Guest guest Posted November 27, 2004 Report Share Posted November 27, 2004 HealthcheckUSA has blood tests you can get without a Dr. Have you ever had your thyroid antibodies tested? Those can throw off your blood test results. About.com is a fantastic resource and here is one of the articles that applies to what you are going through. Here is the link: http://thyroid.about.com/bldiagn.htm Thyroid disease Many people with family history of thyroid disease and/or obvious symptom s of thyroid disease -- who ACTUALLY HAVE THYROID DISEASE -- have trouble getting a diagnosis or getting treated with thyroid hormone replacement for several reasons: 1. The doctor does not believe that high normal or low normal or borderline thyroid problems merit treatment. (Not all doctors have this position though.) My doctor believes that a TSH of around 1 - 2 (on a normal scale at her lab of around .5 to 5.5 -- with over 5.5 being hypothyroid, and under .5 being hyperthyroid) is optimal for most people to feel well and avoid having hypothyroid symptoms. There is now research out that says that values above TSH of 2 may in fact represent abnormal levels. See the British Medical Journal article at http://www.bmj.com/cgi/content/fu ll/314/7088/1175. I know I feel terrible at 4-5, or at .3, but pretty good at 1-2. To help in this area, I'd urge you to read the following: HELP! My TSH Is " Normal " But I Think I'm Hypothyroid This article offers a look at your next steps -- including defining the " normal " range with your doc, antibody testing, TRH testing, and drugs beyond T4 therapy -- and where to find a doctor to help. 2. The doctor goes strictly by TSH tests, and doesn't test for antibodies. Antibodies usually indicate a thyroid that is in the process of autoimmune failure. Not failed yet, and often not enough to register in thyroid TSH blood tests, but in the process of failing. This may be enough to cause symptoms. INSIST on having antibodies testing, and if you have been tested and show positive, find a doctor willing to treat you for high antibodies. Do not accept from a doctor that high antibodies has nothing to do with your symptoms, because there are doctors who believe this is not the case and will treat you, and many people find relief in treatment! There are holistic docs, innovative and open-minded endocrinologists and other physicians who believe that the presence of thyroid antibodies alone is enough to warrant treatment with small amounts of thyroid hormone. You may with to consult with a practitioner that has this philosophy. Dr. Vliet, an MD who runs Her Place, a women's health clinic at All Saints Hospital in Fort Worth, and author of Screaming to be Heard: Hormonal Connections Women Suspect...and Doctors Ignore, by Lee Vliet, M.D. , does not believe that TSH tests are the almightly indicator of a woman's thyroid health. Dr. Vliet says that symptoms, along with elevated thyroid antibodies and normal TSH, may be a reason for treatment with thyroid hormone. Here's a quote: " The problem I have found is that too often women are told their thyroid is normal without having the complete thyroid tests done. Of course, what most people, and many physicians, don't realize is that...a 'normal range' on a laboratory report is just that: a range. A given person may require higher or lower levels to feel well and to function optimally. I think we must look at the lab results along with the clinical picture described by the patient...I have a series of more than a hundred patients, all but two are women, who had a normal TSH and turned out to have significantly elevated thyroid antibodies that meant they needed thyroid medication in order to feel normal. This type of oversight is particularly common with a type of thyroid disease called thyroiditis, which is about 25 times more common in females than males...a woman may experience the symptoms of disease months to years before TSH goes up... " For more info, suggest you read: Thyroid Antibodies This article looks at what it means to have thyroid antibodies, and whether or not this calls for treatment. 3. You are one of the people who suffer from a peripheral conversion problem, and your blood test results show normal, but your thyroid is still hypofunctioning. To assess this, you'd need to find a doctor willing to do a TRH test. For some background, see: Dr. Lowe's website.. I also strongly suggest that you read the following at my site for more info and ammunition in your effort to get a proper diagnosis! Six Questions You Ought to Ask Your Doctor...And How to Interpret the Answers When hypothyroidism sets in after RAI or thyroidectomy, or you're diagnosed as hypothyroid due to Hashimoto's Thyroiditis, there are six critical questions you really should ask your doctor. This article goes over those questions, and helps you interpret your doctor's answers! Diagnosis: Hypothyroidism -- Answers to Some Common Questions Questions a newly diagnosed person with hypothyroidism might -- and DID -- ask, along with answers, including information on how long it takes to feel better after starting treatment, long-term health risks, whether or not you'll get a goiter, fatigue and weight gain and how to combat them, and more. Hypothyroidism Symptoms Checklist A checklist of risk factors and symptoms you can take to your doctor to help get a diagnosis, or make the argument that your hypothyroid symptoms are not resolved by your current treatment If you want to find the doctor to help you get to the bottom of your diagnosis, you can search for a good doctor recommended by our fellow thyroid patients at my Thyroid Top Doc Directory. The Directory features US and international doctors by state or country. If we don't have a doctor for your area, you can enter your request there as well. There are also other options for doctor referral described in a recent article I wrote on finding a Top Doc yourself. And don't underestimate the value of support. Support and info, ideas on doctors, and the knowledge that you are NOT alone is available at my active bulletin boards where thyroid patients get together to share information and support. Finally, I am also editor of a separate Thyroid Disease email news report, called " Sticking Out Our Necks. " Click here for more information, and to subscribe. Live well -- Louise > > Thank you all for taking the time to post. I have found hope just > reading your postings. at this time I have been to more Dr.s than I > can count or remember. every two years or so, i get sick and tired > of being sick and tired and attempt to get the dr.s to do the same > old test and get a blank stare from the drs that say0 " but the tests > say everything is allright. " " Have you been under a lot of stress > lately? they ask.... anyhow, The trail of Dr.s finally ended in a > Psychiatrist. He prescribed Welbutrin which actually helped a bit > with the fatigue. My tsh tests came back normal and that was the > farthest I was able to go with my last Dr. > Now we have no insurance and I have found you all. the thought > of starting over paying big money again to possibly get the same old > answer is scary. I am experiencing later symptoms of hypothyroidism > and I am starting to feel hopeless and even dangerous in some cases > of day to day activity. I am afraid that my children will never > know the real me and I am afraid to hold a conversation of any > substance in fear of saying something not well thought out. Even the > subjects that I was an authority on..so I sit silently and listen. > Can I realy do this on my own and not break the bank? > I want to be me again. > Kat > > > > not have I have read about health check and self Medicating Quote Link to comment Share on other sites More sharing options...
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