Guest guest Posted January 7, 2006 Report Share Posted January 7, 2006 I have become very tired and discouraged with my Endro, so decided that I needed a new primary care physician and that I would try letting him take over my thyroid, or lack of thyroid condition. He is an Inernal Medicine Physician. He comes highly recommended and assured me that he had no problems with handling my thyroid hormone problems and had many patients with this problem. I am now wondering if I have made yet another mistake (and that can be really expensive, what with the cost of first time office visits). His office exam seemed extremely complete. He talked to me and listened for over an hour. Then he order an EKG and blood work. I talked to him about Armour, and he said that he is not opposed to Armour, but wants to get an idea as to how I am doing on Synthroid. I just got a phone call from his nurse and then she faxed me my blood work. Free T4 -- 0.75 Range -- 0.78 -- 2.19 TSH -- 11.1 Range 0.465 -- 4.68 For some reason he did not run the T3, but when I questioned it he said he would when he retest in 6 weeks. I am also not sure, but are these the new lab ranges? I had a partial Thyroid removal and 1995 and a total Thyroid removal in 2003. I have had continual increases since 2003 in the levels of Synthroid. I have been taking 175 mcg of Synthroid daily with an additional tablet on Sundays. When I started taking the additional tablet on Sunday about 12 weeks ago, by bloodwork 6 weeks ago showed that my TSH dropped from 11.9 to 2.7. Now, 6 weeks later it is back up to 11.1. I do not understand this up and down. Now I am adding an additional tablet on Saturday. I guess I will give this new doctor a chance. I truly don't know where to turn from here he does not work out. Does anyone have any suggestions on how I should approach treatment with this new doctor. I am scheduled for more bloodwork in 6 weeks. Jeannie No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 1/6/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2006 Report Share Posted January 7, 2006 I have never been told that I have Hashi's. When I had my first surgery in 1995 I had a large growth on the right half of my thyroid and the needle biopsy showed suspicious cells. Then in 2003 the same thing happened and they removed the remainder of my thyroid. I have had a really hard time getting my levels where they should be. The lowest my TSH has ben is 2.7, but it always goes back up. How would I know if I had Hashi's and would it still be active even after total removal? Jeannie Re: New Doctor and New Labs Jeannie, do you have Hashi's? These numbers are showing that your dose is still far far too low... the fluctuation in levels MIGHT be from antibodies still affecting remaining thyroid tissue.. they can't get ALL of the tissue during surgery, this is always some left behind.. that is why in the cases of thyroid cancer they often follow the thyroidectomy with a small dose of RAI to destroy any remaining gland tissue. To reduce the effect of the antibodies and the fluctuation of the gland out put, you have to get enough replacement hormone in your to suppress gland function.. that means getting the TSH level approaching zero and both Free T4 and Free T3 levels up... you've got quite a ways to go to achieve that. Just double checking...You're taking the Synthroid on an empty tummy and waiting an hour to eat, correct? Topper () On Sat, 07 Jan 2006 10:38:50 -0600 Jeannie writes: I have become very tired and discouraged with my Endro, so decided that I needed a new primary care physician and that I would try letting him take over my thyroid, or lack of thyroid condition. He is an Inernal Medicine Physician. He comes highly recommended and assured me that he had no problems with handling my thyroid hormone problems and had many patients with this problem. I am now wondering if I have made yet another mistake (and that can be really expensive, what with the cost of first time office visits). His office exam seemed extremely complete. He talked to me and listened for over an hour. Then he order an EKG and blood work. I talked to him about Armour, and he said that he is not opposed to Armour, but wants to get an idea as to how I am doing on Synthroid. I just got a phone call from his nurse and then she faxed me my blood work. Free T4 -- 0.75 Range -- 0.78 -- 2.19 TSH -- 11.1 Range 0.465 -- 4.68 For some reason he did not run the T3, but when I questioned it he said he would when he retest in 6 weeks. I am also not sure, but are these the new lab ranges? I had a partial Thyroid removal and 1995 and a total Thyroid removal in 2003. I have had continual increases since 2003 in the levels of Synthroid. I have been taking 175 mcg of Synthroid daily with an additional tablet on Sundays. When I started taking the additional tablet on Sunday about 12 weeks ago, by bloodwork 6 weeks ago showed that my TSH dropped from 11.9 to 2.7. Now, 6 weeks later it is back up to 11.1. I do not understand this up and down. Now I am adding an additional tablet on Saturday. I guess I will give this new doctor a chance. I truly don't know where to turn from here he does not work out. Does anyone have any suggestions on how I should approach treatment with this new doctor. I am scheduled for more bloodwork in 6 weeks. Jeannie No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 1/6/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 1/6/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 7, 2006 Report Share Posted January 7, 2006 I have never been told that I have Hashi's. When I had my first surgery in 1995 I had a large growth on the right half of my thyroid and the needle biopsy showed suspicious cells. Then in 2003 the same thing happened and they removed the remainder of my thyroid. I have had a really hard time getting my levels where they should be. The lowest my TSH has ben is 2.7, but it always goes back up. How would I know if I had Hashi's and would it still be active even after total removal? Jeannie Re: New Doctor and New Labs Jeannie, do you have Hashi's? These numbers are showing that your dose is still far far too low... the fluctuation in levels MIGHT be from antibodies still affecting remaining thyroid tissue.. they can't get ALL of the tissue during surgery, this is always some left behind.. that is why in the cases of thyroid cancer they often follow the thyroidectomy with a small dose of RAI to destroy any remaining gland tissue. To reduce the effect of the antibodies and the fluctuation of the gland out put, you have to get enough replacement hormone in your to suppress gland function.. that means getting the TSH level approaching zero and both Free T4 and Free T3 levels up... you've got quite a ways to go to achieve that. Just double checking...You're taking the Synthroid on an empty tummy and waiting an hour to eat, correct? Topper () On Sat, 07 Jan 2006 10:38:50 -0600 Jeannie writes: I have become very tired and discouraged with my Endro, so decided that I needed a new primary care physician and that I would try letting him take over my thyroid, or lack of thyroid condition. He is an Inernal Medicine Physician. He comes highly recommended and assured me that he had no problems with handling my thyroid hormone problems and had many patients with this problem. I am now wondering if I have made yet another mistake (and that can be really expensive, what with the cost of first time office visits). His office exam seemed extremely complete. He talked to me and listened for over an hour. Then he order an EKG and blood work. I talked to him about Armour, and he said that he is not opposed to Armour, but wants to get an idea as to how I am doing on Synthroid. I just got a phone call from his nurse and then she faxed me my blood work. Free T4 -- 0.75 Range -- 0.78 -- 2.19 TSH -- 11.1 Range 0.465 -- 4.68 For some reason he did not run the T3, but when I questioned it he said he would when he retest in 6 weeks. I am also not sure, but are these the new lab ranges? I had a partial Thyroid removal and 1995 and a total Thyroid removal in 2003. I have had continual increases since 2003 in the levels of Synthroid. I have been taking 175 mcg of Synthroid daily with an additional tablet on Sundays. When I started taking the additional tablet on Sunday about 12 weeks ago, by bloodwork 6 weeks ago showed that my TSH dropped from 11.9 to 2.7. Now, 6 weeks later it is back up to 11.1. I do not understand this up and down. Now I am adding an additional tablet on Saturday. I guess I will give this new doctor a chance. I truly don't know where to turn from here he does not work out. Does anyone have any suggestions on how I should approach treatment with this new doctor. I am scheduled for more bloodwork in 6 weeks. Jeannie No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 1/6/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.371 / Virus Database: 267.14.15/223 - Release Date: 1/6/2006 Quote Link to comment Share on other sites More sharing options...
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