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In a message dated 2/4/2005 6:20:26 PM Eastern Standard Time, klb58@...

writes:

> I have once again started to have itchy ears, ringing in my ears, lump in

> my throat and am gaining weight-2 pounds in the last week, though eating way

> more protein and hardly any carbs. The skin on my legs is like fish scales and

> looks like a snow storm when I take off my socks. I am still experiencing

> fatigue, especially in the afternoons

kerry,

is it cold weather there...recently colder? that could be a factor.

you pretty much take exactly what I do - except I take 2 grains in the

morning for a total of 4 grains. i think some of those things you mentioned are

just inherent in thyroid disease- dry skin and fatigue...and often difficult to

eradicate completely....and i even think for those who have had ear problems -

it's very hard to get rid of.

so - you might try 1/4 more grain - i'd do it in the morning. i don't think

this would send you into hyper land - but it might help those remaining items

a bit.

cindi

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How low of a carb diet are you on? The reason I ask is that if the

diet is too low carb, this will slow thyroid function. What is does

is slow down the process of creating energy with thyroid because

glucose is needed for this and so if the diet is too low in

carbohydrates, there will not be enough glucose. The best thing is

to have a small amount of glucose every two hours, such as you would

get in a small piece of fruit or half of a piece.

The fact that low carb diets that are too low in carbs are almost

impossible for people to stick to long term is in large part because

it eventually slows them down and then they start to crave carbs to

get energy. Also, too little glucose is more work for the adrenals

because then they have to kick in more to try and get energy from

fats and protien. Converting fat and protien to enregy are not very

efficient and take more energy per calorie obtained than eating a

small amount of carbs spread out in the day would do. Too many carbs

at once is also extra work for the adrenals because they have to put

out more hormones to convert the excess glucose to fat and get it

out of the blood.

Another thing that might be happening that I did to myself is that

your thyroid doseing is not quite right. When I was first starting

on this journey, I could not tolerate thyroid without an adrenal

crash. I found that the only way I could take thyroid was to break

it up into a dose every two hours. The trouble with this is that you

do a good job of balancing out your thyroid levels in the blood

during the day and this is easier on the adrenals, but at night you

have almost nothing and go into the red there. Studies have found

that people need a little more thyroid at night than during the day.

They figure that the body is using it for repairs. So, when you do

not have a dose at night that is equal to or a bit more than the

dose you have during the day, you are getting a deficit in your

overall needs for 24 hours. So, what I'm thinking is that your total

dose is still a little low for you overall, because at night you

aren't getting much at all. You have figured out how to get enough

during the day, but at night you aren't taking much at all and it

needs to be the same as your daytime levels minimum. You have about

8 hours of thyroid deficit. It is sort of like being normal in the

day and hypo at night and the result is that it's a stress on the

body because thyroid levels are fluctuating too much. If you try to

increase your dose in the day to make up for the deficit at night it

will crash you because you will have to take too much for your needs

in the day to carry some over for the night. This makes T3 too high

for you in the day and will give hyper symptoms. I'm having a hard

time explaining. The goal is to have even blood levels of thyroid

all 24 hours of the day.

Eventually I was able to work this out by taking a dose every 8

hours. I take 3-3/4 grains total. My moring dose is 1-1/8, my

afternoon dose is 1-1/8 and my bedtime dose is a little higher at 1-

1/4. So, my doses in the daytime are the same and my bedtime dose is

slightly more. Once I quit depriving myself at night, I did a lot

better overall as far as energy was concerned and my sleep really

improved. So, I suspect that you might need a little higher dose

overall and you are going hypo at night and that is partly whay you

still have some hypo symptoms.

Tish

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Glad you are feeling better.

Bet that afternoon fatigue is related to your overall armour dose

still being a bit too low. But, with adrenal problems, it takes more

time to get there. I used to have to lay down in the afternoon, when

I was on 2 grains. Just could not go on. It took me a long time to

get from 2 grains to 3 due to my trashed adrenals. When I got to 3-

1/2, my life really turned around - no more naps.

Also, it does not take very many carbs to maintain adequate glucose

for thyroid function. The trick is to just do a tiny amount very

often (about every 2 hours) so blood levels of glucose are enough

but not so much that it requires the adrenals to kick in to help

bring it it down.

Tish

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I just wanted to add one more thing. Fats deplete thyroid hormone.

The low carb diets don't concern themselves too much with fats. But,

fats use up more thyroid. It is not a problem for people with

adequate thyroid function because it just increases output to burn

the extra fats. But, if you have limited total thyroid, then fats

will deplete it more than other foods. Studies found that animals

greatly increased their metabolic rates when fats were totally

eliminated from their diets. This is not a good thing long term, but

it shows that reducing fats spares thyroid for other uses in the

body.

I was doing a lot of coconut oil when I was hypothyroid, because

they say it speeds up the metabolism. Well, yes it does because it

increases the body's use of thyroid hormone. But, if your thyroid is

impaired and can't increase it's output for the increased demand of

fats, then you deplete it from the blood. That's what happened to me

and my hypothyroidism got worse. So, lots of fats can require an

increase in thyroid replacment to help your body use them.

Tish

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LOL is this an eye opener as I have never been worried about eating fat,

but I can see where this could explain why I should be more circumspect!!!

Thank you.

*********** REPLY SEPARATOR ***********

I just wanted to add one more thing. Fats deplete thyroid hormone.

The low carb diets don't concern themselves too much with fats. But,

TishN

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