500, you wrote:

>,

>

>Regarding your statistics, my doctor swears that my high level of thyroid

>can not be controlled with ATDs. I took Tapazole for 3 weeks and my thryoid

>levels keep going up. My doctor told me that by continuing ATD's I am

>endangering my health by putting stress on my heart and increasing my

>chances of developing eye problems. Basicly, he told me that I did not have

>the " time " to waste getting more effective treatment. I am not a candidate

>for Radioactive Iodine either, being that I can not do without medication

>for 6-8 weeks prior to Radioactive Iodine due to my symptoms.

>

>e

>

>

>

> RE: What I've Learned

>

>

>> Is it a proven fact that most Grave's patients end up hypothyroid over

>> time? And do you mean on a permanent basis? This is the first I have

>> heard it is inevitable. My new endo gave me these statistics:

>>

>> 50% of ATD patients go into remission.

>> Of the 50% that do not go into remission, or stay in remission, another

>50%

>> will ultimately go into remission with further meds.

>>

>> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when he

>> said " remission? " If the numbers above are close to correct, seems to

>me

>> I have a very good chance with the meds, since 100% of RAI patients will

>go

>> hypo. Plus, there's always hope for a different treatment around the

>corner.

>>

>> Speaking of alternative treatment, my new endo said they are now working

>on

>> ways to kill the antibodies that attack the thyroid - sounds closer to the

>> source, but still does not address the root of the problem -- why did our

>> autoimmune systems feel obliged to act in the first place?

>>

>>

>> At 01:16 PM 04/06/2000 -0400, you wrote:

>> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

>time.

>> >The gland burns itself out. Endos know that and rush along the

>inevitable

>> >with RAI. I

>>

>>

>>

>> Shen

>> Holy Macro!

>>

>>

>> ------------------------------------------------------------------------

>> DON'T HATE YOUR RATE!

>> Get a NextCard Visa, in 30 seconds! Get rates as low as

>> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

>> Apply NOW!

>> http://click./1/2120/3/_/585824/_/955046434/

>> ------------------------------------------------------------------------

>>

>> -------------------------------------

>> The Graves' list is intended for informational purposes only and is not

>intended to replace expert medical care.

>> Please consult your doctor before changing or trying new treatments.

>> ----------------------------------------

>>

>>

>>

>

>

>------------------------------------------------------------------------

>Get a NextCard Visa, in 30 seconds!

>1. Fill in the brief application

>2. Receive approval decision within 30 seconds

>3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

>Apply NOW!

>http://click./1/2646/3/_/585824/_/955053112/

>------------------------------------------------------------------------

>

>-------------------------------------

>The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

>Please consult your doctor before changing or trying new treatments.

>----------------------------------------

>

>

Shen

Holy Macro!

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,

I guess I don't have any options but surgery. I am out of breath all of the

time. And I can not walk across the room without feeling like I am having a

heart attack. I am wringing wet with sweat 24 hours a day. At this point I

just want to feel better no matter what I have to do.

e

RE: What I've Learned

> >

> >

> >> Is it a proven fact that most Grave's patients end up hypothyroid over

> >> time? And do you mean on a permanent basis? This is the first I have

> >> heard it is inevitable. My new endo gave me these statistics:

> >>

> >> 50% of ATD patients go into remission.

> >> Of the 50% that do not go into remission, or stay in remission, another

> >50%

> >> will ultimately go into remission with further meds.

> >>

> >> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when

he

> >> said " remission? " If the numbers above are close to correct, seems

to

> >me

> >> I have a very good chance with the meds, since 100% of RAI patients

will

> >go

> >> hypo. Plus, there's always hope for a different treatment around the

> >corner.

> >>

> >> Speaking of alternative treatment, my new endo said they are now

working

> >on

> >> ways to kill the antibodies that attack the thyroid - sounds closer to

the

> >> source, but still does not address the root of the problem -- why did

our

> >> autoimmune systems feel obliged to act in the first place?

> >>

> >>

> >> At 01:16 PM 04/06/2000 -0400, you wrote:

> >> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

> >time.

> >> >The gland burns itself out. Endos know that and rush along the

> >inevitable

> >> >with RAI. I

> >>

> >>

> >>

> >> Shen

> >> Holy Macro!

> >>

> >>

>

>> ------------------------------------------------------------------------

> >> DON'T HATE YOUR RATE!

> >> Get a NextCard Visa, in 30 seconds! Get rates as low as

> >> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> >> Apply NOW!

> >> http://click./1/2120/3/_/585824/_/955046434/

>

>> ------------------------------------------------------------------------

> >>

> >> -------------------------------------

> >> The Graves' list is intended for informational purposes only and is not

> >intended to replace expert medical care.

> >> Please consult your doctor before changing or trying new treatments.

> >> ----------------------------------------

> >>

> >>

> >>

> >

> >

> >------------------------------------------------------------------------

> >Get a NextCard Visa, in 30 seconds!

> >1. Fill in the brief application

> >2. Receive approval decision within 30 seconds

> >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

> >Apply NOW!

> >http://click./1/2646/3/_/585824/_/955053112/

> >------------------------------------------------------------------------

> >

> >-------------------------------------

> >The Graves' list is intended for informational purposes only and is not

> intended to replace expert medical care.

> >Please consult your doctor before changing or trying new treatments.

> >----------------------------------------

> >

> >

>

>

>

> Shen

> Holy Macro!

>

>

> ------------------------------------------------------------------------

> PERFORM CPR ON YOUR APR!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2121/3/_/585824/_/955054105/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

>

>

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Guest guest

That was my next question. Are you facing surgery?

Elaine

RE: What I've Learned

> >

> >

> >> Is it a proven fact that most Grave's patients end up hypothyroid over

> >> time? And do you mean on a permanent basis? This is the first I have

> >> heard it is inevitable. My new endo gave me these statistics:

> >>

> >> 50% of ATD patients go into remission.

> >> Of the 50% that do not go into remission, or stay in remission, another

> >50%

> >> will ultimately go into remission with further meds.

> >>

> >> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when

he

> >> said " remission? " If the numbers above are close to correct, seems

to

> >me

> >> I have a very good chance with the meds, since 100% of RAI patients

will

> >go

> >> hypo. Plus, there's always hope for a different treatment around the

> >corner.

> >>

> >> Speaking of alternative treatment, my new endo said they are now

working

> >on

> >> ways to kill the antibodies that attack the thyroid - sounds closer to

the

> >> source, but still does not address the root of the problem -- why did

our

> >> autoimmune systems feel obliged to act in the first place?

> >>

> >>

> >> At 01:16 PM 04/06/2000 -0400, you wrote:

> >> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

> >time.

> >> >The gland burns itself out. Endos know that and rush along the

> >inevitable

> >> >with RAI. I

> >>

> >>

> >>

> >> Shen

> >> Holy Macro!

> >>

> >>

>

>> ------------------------------------------------------------------------

> >> DON'T HATE YOUR RATE!

> >> Get a NextCard Visa, in 30 seconds! Get rates as low as

> >> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> >> Apply NOW!

> >> http://click./1/2120/3/_/585824/_/955046434/

>

>> ------------------------------------------------------------------------

> >>

> >> -------------------------------------

> >> The Graves' list is intended for informational purposes only and is not

> >intended to replace expert medical care.

> >> Please consult your doctor before changing or trying new treatments.

> >> ----------------------------------------

> >>

> >>

> >>

> >

> >

> >------------------------------------------------------------------------

> >Get a NextCard Visa, in 30 seconds!

> >1. Fill in the brief application

> >2. Receive approval decision within 30 seconds

> >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

> >Apply NOW!

> >http://click./1/2646/3/_/585824/_/955053112/

> >------------------------------------------------------------------------

> >

> >-------------------------------------

> >The Graves' list is intended for informational purposes only and is not

> intended to replace expert medical care.

> >Please consult your doctor before changing or trying new treatments.

> >----------------------------------------

> >

> >

>

>

>

> Shen

> Holy Macro!

>

>

> ------------------------------------------------------------------------

> PERFORM CPR ON YOUR APR!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2121/3/_/585824/_/955054105/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

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Guest guest

The latest book I checked out from the library (Could It Be My Thyroid? by

Sheldon feld, thyroidologist) says ATDs bring about remission in 30% of

patients, and 70% of those will become hyperthyroid again. I don't remember

where I read the " inevitability of hypothyroidism " fact (I've read a lot

about thyroid disease over the years). My Endo could've been my source.

He's very pro-RAI, as it seems most Endos are. In this current book I'm

reading, it says that in UNTREATED Graves, ALL go hypo within 10/20 years.

I was probably undiagnosed/untreated for 5 years. Anyone else think they

had it long before they were diagnosed or treated? Anyway, years in and out

of remission must be cumulatively taxing on the thyroid gland. So even

treated, it makes sense that most or even all would go hypo over time.

RAI made sense to me, given that there was no treatment to kill the

antibodies. That would be a godsend, for Graves and the many other much

more debilitating autoimmune diseases. Negatives of RAI I've read about:

possible exacerbation of existing eye disease and thyroid storm. Those are

pretty scary, but so are the small chances of agranulocytosis and liver

problems with ATDs. I don't hold out too much hope for alternative

treatments of Graves. Thyroid disease doesn't rank up there with AIDS or

cancer for research dollars. Also, it seems many in the medical community

are satisfied with the efficacy of the current treatments. :(

I was born susceptible to Graves Disease. My mom is hypothyroid, as is my

sister, and I'm fairly certain my grandmother had undiagnosed thyroid

disease. Mine was brought on by extreme life stressors. Autoimmune

conditions are very sensitive to stress. I've always been an

emotionally-fragile person and a worrier. Not a good combination.

Oh, BTW, this book I'm reading says smoking WORSENS the course of Graves

Disease. If you smoke, quit. Easy for me to say since I've never smoked!

Think of all the poisons in cigarette smoke! What about the effect of

second-hand smoke? Growing up, my mom, dad, grandmother and grandfather ALL

smoked, and I lived with them.

Renée

Mom to , 10,

and Sierra Dawn, 08/22/99

http://cscoggin.home.netcom.com

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>>Are you saying you are not taking synthroid or an equivalent now?

>>

>>Elaine

No, not at all. I am on 125 mcg of levoxyl and going to a new Endo the end

of this month since I'm hypo again. My old Endo didn't listen to me when I

told him I thought I needed a higher dosage of levoxyl. He's the sort of

Endo that thinks a TSH of 4 is normal. Sure, according to the lab values,

but most I've read said a woman's TSH should be around 2.5. Anyway, I'm

feeling awful: tired, constipated, high BP, low pulse, depressed, can't

concentrate, etc., I went to the YMCA yesterday for a fitness test and they

wouldn't let me finish the test because of my BP. My BP always goes up when

I'm hypo.

Renée

Mom to , 10,

and Sierra Dawn, 08/22/99

http://cscoggin.home.netcom.com

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Guest guest

e,

I also read your post on the BB...and one of the responses was for you to

get a second opinion. If I were in your shoes I would DEFINATELY get a

second opinion!!! Also, have they tried you on PTU? I have also read that

people have had different experiences using PTU and a beta blocker than they

did on TAP and a beta blocker...have you also been using a beta blocker?

*IF* surgery IS the only option for you, then you need to make sure you

interview the surgeon..find out how many operations he has done, how many

he/she does in a month etc....I am sure others can/will help you with other

questions. But please make sure that your surgeon is skilled in what he

does.

Good luck.

*HUGZ*

Jody

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e,

I just read your post about your numbers dropping drastically once you got

your lab results and how your dr. *assumed* that the ATD's were not working

without looking at them...please please please...do yourself a favor and at

least consult with a new endo.

Jody

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e:

Your case sounds so severe. Have you gotten a second opinion?

At 03:27 PM 04/06/2000 -0500, you wrote:

>,

>

>Regarding your statistics, my doctor swears that my high level of thyroid

>can not be controlled with ATDs. I took Tapazole for 3 weeks and my thryoid

>levels keep going up. My doctor told me that by continuing ATD's I am

>endangering my health by putting stress on my heart and increasing my

>chances of developing eye problems. Basicly, he told me that I did not have

>the " time " to waste getting more effective treatment. I am not a candidate

>for Radioactive Iodine either, being that I can not do without medication

>for 6-8 weeks prior to Radioactive Iodine due to my symptoms.

>

>e

>

>

>

> RE: What I've Learned

>

>

>> Is it a proven fact that most Grave's patients end up hypothyroid over

>> time? And do you mean on a permanent basis? This is the first I have

>> heard it is inevitable. My new endo gave me these statistics:

>>

>> 50% of ATD patients go into remission.

>> Of the 50% that do not go into remission, or stay in remission, another

>50%

>> will ultimately go into remission with further meds.

>>

>> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when he

>> said " remission? " If the numbers above are close to correct, seems to

>me

>> I have a very good chance with the meds, since 100% of RAI patients will

>go

>> hypo. Plus, there's always hope for a different treatment around the

>corner.

>>

>> Speaking of alternative treatment, my new endo said they are now working

>on

>> ways to kill the antibodies that attack the thyroid - sounds closer to the

>> source, but still does not address the root of the problem -- why did our

>> autoimmune systems feel obliged to act in the first place?

>>

>>

>> At 01:16 PM 04/06/2000 -0400, you wrote:

>> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

>time.

>> >The gland burns itself out. Endos know that and rush along the

>inevitable

>> >with RAI. I

>>

>>

>>

>> Shen

>> Holy Macro!

>>

>>

>> ------------------------------------------------------------------------

>> DON'T HATE YOUR RATE!

>> Get a NextCard Visa, in 30 seconds! Get rates as low as

>> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

>> Apply NOW!

>> http://click./1/2120/3/_/585824/_/955046434/

>> ------------------------------------------------------------------------

>>

>> -------------------------------------

>> The Graves' list is intended for informational purposes only and is not

>intended to replace expert medical care.

>> Please consult your doctor before changing or trying new treatments.

>> ----------------------------------------

>>

>>

>>

>

>

>------------------------------------------------------------------------

>Get a NextCard Visa, in 30 seconds!

>1. Fill in the brief application

>2. Receive approval decision within 30 seconds

>3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

>Apply NOW!

>http://click./1/2646/3/_/585824/_/955053112/

>------------------------------------------------------------------------

>

>-------------------------------------

>The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

>Please consult your doctor before changing or trying new treatments.

>----------------------------------------

>

>

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Guest guest

,

You are not going to believe this. I called to find out my lab results from

yesterday . Remember, yesterday, when the doctor told me that ATD's would do

no good and that I should schedule surgery immediately. Well, the nurse

called me back finally and said that my thyroid levels had dropped

dramatically. She then called my endo on his cell phone and he said in

light of the lab results I should continue my ATD's (I was switched to PTU

because I was allergic to Tapazole). They told me that my T-3 level went

from 867 to 390 and my T-3 level went from 34 to 8.8. I was only only the

Tapazole for a couple weeks. Does that mean that the PTU will work on me?

I was somewhat suspicious when the doctor told me that just by looking at me

he could tell that my thyroid levels had not gotten any better. I told him

I would like to get the lab results before I made any decisions.

Can you believe that?

e

RE: What I've Learned

> >

> >

> >> Is it a proven fact that most Grave's patients end up hypothyroid over

> >> time? And do you mean on a permanent basis? This is the first I have

> >> heard it is inevitable. My new endo gave me these statistics:

> >>

> >> 50% of ATD patients go into remission.

> >> Of the 50% that do not go into remission, or stay in remission, another

> >50%

> >> will ultimately go into remission with further meds.

> >>

> >> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when

he

> >> said " remission? " If the numbers above are close to correct, seems

to

> >me

> >> I have a very good chance with the meds, since 100% of RAI patients

will

> >go

> >> hypo. Plus, there's always hope for a different treatment around the

> >corner.

> >>

> >> Speaking of alternative treatment, my new endo said they are now

working

> >on

> >> ways to kill the antibodies that attack the thyroid - sounds closer to

the

> >> source, but still does not address the root of the problem -- why did

our

> >> autoimmune systems feel obliged to act in the first place?

> >>

> >>

> >> At 01:16 PM 04/06/2000 -0400, you wrote:

> >> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

> >time.

> >> >The gland burns itself out. Endos know that and rush along the

> >inevitable

> >> >with RAI. I

> >>

> >>

> >>

> >> Shen

> >> Holy Macro!

> >>

> >>

>

>> ------------------------------------------------------------------------

> >> DON'T HATE YOUR RATE!

> >> Get a NextCard Visa, in 30 seconds! Get rates as low as

> >> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> >> Apply NOW!

> >> http://click./1/2120/3/_/585824/_/955046434/

>

>> ------------------------------------------------------------------------

> >>

> >> -------------------------------------

> >> The Graves' list is intended for informational purposes only and is not

> >intended to replace expert medical care.

> >> Please consult your doctor before changing or trying new treatments.

> >> ----------------------------------------

> >>

> >>

> >>

> >

> >

> >------------------------------------------------------------------------

> >Get a NextCard Visa, in 30 seconds!

> >1. Fill in the brief application

> >2. Receive approval decision within 30 seconds

> >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

> >Apply NOW!

> >http://click./1/2646/3/_/585824/_/955053112/

> >------------------------------------------------------------------------

> >

> >-------------------------------------

> >The Graves' list is intended for informational purposes only and is not

> intended to replace expert medical care.

> >Please consult your doctor before changing or trying new treatments.

> >----------------------------------------

> >

> >

>

> ------------------------------------------------------------------------

> PERFORM CPR ON YOUR APR!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2121/3/_/585824/_/955061818/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

>

>

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,

You are not going to believe this. I called to find out my lab results from

yesterday . Remember, yesterday, when the doctor told me that ATD's would do

no good and that I should schedule surgery immediately. Well, the nurse

called me back finally and said that my thyroid levels had dropped

dramatically. She then called my endo on his cell phone and he said in

light of the lab results I should continue my ATD's (I was switched to PTU

because I was allergic to Tapazole). They told me that my T-3 level went

from 867 to 390 and my T-3 level went from 34 to 8.8. I was only only the

Tapazole for a couple weeks. Does that mean that the PTU will work on me?

I was somewhat suspicious when the doctor told me that just by looking at me

he could tell that my thyroid levels had not gotten any better. I told him

I would like to get the lab results before I made any decisions.

Can you believe that?

e

Re: What I've Learned

> Hi e, maybe your doctor misdiagnosed you. There might be

> something else causing you to be hyperthyroid. Most of us here have not

> experienced elevates number while taking ATD.

>

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> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

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>

>

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>You are not going to believe this. I called to find out my lab results

from

yesterday . Remember, yesterday, when the doctor told me that ATD's would do

no good and that I should schedule surgery immediately. Well, the nurse

called me back finally and said that my thyroid levels had dropped

dramatically.

Excellent!! Darn these doctors and their snooty attitudes. The blood tells

all. I was originally prescribed Tapazole, which gave me hives, and then

put on PTU. It's been working very well. I still have a few symptoms, but

they're dramatically reduced. Guess it just lingers for a while... Great

lab results! I'm so pleased for you.

~kari

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Thank God. What great news. I hope you continue to have good results

with the PTU. Hopefully you will be doing bloodwork in a month to check

progress. Also hopefully your doctor will be more cautious with opinions

from now on. I'm very glad for you, and I think that you will soon

actually feel improvement.

At 06:07 PM 04/06/2000 -0500, you wrote:

>,

>

>You are not going to believe this. I called to find out my lab results from

>yesterday . Remember, yesterday, when the doctor told me that ATD's would do

>no good and that I should schedule surgery immediately. Well, the nurse

>called me back finally and said that my thyroid levels had dropped

>dramatically. She then called my endo on his cell phone and he said in

>light of the lab results I should continue my ATD's (I was switched to PTU

>because I was allergic to Tapazole). They told me that my T-3 level went

>from 867 to 390 and my T-3 level went from 34 to 8.8. I was only only the

>Tapazole for a couple weeks. Does that mean that the PTU will work on me?

>

>I was somewhat suspicious when the doctor told me that just by looking at me

>he could tell that my thyroid levels had not gotten any better. I told him

>I would like to get the lab results before I made any decisions.

>

>Can you believe that?

>

>

>e

> RE: What I've Learned

>> >

>> >

>> >> Is it a proven fact that most Grave's patients end up hypothyroid over

>> >> time? And do you mean on a permanent basis? This is the first I have

>> >> heard it is inevitable. My new endo gave me these statistics:

>> >>

>> >> 50% of ATD patients go into remission.

>> >> Of the 50% that do not go into remission, or stay in remission, another

>> >50%

>> >> will ultimately go into remission with further meds.

>> >>

>> >> Did I get the numbers wrong? Am I supposed to read " hypothyroid " when

>he

>> >> said " remission? " If the numbers above are close to correct, seems

>to

>> >me

>> >> I have a very good chance with the meds, since 100% of RAI patients

>will

>> >go

>> >> hypo. Plus, there's always hope for a different treatment around the

>> >corner.

>> >>

>> >> Speaking of alternative treatment, my new endo said they are now

>working

>> >on

>> >> ways to kill the antibodies that attack the thyroid - sounds closer to

>the

>> >> source, but still does not address the root of the problem -- why did

>our

>> >> autoimmune systems feel obliged to act in the first place?

>> >>

>> >>

>> >> At 01:16 PM 04/06/2000 -0400, you wrote:

>> >> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over

>> >time.

>> >> >The gland burns itself out. Endos know that and rush along the

>> >inevitable

>> >> >with RAI. I

>> >>

>> >>

>> >>

>> >> Shen

>> >> Holy Macro!

>> >>

>> >>

>>

>>> ------------------------------------------------------------------------

>> >> DON'T HATE YOUR RATE!

>> >> Get a NextCard Visa, in 30 seconds! Get rates as low as

>> >> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

>> >> Apply NOW!

>> >> http://click./1/2120/3/_/585824/_/955046434/

>>

>>> ------------------------------------------------------------------------

>> >>

>> >> -------------------------------------

>> >> The Graves' list is intended for informational purposes only and is not

>> >intended to replace expert medical care.

>> >> Please consult your doctor before changing or trying new treatments.

>> >> ----------------------------------------

>> >>

>> >>

>> >>

>> >

>> >

>> >------------------------------------------------------------------------

>> >Get a NextCard Visa, in 30 seconds!

>> >1. Fill in the brief application

>> >2. Receive approval decision within 30 seconds

>> >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

>> >Apply NOW!

>> >http://click./1/2646/3/_/585824/_/955053112/

>> >------------------------------------------------------------------------

>> >

>> >-------------------------------------

>> >The Graves' list is intended for informational purposes only and is not

>> intended to replace expert medical care.

>> >Please consult your doctor before changing or trying new treatments.

>> >----------------------------------------

>> >

>> >

>>

>> ------------------------------------------------------------------------

>> PERFORM CPR ON YOUR APR!

>> Get a NextCard Visa, in 30 seconds! Get rates as low as

>> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

>> Apply NOW!

>> http://click./1/2121/3/_/585824/_/955061818/

>> ------------------------------------------------------------------------

>>

>> -------------------------------------

>> The Graves' list is intended for informational purposes only and is not

>intended to replace expert medical care.

>> Please consult your doctor before changing or trying new treatments.

>> ----------------------------------------

>>

>>

>>

>

>

>------------------------------------------------------------------------

>PERFORM CPR ON YOUR APR!

>Get a NextCard Visa, in 30 seconds! Get rates as low as

>0.0% Intro or 9.9% Fixed APR and no hidden fees.

>Apply NOW!

>http://click./1/2121/3/_/585824/_/955062709/

>------------------------------------------------------------------------

>

>-------------------------------------

>The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

>Please consult your doctor before changing or trying new treatments.

>----------------------------------------

>

>

Shen

Holy Macro!

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Hi e, maybe your doctor misdiagnosed you. There might be

something else causing you to be hyperthyroid. Most of us here have not

experienced elevates number while taking ATD.

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I highly recommend that you seek another endocrinologist.

Elaine

RE: What I've Learned

> > >

> > >

> > >> Is it a proven fact that most Grave's patients end up hypothyroid

over

> > >> time? And do you mean on a permanent basis? This is the first I

have

> > >> heard it is inevitable. My new endo gave me these statistics:

> > >>

> > >> 50% of ATD patients go into remission.

> > >> Of the 50% that do not go into remission, or stay in remission,

another

> > >50%

> > >> will ultimately go into remission with further meds.

> > >>

> > >> Did I get the numbers wrong? Am I supposed to read " hypothyroid "

when

> he

> > >> said " remission? " If the numbers above are close to correct, seems

> to

> > >me

> > >> I have a very good chance with the meds, since 100% of RAI patients

> will

> > >go

> > >> hypo. Plus, there's always hope for a different treatment around the

> > >corner.

> > >>

> > >> Speaking of alternative treatment, my new endo said they are now

> working

> > >on

> > >> ways to kill the antibodies that attack the thyroid - sounds closer

to

> the

> > >> source, but still does not address the root of the problem -- why did

> our

> > >> autoimmune systems feel obliged to act in the first place?

> > >>

> > >>

> > >> At 01:16 PM 04/06/2000 -0400, you wrote:

> > >> >Meds or no meds, RAI or not, MOST Graves patients go hypothyroid

over

> > >time.

> > >> >The gland burns itself out. Endos know that and rush along the

> > >inevitable

> > >> >with RAI. I

> > >>

> > >>

> > >>

> > >> Shen

> > >> Holy Macro!

> > >>

> > >>

> >

>

>> ------------------------------------------------------------------------

> > >> DON'T HATE YOUR RATE!

> > >> Get a NextCard Visa, in 30 seconds! Get rates as low as

> > >> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> > >> Apply NOW!

> > >> http://click./1/2120/3/_/585824/_/955046434/

> >

>

>> ------------------------------------------------------------------------

> > >>

> > >> -------------------------------------

> > >> The Graves' list is intended for informational purposes only and is

not

> > >intended to replace expert medical care.

> > >> Please consult your doctor before changing or trying new treatments.

> > >> ----------------------------------------

> > >>

> > >>

> > >>

> > >

> > >

> >

>------------------------------------------------------------------------

> > >Get a NextCard Visa, in 30 seconds!

> > >1. Fill in the brief application

> > >2. Receive approval decision within 30 seconds

> > >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR

> > >Apply NOW!

> > >http://click./1/2646/3/_/585824/_/955053112/

> >

>------------------------------------------------------------------------

> > >

> > >-------------------------------------

> > >The Graves' list is intended for informational purposes only and is not

> > intended to replace expert medical care.

> > >Please consult your doctor before changing or trying new treatments.

> > >----------------------------------------

> > >

> > >

> >

> > ------------------------------------------------------------------------

> > PERFORM CPR ON YOUR APR!

> > Get a NextCard Visa, in 30 seconds! Get rates as low as

> > 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> > Apply NOW!

> > http://click./1/2121/3/_/585824/_/955061818/

> > ------------------------------------------------------------------------

> >

> > -------------------------------------

> > The Graves' list is intended for informational purposes only and is not

> intended to replace expert medical care.

> > Please consult your doctor before changing or trying new treatments.

> > ----------------------------------------

> >

> >

> >

>

>

> ------------------------------------------------------------------------

> PERFORM CPR ON YOUR APR!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2121/3/_/585824/_/955062709/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

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Hi -

I had a TSH of 4.0 (5 years post-RAI) when I was 29. My cholesterol was over

230 (it had never before been above

150 before RAI). I pointed out that high cholesterol was a symptom of

hypothyroidism and the doctors said that it

was impossible that that was my problem because my TSH was in the " normal

range " . So they told me I had to watch my

cholesterol for the rest of my life and put me on a low cholesterol diet. I

stayed on it for a year. I went back

and my cholesterol levels were the same. My husband is a doctor so he

prescribed me 50 mcg of levothyroxine

increased slowly over 2 months. I switched doctors and got retested. My TSH

was 2.5 and my cholesterol was 125.

I'm now 37 my TSH hasn't been above 2.5 and my cholesterol has never been

above150 since then and I eat what I want

(I've always exercised even when my cholesterol was 230+).

If you ask me, they really don't know what they're doing.

Take care,

Utecht

wrote:

> >>Are you saying you are not taking synthroid or an equivalent now?

> >>

> >>Elaine

>

> No, not at all. I am on 125 mcg of levoxyl and going to a new Endo the end

> of this month since I'm hypo again. My old Endo didn't listen to me when I

> told him I thought I needed a higher dosage of levoxyl. He's the sort of

> Endo that thinks a TSH of 4 is normal. Sure, according to the lab values,

> but most I've read said a woman's TSH should be around 2.5. Anyway, I'm

> feeling awful: tired, constipated, high BP, low pulse, depressed, can't

> concentrate, etc., I went to the YMCA yesterday for a fitness test and they

> wouldn't let me finish the test because of my BP. My BP always goes up when

> I'm hypo.

>

> Renée

> Mom to , 10,

> and Sierra Dawn, 08/22/99

> http://cscoggin.home.netcom.com

>

> ------------------------------------------------------------------------

> DON'T HATE YOUR RATE!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2120/3/_/585824/_/955057992/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

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Hi -

The burnout is not inevitable depending upon what you think inevitable is. I

know of people on ATDs (when they're

given the chance) for 20 years (happens in Europe frequently). This would not

be possible if their glands were

burned out. But it's a great way to get us resigned to having RAI here in the

US because it does happen some of the

time ( dueling stimulating + blocking antibodies?).

Me, if I had it to do over again, I'd have some thyroid function as long as

possible. My thyroid completely died 6

years post-RAI (wasn't supposed to) and I'm completely reliant upon exogenous

thyroid hormone for my well being. It

didn't work so great for me since I've been kept hypothyroid (relying upon

standard tests) for almost all the years

I've been post-RAI. If I had it to do over again, I wouldn't have had RAI

especially since they freely admit that

they don't understand everything about thyroid function. And then they don't

replace everything either. I've gone

over it again and again and, being a biologist, it doesn't make sense to me.

I'd be lambasted for conclusions with

uncontrolled variables as have happened in the medical profession. Is this real

science? I don't think so. But

does it work sometimes when the accepted tests are looked at? It appears so.

But now they're finding that TSH can't

be used when additional T3 is administered. It muddles up the test. For

example, my TSH is 0.01 but my T3 and T4

levels are now mid-normal. Something's not right with the TSH test in this

regard but they don't know what it is

yet. And they tell doctors this at seminars too! We just don't know about it

yet.

This lack of knowledge makes me question everything.

You really can't trust anything you specifically read about this disease because

it varies so much in individuals.

And there are so many variables that you cannot control. I'd rather be 10/20

years down the line (I would've been

in my mid 30s and 40s) with some thyroid function, than 30 years old with none

at all and completely reliant upon

meds. That doesn't work well with reproductive aged women, in my opinion.

As far as research dollars, there aren't many available. BUT the human genome

project is almost completed and you

can't tell me that they aren't going to be working hard on terrible diseases

like systemic lupus and scleroderma

which have the same processes going on as we do. They figure out how to fix

those and we will go right along with

them.

Now! I have to say that I'm tired of the fatalistic view about this disease.

Maybe it's too late for those of us

that have opted for permanent treatments but it's not for those that haven't.

Take care,

Utecht

wrote:

> Meds or no meds, RAI or not, MOST Graves patients go hypothyroid over time.

> The gland burns itself out. Endos know that and rush along the inevitable

> with RAI. I'm new to the list and haven't been around long enough to hear

> all of the supposed long term effects of RAI. Would be interested in

> finding out, since I had it done a little over two years ago. For me, after

> taking meds for 18 months and then coming out of remission, I didn't want to

> bother with the meds and then have a roller coaster ride of coming in and

> out of remission until I finally went hypo. Any other thoughts on the

> topic?

>

> Renée

> Mom to , 10,

> and Sierra Dawn, 08/22/99

> http://cscoggin.home.netcom.com

>

> ------------------------------------------------------------------------

> DON'T HATE YOUR RATE!

> Get a NextCard Visa, in 30 seconds! Get rates as low as

> 0.0% Intro or 9.9% Fixed APR and no hidden fees.

> Apply NOW!

> http://click./1/2120/3/_/585824/_/955043152/

> ------------------------------------------------------------------------

>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

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,

I liked what you said regarding the TSH...and didn't know that it would not

be accurate with the T3 supplement. For me though, whose drs. have done

nothing BUT a TSH for 3 years and relying on that to tell them how I am

suppose to feel, I HATE that test because it doesn't indicate the

THYROID...at least in my opinion. A test on the pituatary to determine what

the thyroid is doing ALL of the time just doesn't make sense.

As an indicator that something is omiss with the thyroid it is a good place

to start but not to depend on. I have read where the TSH can lag behind, or

be slow to wake up, or slow to catch up when taking TRH, all kinds of

reasons why when we feel like crap and the TSH is within normal range and a

dr. depends on the TSH and leaves us feeling like crap...I'm not sure I'm

making sense...I hope you know what I am trying to say.

I am moving back into hyper again and boy I had forgotten how nasty these

feelings can be. I went in for a BP check yesterday, nurse took it, it was

190/100 NOT GOOD...I also told her to please tell the dr. I was having

hyper symptoms again, heart palps, insomnia (no matter I am exhausted)

trouble concentrating, hair is falling out heavily now, muscle

weakness...she wrote it all down...I also didn't bring up doing any blood

test (my dr. hates when I tell him to do them, especially since I see a new

endo in 2 months)but I can't go on like this for 2 more months...so what I

did ask her to ask him was could we try alternating my TRH between .075 (not

enough) and .088 (too much). He called me 2 hours later and said he had just

ordered a full panel... FINALLY...I have only been asking him for this for 4

months. Anyhow, blood will be done on Monday. His first reaction was he

wanted to increase my BP meds...I told him not right now because I felt my

BP was rising because of all the hyper symptoms...so now I get the blood

tests. I can't wait to see new endo in June. Wish it weren't so far away.

Now that I have gotten off the beaten track of where I started I close.

TTYL.

*HUGZ* to all.

Jody

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e,

What scared me about your dr. is the fact he was telling you surgery

*immediately* just by looking at your appearance and NOT looking at you lab

work. It just seemed to me that he made a snap decision, possibly based on

what HE would find the easiest way of treating YOU... not what treatment YOU

would prefer. If my new endo (when I see her in June) did that to me I

would walk out and never look back. But that is just my opinion. Seems

though that maybe a second opinion, if available to you couldn't hurt.

Take care,

Jody

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Jody,

Wednesday I was told that I needed surgery immediately by my endo. When I

called back yesterday for the lab results they told me that my T-3 had

dropped from 867 to 390 (from 2 weeks on Tapazole). The nurse then called

the doctor on his cell phone and he said that since I was apparently

improving that I was to start taking PTU, since I was allergic to the

Tapazole.

I can't believe that the doctor based his recommendation for surgery solely

based on my progress by looking at my appearance (My hands and legs shake

pretty badily) . So since yesterday afternoon surgery is off for now. My

endo did give me a talk about the " dangerous side effects from continuing

ATDs, though " . I told him that I would take my chances.

I wonder if PTU works the same way as Tapazole. I get the impression that

itchy skin and rashes are common with Tapazole. Although, there must be

some reason why the doctor tries it first before the PTU.

Right now I am just trying to recover from being scared to death about

having surgery.

e

Re: What I've Learned

> e,

> I also read your post on the BB...and one of the responses was for you to

> get a second opinion. If I were in your shoes I would DEFINATELY get a

> second opinion!!! Also, have they tried you on PTU? I have also read

that

> people have had different experiences using PTU and a beta blocker than

they

> did on TAP and a beta blocker...have you also been using a beta blocker?

>

> *IF* surgery IS the only option for you, then you need to make sure you

> interview the surgeon..find out how many operations he has done, how many

> he/she does in a month etc....I am sure others can/will help you with

other

> questions. But please make sure that your surgeon is skilled in what he

> does.

>

> Good luck.

> *HUGZ*

> Jody

> ______________________________________________________

> Get Your Private, Free Email at http://www.hotmail.com

>

>

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>

> -------------------------------------

> The Graves' list is intended for informational purposes only and is not

intended to replace expert medical care.

> Please consult your doctor before changing or trying new treatments.

> ----------------------------------------

>

>

>

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>>I wonder if PTU works the same way as Tapazole. I get the impression that

itchy skin and rashes are common with Tapazole. Although, there must be

some reason why the doctor tries it first before the PTU.

the impression I got from my doctor (who is not an endo), was that PTU takes

a bit longer to work. The Tapazole's a bit more powerful. Anyone else hear

this?

Kari

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