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Hi Amy J!

That was an uplifting post! :) Thanks for sharing that. Of course it is

important to ME (not trying to sound selfish) that there is light at the end

of the RAI tunnel. Like I said, I DO believe Joe is going to be " fine " (he's

been hypnotizing me with his famous saying I think) because he is who he is

and will conquer this or ... well, die. That's his M.O. not mine!

I hope you are able to get pregnant soon! I wish you all the happiness in

the world and much success with your post RAI treatments. It is a big

challenge, but you sound up for it. All of my very, very best,

Ann :)

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>Is there anyone here who has good results from RAI?

Yes. I had RAI in January. I am 28 years old and had RAI because I had an

allergic reaction to PTU. Towards the middle to end of April I began to

experience some hypo symptoms (most specifically muscle spasms). I called my

doctor and we did some more blood work. (I had blood drawn every 4-6 weeks

or so after the RAI) He put me on Synthroid the beginning of May. Towards

the beginning of June I started to feel a little fluttery again so we

lowered my Synthroid dose. I feel great. I haven't felt this good in over a

year (since before I started experiencing Graves symptoms). A few weeks ago

my doctor gave us the go ahead to start trying to get pregnant again (I

miscarried about a month after I was diagnosed with Graves).

RAI does not equal doom.

Amy J

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  • 1 month later...

Hang in there, Chie. For some of us, taking Armour has meant all the

difference. It did for me. Hopefully, you'll notice a difference, soon!

B

Re: RAI

> thought rai would make me feel better and that's what

> my 4 doctors told me. After RaI, there is the

> possibility you would turn HYPO, doctors said, and

> hypo is easy to manage than hyper.....aRGhh,,,these

> are all LIE....SO HOW COME one year after RAI, I FEEL

> WORSE than I was hyper? (3 FORMER ENDOS FIRED SO far

> and a cousin doctor who highly recommended RAI 4 me).

>

> I have switched to a NEW ENDO recently (Aug 19)and he

> prescribed ARMOUR (1 GRAIN=TO BE taken 2x/day)

> Everyday is a struggle for me. How can I function if

> everyday I am always experiencing muscle aches,

> fatigue, always sleeping, headache, weight gain (a

> year after RAI on 4/01) I never experienced these

> symptoms before when I was hyper. The only problem I

> had then was my eye(dry/blurry vision),that was it and

> i can eat whatever I wanted w/o worrying about the

> weight gain. Like Jody and most members of these

> group, I OPPOSED RAI TREATMENT FOR GD, (now that i

> know what it's like to be in hypohell!)...so SAd, I

> can't have my thyroid gland back to life

> now....Trusting these doctors was a big big mistake.

>

> CHIE

>

>

>

>

> --- josyd_2 wrote:

> > It seems to me that most of you don't like the RAI

> > treatment. Why?? I

> > have talked with several graves patients that have

> > had it and are now

> > absolutely fine. Why the negativity with it??

> >

> >

>

>

> __________________________________________________

>

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hey pam b how are you. tommarrow i go in for RAI. i am starting to think i am

rushing it. i hear that i can fell worse than i feel now. hope to here your

thoughts. thanks george and peggy

Pam B

wrote:Hi Josy, I hope I didn't make you feel bad about your choice to do RAI,

you

asked why some of us were against RAI and I just let it pour out ;)

Since you have already done RAI, I really hope that you are one of those

" lucky " people and that all goes well for you. Let us know how it goes!

Pam B.

My story: http://www.webmosaics.com/thyroid/

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Pam B,

I have celiac disease, and already have a risk

70- 100 TIMES the normal rate of small bowel

cancer. I would very much like to know which

study you are referring to when you mention in

your " Why I will never do RAI " list.

Woo hoo...I am almost jumping for joy, this would

be a huge deterrent for trying to give me RAI, I

imagine!

Kit

--- Pam B wrote:

> First of all, why kill the thyroid when it is

> not the thyroid that is the

> problem? The immune system is what is sick and

> killing the thyroid does

> nothing to solve that problem. Once the

> thyroid is gone, the antibodies may

> try to find another organ to attack - like the

> eyes for example.

>

> Second of all, this stuff is toxic to the whole

> person and the people who

> come in contact with them. I don't want someone

> who just had RAI sitting

> next to me at the movies or standing in the

> checkout line next to my son for

> example. Or the unsuspecting pregnant woman

> for that matter... yes they

> tell you to stay away from pregnant women, but

> what about the newly pregnant

> woman who isn't showing and it's the most

> critical time in organ development

> for the baby? No one would know to stay away

> from her.

>

> 3rd, Doctors do not fully understand the long

> term effects of RAI. Most

> don't warn people that RAI puts them at a

> higher risk for thyroid cancer and

> bowel cancer down the road. Nor do they always

> tell people about the chance

> of Thyroid Eye Disease developing after RAI. Or

> any of the other problems

> that can arise.

>

> 4th, RAI can make having children difficult or

> impossible. Studies have not

> been published on the effects of RAI on future

> children.

>

> 5th, Why not try to do everything else first

> and have a chance at remission?

> Why do doctors push RAI first thing? Because A.

> It's easier for them, and B.

> it is the most cost effective option according

> to insurance companies.

>

> And finally, with RAI you are trading one

> disease for another.

> Hyperthyroidism for Hypothyroidism. Your

> friends are lucky they were able to

> get regulated on the right does after RAI so

> that they aren't dealing with

> this, but many people are not that lucky. If a

> person did not do RAI, but

> tried the antithyroid med thing first, there is

> a good chance they could

> have reached remission and been free of either

> hyper- or hypothyroidism.

> With RAI, they are committed to taking that one

> pill (or many pills) every

> day for the rest of their life, and possibly

> struggling with the dosage

> amounts, etc.

>

> For about 14 other reasons, go here:

>

http://groups.yahoo.com/group/graves_support/files/Top20ReasonsRAI.txt

>

>

> Yes, our opinions may be skewed due to the

> nature of a support board. If

> someone has had a good experience with RAI,

> chances are they won't be

> looking for support online. However, based on

> the experiences of the members

> on this board and other boards, I'm not going

> to take my chances that I

> might be one of the " lucky " ones who had RAI

> and were fine. Rather, I'm

> going to do everything I can to be one of the

> other " lucky " ones who reaches

> remission. And I'm going to keep posting my

> experiences and findings so

> that other people might be inspired to try to

> reach remission too.

>

> Pam B.

>

> My story: http://www.webmosaics.com/thyroid/

>

> Open Letter to the newly diagnosed:

> http://www.webmosaics.com/thyroid/letter.htm

>

> RAI

>

>

> It seems to me that most of you don't like the

> RAI treatment. Why?? I

> have talked with several graves patients that

> have had it and are now

> absolutely fine. Why the negativity with it??

>

>

>

>

>

__________________________________________________

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Hi and Peggy, If you guys are having ANY doubts, or feeling at all

like maybe you are rushing into this, then I think you really should call

them and tell them you aren't coming in tomorrow. It doesn't mean you won't

decide to do it another day, but maybe you need some more time to understand

what your options and risks truly are? Don't let them bully you into

keeping the appointment either - it's your choice - ALL YOUR CHOICE!

, how are you feeling now? Is the PTU working for you? I remember you

couldn't stand the taste... have you thought of switching to the other one

(Methimazole or Tapazole I think they are called)? I hear they don't have

that taste at all.

By now your doctor should have been able to get your levels pretty close to

normal I think... if he hasn't then maybe you aren't on the right dose yet?

And if he hasn't then he really really shouldn't be letting you do RAI yet,

because RAI can make things worse right at first when the thyroid is dying

and releaseing the hormones as it dies. People have gone into thyroid storm

after RAI. I'm not saying that will happen, just that it could. I know

you've already been through that and know how bad it is. Maybe you can get

a second opinion from another endo?

Really, it's a miracle you are alive, if I remember correctly. Take a

little more time to make sure you are doing the right thing, or maybe even

to give yourself a chance to go into remission and get off thyroid drugs

alltogether. Wouldn't that be great?!

Hugs to you both, I know you are going to have a tough night making a

decsion!

Pam B.

My story: http://www.webmosaics.com/thyroid/

Open Letter to the newly diagnosed:

http://www.webmosaics.com/thyroid/letter.htm

Re: RAI

hey pam b how are you. tommarrow i go in for RAI. i am starting to think i

am rushing it. i hear that i can fell worse than i feel now. hope to here

your thoughts. thanks george and peggy

Pam B

wrote:Hi Josy, I hope I didn't make you feel bad about your choice to do

RAI, you

asked why some of us were against RAI and I just let it pour out ;)

Since you have already done RAI, I really hope that you are one of those

" lucky " people and that all goes well for you. Let us know how it goes!

Pam B.

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Hi Kit, that information comes from the " 20 reasons I will never do RAI "

file in the files section of the site - I have it right here, I don't think

anyone will mind If I copy and paste it one more time ;) The sources are

listed at the bottom, maybe someone else can elaborate if needed, since I am

not the one who wrote it or researched it. Elaine may be able to give you

some sources as well. Yes, any reason you can throw back at your doctor why

you shouldn't have RAI is a good thing IMO! Whatever it takes to get them

to stop suggesting it!

Top 20 Reasons Why I¹ll Never Have RAI

1. It¹s permanent; if you don¹t like the results, too bad

2. Since the science is inexact and dosage a guess at best, it may take

years to be fully effective, or it may have to be repeated (1)

3. Can bring on thyroid storm as the dying gland " dumps " a lot of hormone

(2)

4. Graves disease is an auto-immune disease, not a disease of the thyroid,

so killing the thyroid doesn¹t stop the disease

5. Results in hypothyroidism 3. Who ever said hypothyroidism is easy to

treat, lied

6. Being hypothyroid is neither less debilitating nor less dangerous

than hyperthyroid

7. Increased antibody titers after RAI skew lab test results, adding to

treatment difficulties

8. RAI, aka spent nuclear fuel ( " nuclear waste " , in other words) is

absorbed by other organs and can cause cell death or DNA mutations

9. For up to 4 weeks after dosage, we¹re exposing those around us to

radioiodine

10. Studies show an increase in cancers, especially of the thyroid

gland and small bowel, after RAI. (4)

11. Possibility of damaging the parathyroid, causing hypoparathyroidism.

12. RAI can cause difficulty with future attempts to become pregnant and

carry pregnancies to term

13. Chance of thyroid eye disease developing increases dramatically, as

RAI doesn¹t stop antibody production (5)

14. Chance of significant, unhealthy weight gain is increased

15. Replacement hormone products currently on the market, both synthetic

and pig, are not comparable to our own hormone, and in some people,

never feel " right " .

16. Ongoing problems as the gland gradually dies, necessitating close

medical surveillance and replacement hormone dosage adjustments

17. Increased risk of developing fibromyalgia

18. For most GD patients, medication with ATD¹s creates a euthyroid

state similar to " normal life " , and can lead to long-term remission as well

19. As modern science explores the human genome, a cure for GD could be

found, but after RAI kills the thyroid, it wouldn¹t work

20. I131 is so dangerous it¹s transported in a lead container and kept

at the hospital only for the briefest time before being dispensed by a

doctor shielded in lead from head to toe.

References:

Radioiodine Therapy of Graves Disease; Milton D. Gross, E. Freitas,

C. Sisson and B. Shapiro, Chapter 11, Page 160

" Despite a clinical experience now amounting to many hundreds of thousands

of patients treated with 131 I for GD, there is still no unanimity as to the

selection of the appropriate dose of 131 I. "

Graves Disease, Pathogenesis and Treatment, edited by Basil Rappoport and

M. McLachlan, published by Kluwer Academic Publishers. ISBN

0-7923-7790-7. Chapter 11, RAI Therapy of GD, Complications and Risks of

RAI, pg. 162 (Acute radiation thyroiditis; Exacerbations of thyrotoxicosis

(transient)); pg. 164 (thyroid storm)

Werner and Ingbar¹s The Thyroid A Fundamental and Clinical Text, Eighth

Edition, page 703:

" Hypothyroidism may be considered an inevitable consequence of RAI therapy,

rather than a side effect " This section goes on to state that Hypothyroidism

may develop in as many as 90% of patients within the first year after

therapy (Ref 243 Cunnien AJ, Hay ID, Gorman CA et al. Radioiodine induced

hypothyroidism in Graves' disease: factors associated with the increasing

incidence. J Nucl Med 1982; 23:978), with a continuing rate of 2% to 3% per

year thereafter.

Also:

Graves Disease, Pathogenesis and Treatment, edited by Basil Rappoport and

M. McLachlan, published by Kluwer Academic Publishers. ISBN

0-7923-7790-7. Chapter 11, RAI Therapy of GD, Complications and Risks of

RAI, pg. 164, " Eventual hypothyroidism is an expected consequence of

131I treatment for many patients with Graves' disease and can occur within a

few weeks, months, or years after treatment. Since permenant hypothyroidism

eventually occurrs in 5-20% of patients with ATDs, 131 I appears to

exaggerate the natural history of GD " . " (REF DS. 1998 Antithyroid

drugs for treatment of hyperthyroidism. Endocrinal Metab Clin North Amer.

27: 225-248).

Werner and Ingbar¹s The Thyroid A Fundamental and Clinical Text, Eighth

Edition, page 703:

" One report from the Co-operative Thyrotoxicosis follow up study, with a

mean length of 21 years, did find an excess risk of death from thyroid

carcinoma in patients receiving RAI for hyperthyroidism due to toxic

multinodular goiter (262 Ron E, Doody MM, Becker DV, et al. Cancer mortality

following treatment for adult hyperthyroidism. JAMA 1998: 280; 347).,

Page 704, Exposure of the rest of the body to RAI 131-I:

" The whole body is exposed to radiation after RAI therapy with gonadal

radiation of particular concern because of gamma irradiation from RAI in

urinary bladder "

Werner and Ingbar¹s The Thyroid A Fundamental and Clinical Text, Eighth

Edition.

Page 704 -705.

" Based on these results, patients with Graves' thyrotoxicosis should be

counseled that eye disease is more likely to occur after radioiodine therapy

than antithyroid drug (or surgical) therapy. They should also be counseled

about the risks and benefits of adjunctive glucocorticoid therapy. "

And

Therapy of Graves Ophthalmopathy By Leonard Wartofsky, D.Ringel,

and D. Burman, Chapter 19, page 272:

" Since our ability to predict which patient will get worsening

ophthalmopathy is poor at best, we would urge clinicians to be sensitive to

a possible worsening of ophthalmopathy after Radioiodine, and to counsel

their patients on the risk and to document that counselling had been given.

Based upon many reports of rising TSH receptor antibody titers after 131 I

as important to underlying pathophysiology, and upon the weight of

randomised prospective studies (REF 110, 120, 121) there exists some basis

to believe that Graves' Ophthalmopathy may be worsened by RAI until proven

otherwise "

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I'm trying to (hang in there)......it's been a

week now that I'v been taking ARMOUR (1 grain 2x/day),

....AND for this whole week, nothing seems to be

working right...in fact today, 'm having MUSCLE

ACHES/BRAIN FOG BIG TIME!! URGH...that bottle of my

old levoxyl 112 mcg is so tempting, i feel like taking

it now....at least muscle aches weren't that severe

when I was taking the levoxyl.....I don't think i can

stand feeling awful like this for one more week. I

got a job interview tomorrow, i don't know how m gonna

handle it...oh well, wish me luck! hope things will

change by tomorrow.

Did you instantly feel better on ARmoUr or it also

took you weeks before you noticed the difference. How

much ARMOUR are you taking?....sorry for asking so

many questions. I am just so confused right now plus

my brain I think is out of order, can't thiNK

straight!

Thanks for telling me that ARMOUR works!..maybe

if i reach my right dose on ARMOUR, things will get

better. BTw: does anyone here taKES MAca. i JUST TOOK

ONE A WHIle ago and it helps my muscle aches a little,

but stiffness is still there.

CHIE

--- wrote:

> Hang in there, Chie. For some of us, taking Armour

> has meant all the

> difference. It did for me. Hopefully, you'll

> notice a difference, soon!

>

> B

>

>

> Re: RAI

>

>

> > thought rai would make me feel better and that's

> what

> > my 4 doctors told me. After RaI, there is the

> > possibility you would turn HYPO, doctors said, and

> > hypo is easy to manage than

> hyper.....aRGhh,,,these

> > are all LIE....SO HOW COME one year after RAI, I

> FEEL

> > WORSE than I was hyper? (3 FORMER ENDOS FIRED SO

> far

> > and a cousin doctor who highly recommended RAI 4

> me).

> >

> > I have switched to a NEW ENDO recently (Aug 19)and

> he

> > prescribed ARMOUR (1 GRAIN=TO BE taken 2x/day)

> > Everyday is a struggle for me. How can I function

> if

> > everyday I am always experiencing muscle aches,

> > fatigue, always sleeping, headache, weight gain (a

> > year after RAI on 4/01) I never experienced these

> > symptoms before when I was hyper. The only

> problem I

> > had then was my eye(dry/blurry vision),that was it

> and

> > i can eat whatever I wanted w/o worrying about the

> > weight gain. Like Jody and most members of these

> > group, I OPPOSED RAI TREATMENT FOR GD, (now that i

> > know what it's like to be in hypohell!)...so SAd,

> I

> > can't have my thyroid gland back to life

> > now....Trusting these doctors was a big big

> mistake.

> >

> > CHIE

> >

> >

> >

> >

> > --- josyd_2 wrote:

> > > It seems to me that most of you don't like the

> RAI

> > > treatment. Why?? I

> > > have talked with several graves patients that

> have

> > > had it and are now

> > > absolutely fine. Why the negativity with it??

> > >

> > >

> >

> >

> > __________________________________________________

> >

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Chie,

If I remember, it took me a about two to three weeks to feel the full

difference. Could the doctors be starting you too slowly? I think they're

so afraid of making people hyper that physicians often move too cautiously

when we're on a new medication!

I'm so sorry you're going through this: when I am UNDER medicated, I have

the symptoms you describe.

B

Re: RAI

> >

> >

> > > thought rai would make me feel better and that's

> > what

> > > my 4 doctors told me. After RaI, there is the

> > > possibility you would turn HYPO, doctors said, and

> > > hypo is easy to manage than

> > hyper.....aRGhh,,,these

> > > are all LIE....SO HOW COME one year after RAI, I

> > FEEL

> > > WORSE than I was hyper? (3 FORMER ENDOS FIRED SO

> > far

> > > and a cousin doctor who highly recommended RAI 4

> > me).

> > >

> > > I have switched to a NEW ENDO recently (Aug 19)and

> > he

> > > prescribed ARMOUR (1 GRAIN=TO BE taken 2x/day)

> > > Everyday is a struggle for me. How can I function

> > if

> > > everyday I am always experiencing muscle aches,

> > > fatigue, always sleeping, headache, weight gain (a

> > > year after RAI on 4/01) I never experienced these

> > > symptoms before when I was hyper. The only

> > problem I

> > > had then was my eye(dry/blurry vision),that was it

> > and

> > > i can eat whatever I wanted w/o worrying about the

> > > weight gain. Like Jody and most members of these

> > > group, I OPPOSED RAI TREATMENT FOR GD, (now that i

> > > know what it's like to be in hypohell!)...so SAd,

> > I

> > > can't have my thyroid gland back to life

> > > now....Trusting these doctors was a big big

> > mistake.

> > >

> > > CHIE

> > >

> > >

> > >

> > >

> > > --- josyd_2 wrote:

> > > > It seems to me that most of you don't like the

> > RAI

> > > > treatment. Why?? I

> > > > have talked with several graves patients that

> > have

> > > > had it and are now

> > > > absolutely fine. Why the negativity with it??

> > > >

> > > >

> > >

> > >

> > > __________________________________________________

> > >

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