Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Hi , Yes, like most autoimmune diseases, Graves' disease has symptoms that wax and wane, especially in response to stress since it's one of the environmental triggers of autoimmune thyroid disease. So is iodine. You want to avoid amounts greater than 150 mcg/daily, keeping in mind that the average fast food diet has about 1,000 mcg. Keep learning all that you can so you can stay in charge of your treatment plan. Besides your anti-thyroid drug, there are several things you can do to help your condition, mostly dietary changes, correcting nutrient deficiencies, practicing stress reduction techniques, and avoiding any known allergies. Take care, Elaine See my web site, http://daisyelaine_co.tripod.com/gravesdisease/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Welcome :-) I would definitely stick with the meds if they work for you. I was on them for a year and a half and haven't been back on in almost 4 years. I find that stress triggers my symptoms so I try to take things easy when I can :-) there is a ton of info here, and lots of knowledgeable people. Good luck! Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Welcome :-) I would definitely stick with the meds if they work for you. I was on them for a year and a half and haven't been back on in almost 4 years. I find that stress triggers my symptoms so I try to take things easy when I can :-) there is a ton of info here, and lots of knowledgeable people. Good luck! Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Hi , Welcome! > 1. I went back to the office last week, feeling fine, until one > particularly long and stressful day. Half the symptoms seemed to come > back, the gritty eyes, dry mouth, heat intolerance and weakness in the > thighs. After a good night's sleep they had all disappeared again. So > are there good days and bad days? Yes, there are good days and bad days, and stress can also be a trigger for symptoms. With Graves you may want to work on reducing stress in your lifestyle as much as you can..in the long run it can mean more good days, or even remisssion. > 2. I did not have any symptoms of GO when Graves was diagnosed three > weeks ago but in the past few days my eyes have become puffed and > appear to be a little more prominent than before? Can the GO appear and > continue when the other symptoms have gone? There are more people here with GO, I'm sure they will chime in anytime. > 3. Iodine, yes or no? I take chorella as a part of a daily multi > vitamin routine. Should I remove all iodine sources from my diet? Diet is also important with Graves. You should not take any extra iodine anymore, and you may want to do research in the meantime about other supplements. . There are some of us here who have more of a problem with diet (myself included) and what I eat and what supplements I take is something I watch and research and pay close attention to. Again, Glad you're here. GOod Luck Val Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Hi , Welcome! > 1. I went back to the office last week, feeling fine, until one > particularly long and stressful day. Half the symptoms seemed to come > back, the gritty eyes, dry mouth, heat intolerance and weakness in the > thighs. After a good night's sleep they had all disappeared again. So > are there good days and bad days? Yes, there are good days and bad days, and stress can also be a trigger for symptoms. With Graves you may want to work on reducing stress in your lifestyle as much as you can..in the long run it can mean more good days, or even remisssion. > 2. I did not have any symptoms of GO when Graves was diagnosed three > weeks ago but in the past few days my eyes have become puffed and > appear to be a little more prominent than before? Can the GO appear and > continue when the other symptoms have gone? There are more people here with GO, I'm sure they will chime in anytime. > 3. Iodine, yes or no? I take chorella as a part of a daily multi > vitamin routine. Should I remove all iodine sources from my diet? Diet is also important with Graves. You should not take any extra iodine anymore, and you may want to do research in the meantime about other supplements. . There are some of us here who have more of a problem with diet (myself included) and what I eat and what supplements I take is something I watch and research and pay close attention to. Again, Glad you're here. GOod Luck Val Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Hi , Welcome to the group. I will try to give you some answers to your questions and others in the group will help out too. It is very very important that you learn as much as you can and be proactive in your treatment, and have a doctor that will work WITH you. >>>1. I went back to the office last week, feeling fine, until one particularly long and stressful day. Half the symptoms seemed to come back, the gritty eyes, dry mouth, heat intolerance and weakness in the thighs. After a good night's sleep they had all disappeared again. So are there good days and bad days?<<< It is interesting that you brought up the stressful day. Stress is very very hard on us and it is essential that you remove as much stress from your life as possible. I know, easier said than done, but living with Graves does mean some lifestyle changes, especially to attain remission and stay there. In the archives do a search for relaxation and stress separately, you will find many many posts on these topics. And yes, there are good days and bad days, but I have found my bad days to usually follow stress. >>>2. I did not have any symptoms of GO when Graves was diagnosed three weeks ago but in the past few days my eyes have become puffed and appear to be a little more prominent than before? Can the GO appear and continue when the other symptoms have gone?<<< The gritty eyes you spoke of as symptoms is a symptoms of your eye disease. I would suggest you find an ophthamologist who is very familiar with treating GO and get a baseline for where you are now. BTW, if you have RAI your eye symptoms will probably become much more severe. I had RAI in '96 and since April of 01 I have been dealing with the eye disease, it is worse than anything else with graves in my opinion. >>>3. Iodine, yes or no? I take chorella as a part of a daily multi vitamin routine. Should I remove all iodine sources from my diet?<<< Yes, reduce as much iodine as you possibly can while you are being treated for hyper. The thyroid will uptake the iodine and continue to work overtime in producing hormone and not giving your ATD's the chance to work properly. Remember, Graves is an autoimmune disease, one that attacks the thyroid (the same antibodies that attack the thyroid also attack the eyes). The thyroid is NOT sick, by doing RAI you are essentially killing the messenger and not treating the actualy problem. Remission usually takes 18-24 months to attain, though many in group have used ATD's long term rather than going through RAI. Have patience with yourself, with your treatment, keep reading, learning and asking questions. Everyone of us here can identify with what you are going through so you have a lot of support and don't have to deal with this alone anymore. Hope I have helped in some way, take care, Jody Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 , Welcome to the group. You seem to have listed just about every classic GD symptom, clearly you are well in tune with changes in your body. This is great. Don't let them do RAI, you'll regret it forever from what the members of this group who went that route go through. Lots in the archives about that. You seem to be responding really well to the anti-thyroid drug, which I think means you will ultimately end up in remission, if you stay with it for a good while. I have gone the ATD's route, taking Tapazole and its generic, methimazole, for most of 7 years with no ill-effects, and am now off everything (for a 2nd time) and doing well--coming up on a 1-month anniversary of that on the 19th. You don't mention lab results--one piece of advice I've learned here, is to get copies of ALL your labs and keep them. Share them here for answers to questions you may have, as well. You'll find that you have to become sensitive to the symptoms both of hyper and hypO thyroid, since ATD dosage must be adjusted down as your body moves towards euthyroid state on them--and a great " clue " as to when that is happening, is that you start feeling sluggish and tired all the time, and not thinking straight. Look at a copy of our groups symptom list, which may help you, again in the archives. It also has eye symptoms listed. Good luck, you've found a friendly group to support you through this. Terry > > Reply-To: graves_support > Date: Mon, 14 Jan 2002 14:51:38 -0000 > To: graves_support > Subject: Newly diagnosed and trying to learn > > Hi, > > My name is . > > I was diagnosed with Graves three weeks ago and am trying to learn as > much as I can. I had the following symptoms: rapid weight loss, heat > intolerance, tremors, dry mouth, weakness in the lower arms and thighs, > gritty eyes, restlessness at night, itchy skin and tiredness. > Carbimazole was prescribed and I am taking 45 grams a day. In ten days > all the symptoms had disappeared and I felt quite normal again. This > all happened just before Christmas and I used the vacation to get on > the net and try to find out as much as I could. The doctor told me > that I woudl probably have to undergo RAI. He said this quite casually > adn did not tell me anything of the pros and cons. What I have been > reading since then has made me realise that I need knowledge if I am to > understand and have any say in my treatment. > > I am so pleased to have found a support group and I hope that someone > will be able to answr these three (probably the first of many) > questions. > > 1. I went back to the office last week, feeling fine, until one > particularly long and stressful day. Half the symptoms seemed to come > back, the gritty eyes, dry mouth, heat intolerance and weakness in the > thighs. After a good night's sleep they had all disappeared again. So > are there good days and bad days? > > 2. I did not have any symptoms of GO when Graves was diagnosed three > weeks ago but in the past few days my eyes have become puffed and > appear to be a little more prominent than before? Can the GO appear and > continue when the other symptoms have gone? > > 3. Iodine, yes or no? I take chorella as a part of a daily multi > vitamin routine. Should I remove all iodine sources from my diet? > > Would appreciate any responses. > > > > > > > ------------------------------------- > 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. > ---------------------------------------- > DISCLAIMER > > Advertisments placed on this yahoo groups list does not have the endorsement > of > the listowner. I have no input as to what ads are attached to emails. > ------------------------------------------------------------------------------ > -------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Welcome aboard . Where are you from? Your using Carbimazole (aka methimazole) means you're not from the USA. Maybe wherever you are, you're more likely to find drs. who are not rabidly pro-RAI. Most of us have had to learn to put up with our endos, figure out what we need, and demand it. Dr. Arem's and Elaine's books + the archives and any questions you have will help you a lot in determining what you need. Here's a baseline: Early on in treatment, preferably at diagnosis but you're beyond that , have antibody tests (I'm not exactly sure which ones). They're useful in determining remission. Every time you go back you should have a complete blood count to be sure your liver and white blood count are OK. TSH and more importantly T4. T3 is also important but it wasn't worth the hassle to me unless I felt hypo. A very gradual reduction in dosage is good for you. Chances are you don't need 45 mg. now - which is on the high side. If I were you I would be tested every 6 weeks and reduce in gradual increments. (I went at 3 month intervals and was maintained at way too high a dose and came back hypo.) If you're able to tolerate Methimazole don't be cajoled into RAI. It's terrible for your eyes and if you have a large, highly vascularized goiter (and I'll bet you do, don't you) it might likely have to be repeated. As far as diet goes, avoid extra iodine and stimulants. For months I was terrified of chocolate chips (wish I still was, but without the GD!). And take 1200 mg. calcium with at least half as much magnesium to help build up your bones again. Good luck! Take care, Fay ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/web/. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Welcome aboard . Where are you from? Your using Carbimazole (aka methimazole) means you're not from the USA. Maybe wherever you are, you're more likely to find drs. who are not rabidly pro-RAI. Most of us have had to learn to put up with our endos, figure out what we need, and demand it. Dr. Arem's and Elaine's books + the archives and any questions you have will help you a lot in determining what you need. Here's a baseline: Early on in treatment, preferably at diagnosis but you're beyond that , have antibody tests (I'm not exactly sure which ones). They're useful in determining remission. Every time you go back you should have a complete blood count to be sure your liver and white blood count are OK. TSH and more importantly T4. T3 is also important but it wasn't worth the hassle to me unless I felt hypo. A very gradual reduction in dosage is good for you. Chances are you don't need 45 mg. now - which is on the high side. If I were you I would be tested every 6 weeks and reduce in gradual increments. (I went at 3 month intervals and was maintained at way too high a dose and came back hypo.) If you're able to tolerate Methimazole don't be cajoled into RAI. It's terrible for your eyes and if you have a large, highly vascularized goiter (and I'll bet you do, don't you) it might likely have to be repeated. As far as diet goes, avoid extra iodine and stimulants. For months I was terrified of chocolate chips (wish I still was, but without the GD!). And take 1200 mg. calcium with at least half as much magnesium to help build up your bones again. Good luck! Take care, Fay ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/web/. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Welcome aboard . Where are you from? Your using Carbimazole (aka methimazole) means you're not from the USA. Maybe wherever you are, you're more likely to find drs. who are not rabidly pro-RAI. Most of us have had to learn to put up with our endos, figure out what we need, and demand it. Dr. Arem's and Elaine's books + the archives and any questions you have will help you a lot in determining what you need. Here's a baseline: Early on in treatment, preferably at diagnosis but you're beyond that , have antibody tests (I'm not exactly sure which ones). They're useful in determining remission. Every time you go back you should have a complete blood count to be sure your liver and white blood count are OK. TSH and more importantly T4. T3 is also important but it wasn't worth the hassle to me unless I felt hypo. A very gradual reduction in dosage is good for you. Chances are you don't need 45 mg. now - which is on the high side. If I were you I would be tested every 6 weeks and reduce in gradual increments. (I went at 3 month intervals and was maintained at way too high a dose and came back hypo.) If you're able to tolerate Methimazole don't be cajoled into RAI. It's terrible for your eyes and if you have a large, highly vascularized goiter (and I'll bet you do, don't you) it might likely have to be repeated. As far as diet goes, avoid extra iodine and stimulants. For months I was terrified of chocolate chips (wish I still was, but without the GD!). And take 1200 mg. calcium with at least half as much magnesium to help build up your bones again. Good luck! Take care, Fay ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/web/. Quote Link to comment Share on other sites More sharing options...
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