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Re: I'm confused!

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Hi ,

I never saw your original post, but estrogens in birth control pills can

cause an increase in the proteins that bind with thyroid hormone in your

blood. This, in turn, causes your total levels of thyroid hormone, total T4

and T3 to appear falsely elevated.

If you were asking if birth control pills are a trigger, here's a quote from

Dr. Weetman in a recent issue of NEJM,

" The chief risk factor for Graves' disease--female sex--is in part the result

of the modulation of the autoimmune response by estrogen. " He also goes on to

describe the role of stress as a reported trigger of GD.

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funny you mention the sunny weather...my friend got back from there recently

and it was 40 below! BRRRRRR!

>

> Reply-To: graves_supportegroups

> Date: Wed, 10 Jan 2001 14:08:49 -0800 (PST)

> To: graves_supportegroups

> Subject: I'm confused!

>

> Hi all!

>

> We're enjoying sunny weather here in Minnesota... hope

> you are too where you live!

>

> I've posted once before, but that was a couple of

> months ago, so maybe I should give a brief background.

> I was diagnosed in October with Graves... right now

> I'm mildly hyperthyroid (as far as my symptoms). My

> TSH is 0.01 and has been since May (or before, but

> first blood test was in May). I was supposed to be

> deciding between medication and RAI right now... but I

> just got my latest blood test back from my endo that

> says that my TSH is still 0.01 but my T4 is 1.3, so my

> endo recommends NO TREATMENT for another two months.

> Could my T4 be what he calls " normal " since I'm on the

> birth control pill??

>

> I'm just so frustrated with doctors right now.

>

> Thanks for listening and for all your good

> information. I'm learning from you by leaps and

> bounds!!

>

> Take care,

>

>

> __________________________________________________

>

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Hi ,

I don't know if birth control can affect your T4 but it wouldn't surprise

me. I do have a question for you though. When you were diagnosed, did any

of your drs. do the antibody test for GD?

Jody

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Hi ,

With your normal RAI-U test, you could have GD if you have T3 thyrotoxicosis,

( that is, a normal T4 and high T3 or a disproportionately high T3 compared

to T4 along with your low TSH). However, your doctor can't really tell if

it's GD from your TSH alone. That merely suggests that you're hyperthyroid.

And there are different treatments for different types of hyperthyroidism,

the thyroiditis you mentioned being the best example.

In ' Clinical Textbook of Endocrinology (which could likely be in the

reference section of your public library), Dr. Larsen discusses this.

You might want to try some natural healing options, like eliminating iodine

and zinc, adding goitrogens, etc., before doing anything dramatic here. You

also might want to find a new doc or ask for a wait and see approach, like

getting tested later for your thyroid hormones as well as TSH, and seeing if

your condition was transient.

If you do have thyroiditis, it's generally treated with anti-inflammatory

drugs, like ibuprofen, or antibiotics depending on it's cause. Good luck,

Elaine

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Jody - I have never had any antibody test done, can

you believe that? i asked for it, and he said it's

not necessary because he knows I'm hyperthyroid from

the symptoms and from my 0.01 TSH, and you treat all

hyperthyroidism the same. My scan showed a very

normal looking thyroid and the radiologist wondered if

I have thyroiditis instead. Is it time to seek

another opinion?

:)

--- Jody Spitale wrote:

> Hi ,

> I don't know if birth control can affect your T4 but

> it wouldn't surprise

> me. I do have a question for you though. When you

> were diagnosed, did any

> of your drs. do the antibody test for GD?

> Jody

>

_________________________________________________________________

> Get your FREE download of MSN Explorer at

> http://explorer.msn.com

>

>

__________________________________________________

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Can I send a hug to you via email??? Thank you, thank

you, for your post. I really wasn't even considering

whether or not the pill was the cause, but rather if

it affected my lab results. But you bring up a lot of

food for thought for me, and I appreciate it. I have

been on the pill for ten years. I'm starting to

wonder now. I know I need to learn much, much more.

Thanks!

--- daisyelaine@... wrote:

> Hi ,

> I never saw your original post, but estrogens in

> birth control pills can

> cause an increase in the proteins that bind with

> thyroid hormone in your

> blood. This, in turn, causes your total levels of

> thyroid hormone, total T4

> and T3 to appear falsely elevated.

> If you were asking if birth control pills are a

> trigger, here's a quote from

> Dr. Weetman in a recent issue of NEJM,

> " The chief risk factor for Graves' disease--female

> sex--is in part the result

> of the modulation of the autoimmune response by

> estrogen. " He also goes on to

> describe the role of stress as a reported trigger of

> GD.

>

__________________________________________________

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HI Jen,

Yes I can believe it! I have never had one either, almost 5 years after

initial diagnosis...but I will have one this spring when I go to her, that

is for sure! And yes, I would definately seek another opinion and have that

test done before you accept the dianosis of GD. Maybe you do have

thyroiditis (sp?) and won't ever have to consider the treatments for GD.

Maybe alonger time on ATD's will give your thyroid enough time to heal on

its own. I agree with what Caroline (I believe it was her) that said you

time on ATD's was very very short for GD to obtain remission.

Give someone else a call...check on Shomons site for dr. referrals in

your area and try one of them first, someone who will do the antibody test

before saying you definately have GD. I will pray that this dr. was lazy

and what you have is not GD.

Take care, keep writing, and let us all know what you do find out in the

end!!!

Jody

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com

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,

Didn't you say you're in Minnesota? So am I. Please send me a private

email: petri017@...

and I may be able to refer you to some endocrinologists.

B

Re: I'm confused!

> Jody - I have never had any antibody test done, can

> you believe that? i asked for it, and he said it's

> not necessary because he knows I'm hyperthyroid from

> the symptoms and from my 0.01 TSH, and you treat all

> hyperthyroidism the same. My scan showed a very

> normal looking thyroid and the radiologist wondered if

> I have thyroiditis instead. Is it time to seek

> another opinion?

>

> :)

>

> --- Jody Spitale wrote:

> > Hi ,

> > I don't know if birth control can affect your T4 but

> > it wouldn't surprise

> > me. I do have a question for you though. When you

> > were diagnosed, did any

> > of your drs. do the antibody test for GD?

> > Jody

> >

> _________________________________________________________________

> > Get your FREE download of MSN Explorer at

> > http://explorer.msn.com

> >

> >

>

>

> __________________________________________________

>

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