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Hi Margaret,

I think that is an FT4 rather than a T4, and the reference range is usually

0.8-1.8 ng/dl/. TSH is best kept below 2.0 when you're on ATDs. This test is

also misleading when on ATDs so the FT4 and FT3 are better for monitoring

you. Your FT4 is on the low side. If you have any hypothyroid symptoms, you

might want to ask your doctor about reducing your dose more. Most patients

can be kept on a maintenance dose of 2.5-10.0 mg Tapazole daily. Take care,

elaine

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  • 3 weeks later...

-----BEGIN PGP SIGNED MESSAGE-----

Hash: SHA1

Clair Baca wrote:

>

> I've never had the Free T3 before, but I am presuming that even

> though I am high, that little .06 should come down by my next

labs.

> Does that come down as quickly as the others? In the 3 months

I have

> been on meds (same dose, even), other than my TSH everything

else has

> come into normal range (and this FT3 now). Good right?

My fT3 is a stubborn little number who does his own thing, but

yes yours will probably come into line soon. The TSH will

probably then follow.

The results are good, although you're at the bouncy, hot and

sweaty end of normal still.

One other thing is don't be too disappointed if the numbers

wander a little now they are closer to normal. Although the

symptoms get easier, it is harder to make fine adjustments, and

you may have the odd worse " result " now and then.

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Version: GnuPG v1.2.1 (GNU/Linux)

Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

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=HOt2

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Clair Baca wrote:

>

> I've never had the Free T3 before, but I am presuming that even

> though I am high, that little .06 should come down by my next

labs.

> Does that come down as quickly as the others? In the 3 months

I have

> been on meds (same dose, even), other than my TSH everything

else has

> come into normal range (and this FT3 now). Good right?

My fT3 is a stubborn little number who does his own thing, but

yes yours will probably come into line soon. The TSH will

probably then follow.

The results are good, although you're at the bouncy, hot and

sweaty end of normal still.

One other thing is don't be too disappointed if the numbers

wander a little now they are closer to normal. Although the

symptoms get easier, it is harder to make fine adjustments, and

you may have the odd worse " result " now and then.

-----BEGIN PGP SIGNATURE-----

Version: GnuPG v1.2.1 (GNU/Linux)

Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

iD8DBQE+HfxXGFXfHI9FVgYRApM2AKCFhO9crf14ZI1QOupD8hxJ4eBxwgCgl//u

0f1N0IEoBa4KYgH/k59ooOo=

=HOt2

-----END PGP SIGNATURE-----

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Clair Baca wrote:

>

> I've never had the Free T3 before, but I am presuming that even

> though I am high, that little .06 should come down by my next

labs.

> Does that come down as quickly as the others? In the 3 months

I have

> been on meds (same dose, even), other than my TSH everything

else has

> come into normal range (and this FT3 now). Good right?

My fT3 is a stubborn little number who does his own thing, but

yes yours will probably come into line soon. The TSH will

probably then follow.

The results are good, although you're at the bouncy, hot and

sweaty end of normal still.

One other thing is don't be too disappointed if the numbers

wander a little now they are closer to normal. Although the

symptoms get easier, it is harder to make fine adjustments, and

you may have the odd worse " result " now and then.

-----BEGIN PGP SIGNATURE-----

Version: GnuPG v1.2.1 (GNU/Linux)

Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

iD8DBQE+HfxXGFXfHI9FVgYRApM2AKCFhO9crf14ZI1QOupD8hxJ4eBxwgCgl//u

0f1N0IEoBa4KYgH/k59ooOo=

=HOt2

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Thanks Simon. I was wondering why, if I was getting better and

better and am now virtually in normal range (still a tad high,

though), I still feel awful sometimes. I still can't do more than 10

minutes of housework or whatever without breaking into a total sweat

and feeling faint and delirously hot. And my hands still have shakey

moments, even when I take my meds perfectly. On the other hand,

compared to before, I feel a gazillion times better. I am just

impatient about feeling all the way better. I want to be able to be

active without passing out =)

Clair

> >

> > I've never had the Free T3 before, but I am presuming that even

> > though I am high, that little .06 should come down by my next

> labs.

> > Does that come down as quickly as the others? In the 3 months

> I have

> > been on meds (same dose, even), other than my TSH everything

> else has

> > come into normal range (and this FT3 now). Good right?

>

> My fT3 is a stubborn little number who does his own thing, but

> yes yours will probably come into line soon. The TSH will

> probably then follow.

>

> The results are good, although you're at the bouncy, hot and

> sweaty end of normal still.

>

> One other thing is don't be too disappointed if the numbers

> wander a little now they are closer to normal. Although the

> symptoms get easier, it is harder to make fine adjustments, and

> you may have the odd worse " result " now and then.

> -----BEGIN PGP SIGNATURE-----

> Version: GnuPG v1.2.1 (GNU/Linux)

> Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

>

> iD8DBQE+HfxXGFXfHI9FVgYRApM2AKCFhO9crf14ZI1QOupD8hxJ4eBxwgCgl//u

> 0f1N0IEoBa4KYgH/k59ooOo=

> =HOt2

> -----END PGP SIGNATURE-----

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Thanks Simon. I was wondering why, if I was getting better and

better and am now virtually in normal range (still a tad high,

though), I still feel awful sometimes. I still can't do more than 10

minutes of housework or whatever without breaking into a total sweat

and feeling faint and delirously hot. And my hands still have shakey

moments, even when I take my meds perfectly. On the other hand,

compared to before, I feel a gazillion times better. I am just

impatient about feeling all the way better. I want to be able to be

active without passing out =)

Clair

> >

> > I've never had the Free T3 before, but I am presuming that even

> > though I am high, that little .06 should come down by my next

> labs.

> > Does that come down as quickly as the others? In the 3 months

> I have

> > been on meds (same dose, even), other than my TSH everything

> else has

> > come into normal range (and this FT3 now). Good right?

>

> My fT3 is a stubborn little number who does his own thing, but

> yes yours will probably come into line soon. The TSH will

> probably then follow.

>

> The results are good, although you're at the bouncy, hot and

> sweaty end of normal still.

>

> One other thing is don't be too disappointed if the numbers

> wander a little now they are closer to normal. Although the

> symptoms get easier, it is harder to make fine adjustments, and

> you may have the odd worse " result " now and then.

> -----BEGIN PGP SIGNATURE-----

> Version: GnuPG v1.2.1 (GNU/Linux)

> Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

>

> iD8DBQE+HfxXGFXfHI9FVgYRApM2AKCFhO9crf14ZI1QOupD8hxJ4eBxwgCgl//u

> 0f1N0IEoBa4KYgH/k59ooOo=

> =HOt2

> -----END PGP SIGNATURE-----

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Thanks Simon. I was wondering why, if I was getting better and

better and am now virtually in normal range (still a tad high,

though), I still feel awful sometimes. I still can't do more than 10

minutes of housework or whatever without breaking into a total sweat

and feeling faint and delirously hot. And my hands still have shakey

moments, even when I take my meds perfectly. On the other hand,

compared to before, I feel a gazillion times better. I am just

impatient about feeling all the way better. I want to be able to be

active without passing out =)

Clair

> >

> > I've never had the Free T3 before, but I am presuming that even

> > though I am high, that little .06 should come down by my next

> labs.

> > Does that come down as quickly as the others? In the 3 months

> I have

> > been on meds (same dose, even), other than my TSH everything

> else has

> > come into normal range (and this FT3 now). Good right?

>

> My fT3 is a stubborn little number who does his own thing, but

> yes yours will probably come into line soon. The TSH will

> probably then follow.

>

> The results are good, although you're at the bouncy, hot and

> sweaty end of normal still.

>

> One other thing is don't be too disappointed if the numbers

> wander a little now they are closer to normal. Although the

> symptoms get easier, it is harder to make fine adjustments, and

> you may have the odd worse " result " now and then.

> -----BEGIN PGP SIGNATURE-----

> Version: GnuPG v1.2.1 (GNU/Linux)

> Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

>

> iD8DBQE+HfxXGFXfHI9FVgYRApM2AKCFhO9crf14ZI1QOupD8hxJ4eBxwgCgl//u

> 0f1N0IEoBa4KYgH/k59ooOo=

> =HOt2

> -----END PGP SIGNATURE-----

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Hi Vic,

Your responding nicely to the MMI and I question his orders to have

you increase it to 50mg. The 30mg WILL continue to lower your

numbers. It has been 2 weeks since your last labs and your numbers

are probably much lower than they were when taken.

You might want to hold off on the increase until you have your next

set of labs so you don't go hypO. When are you scheduled to see him

again, and when are you scheduled for new labs?

If you do go with the increase, please, be on the look out for hypO

symptoms and at the very first sign of them, call and get labs

immediately. Take your worst hyper day and multiply that by 10 and

you will understand how much worse hypO can be, in my opinion.

Good luck and am glad to see you are responding so well.

Jody

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Hi Vic,

Please refer to ALL hyper information everywhere.

It takes four to eight weeks for anti thyroid meds to start working.

(Unless the patient has only slightly hyper numbers )You are only at four

weeks. And this doctor is jumping the gun, IMHO. Best you keep an eye on him

since this could be a sign of things to come.

Your past research IS going to be very important now. Keep learning.

The meds can only stop new hormone from being produced, it can NOT use up

all the excess already in your body. this extra hormone must simply be used

up, and that takes time.

Increasing the dose is not a good idea in MY experience.

Or...you can go with it, get a good taste of hypo symptoms and then know for

sure exactly how hypo feels for YOU. In a way, this IS useful information

for the future.

We each must find our own path.

-Pam L-

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Hi Vic,

Please refer to ALL hyper information everywhere.

It takes four to eight weeks for anti thyroid meds to start working.

(Unless the patient has only slightly hyper numbers )You are only at four

weeks. And this doctor is jumping the gun, IMHO. Best you keep an eye on him

since this could be a sign of things to come.

Your past research IS going to be very important now. Keep learning.

The meds can only stop new hormone from being produced, it can NOT use up

all the excess already in your body. this extra hormone must simply be used

up, and that takes time.

Increasing the dose is not a good idea in MY experience.

Or...you can go with it, get a good taste of hypo symptoms and then know for

sure exactly how hypo feels for YOU. In a way, this IS useful information

for the future.

We each must find our own path.

-Pam L-

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Hi Vic,

Please refer to ALL hyper information everywhere.

It takes four to eight weeks for anti thyroid meds to start working.

(Unless the patient has only slightly hyper numbers )You are only at four

weeks. And this doctor is jumping the gun, IMHO. Best you keep an eye on him

since this could be a sign of things to come.

Your past research IS going to be very important now. Keep learning.

The meds can only stop new hormone from being produced, it can NOT use up

all the excess already in your body. this extra hormone must simply be used

up, and that takes time.

Increasing the dose is not a good idea in MY experience.

Or...you can go with it, get a good taste of hypo symptoms and then know for

sure exactly how hypo feels for YOU. In a way, this IS useful information

for the future.

We each must find our own path.

-Pam L-

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Thank you, Jody and Pam L., for your comments. I don't know how many

Grave's patients my GP has monitored. I did think that the increase

was a bit steep, but I am going to go ahead and do it, and like Pam

L. said, find out what the other side of the coin is going to be like

for me. I already figured out that I am not going to be able to have

the ideal of staying home and weathering any problems in comfort, so

I will have to learn to deal with this disease while I am at work.

The other reason I am going to go ahead with the 50 mg is that I

don't want to go against what the GP recommends. It just isn't the

way I want to deal with this on an ongoing basis. If many problems

arise and he does not respond properly, then I will rethink what I am

going to do.

I will be seeing him again on March 25 and will have the labs done on

March 15. Of course, if I run into difficulties before that time, I

will make an earlier appointment.

It's nice, on one hand, to have a disease where labs can tell us

something of what is going on, but, on the other hand, this disease

is a bit too fiddly for my tastes. It is not as straightforward as I

would wish it to be. Well, too bad for me, eh?

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Thank you, Jody and Pam L., for your comments. I don't know how many

Grave's patients my GP has monitored. I did think that the increase

was a bit steep, but I am going to go ahead and do it, and like Pam

L. said, find out what the other side of the coin is going to be like

for me. I already figured out that I am not going to be able to have

the ideal of staying home and weathering any problems in comfort, so

I will have to learn to deal with this disease while I am at work.

The other reason I am going to go ahead with the 50 mg is that I

don't want to go against what the GP recommends. It just isn't the

way I want to deal with this on an ongoing basis. If many problems

arise and he does not respond properly, then I will rethink what I am

going to do.

I will be seeing him again on March 25 and will have the labs done on

March 15. Of course, if I run into difficulties before that time, I

will make an earlier appointment.

It's nice, on one hand, to have a disease where labs can tell us

something of what is going on, but, on the other hand, this disease

is a bit too fiddly for my tastes. It is not as straightforward as I

would wish it to be. Well, too bad for me, eh?

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Thank you, Jody and Pam L., for your comments. I don't know how many

Grave's patients my GP has monitored. I did think that the increase

was a bit steep, but I am going to go ahead and do it, and like Pam

L. said, find out what the other side of the coin is going to be like

for me. I already figured out that I am not going to be able to have

the ideal of staying home and weathering any problems in comfort, so

I will have to learn to deal with this disease while I am at work.

The other reason I am going to go ahead with the 50 mg is that I

don't want to go against what the GP recommends. It just isn't the

way I want to deal with this on an ongoing basis. If many problems

arise and he does not respond properly, then I will rethink what I am

going to do.

I will be seeing him again on March 25 and will have the labs done on

March 15. Of course, if I run into difficulties before that time, I

will make an earlier appointment.

It's nice, on one hand, to have a disease where labs can tell us

something of what is going on, but, on the other hand, this disease

is a bit too fiddly for my tastes. It is not as straightforward as I

would wish it to be. Well, too bad for me, eh?

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vscottbo wrote:

>

> I will be seeing him again on March 25 and will have the labs

done on

> March 15. Of course, if I run into difficulties before that

time, I

> will make an earlier appointment.

Not sure of the merits or otherwise of 50mg, but you should be

tested at least every 4 weeks at these kind of levels. No if's

or but's. Unless I overslept, March 15th is 8 weeks, or 10 since

the last test.

Hypo may seem a long way away, but it creeps up pretty quick

once the dose is sufficient.

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3yjh9guS6IWyC+RNZxBF+/8=

=QU15

-----END PGP SIGNATURE-----

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vscottbo wrote:

>

> I will be seeing him again on March 25 and will have the labs

done on

> March 15. Of course, if I run into difficulties before that

time, I

> will make an earlier appointment.

Not sure of the merits or otherwise of 50mg, but you should be

tested at least every 4 weeks at these kind of levels. No if's

or but's. Unless I overslept, March 15th is 8 weeks, or 10 since

the last test.

Hypo may seem a long way away, but it creeps up pretty quick

once the dose is sufficient.

-----BEGIN PGP SIGNATURE-----

Version: GnuPG v1.2.1 (GNU/Linux)

Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

iD8DBQE+I+VnGFXfHI9FVgYRAkLkAJ4rmuJK4waHM3HZfnPvwlTqQK2C9QCglfiv

3yjh9guS6IWyC+RNZxBF+/8=

=QU15

-----END PGP SIGNATURE-----

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-----BEGIN PGP SIGNED MESSAGE-----

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vscottbo wrote:

>

> I will be seeing him again on March 25 and will have the labs

done on

> March 15. Of course, if I run into difficulties before that

time, I

> will make an earlier appointment.

Not sure of the merits or otherwise of 50mg, but you should be

tested at least every 4 weeks at these kind of levels. No if's

or but's. Unless I overslept, March 15th is 8 weeks, or 10 since

the last test.

Hypo may seem a long way away, but it creeps up pretty quick

once the dose is sufficient.

-----BEGIN PGP SIGNATURE-----

Version: GnuPG v1.2.1 (GNU/Linux)

Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org

iD8DBQE+I+VnGFXfHI9FVgYRAkLkAJ4rmuJK4waHM3HZfnPvwlTqQK2C9QCglfiv

3yjh9guS6IWyC+RNZxBF+/8=

=QU15

-----END PGP SIGNATURE-----

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Hi,

I'm " tuning in " late here on this subject, and I don't have time to write

too much because my husband is having surgery tomorrow and I'm swamped, BUT

my first endo put me on 60 mg of tap and I ended up in the ER, severly HYPO.

Please please be careful taking such a high dose of tap. My second endo

told me than anything over 40mg is an overdose. You might want to double

check with your GP...have him/her do a little research before taking 50mg

for any length of time. I wouldn't wish anyone to go through what I

did....it was really bad.

Good luck and be careful...

Kristi

Re: Lab Results

> Thank you, Jody and Pam L., for your comments. I don't know how many

> Grave's patients my GP has monitored. I did think that the increase

> was a bit steep, but I am going to go ahead and do it, and like Pam

> L. said, find out what the other side of the coin is going to be like

> for me. I already figured out that I am not going to be able to have

> the ideal of staying home and weathering any problems in comfort, so

> I will have to learn to deal with this disease while I am at work.

>

> The other reason I am going to go ahead with the 50 mg is that I

> don't want to go against what the GP recommends. It just isn't the

> way I want to deal with this on an ongoing basis. If many problems

> arise and he does not respond properly, then I will rethink what I am

> going to do.

>

> I will be seeing him again on March 25 and will have the labs done on

> March 15. Of course, if I run into difficulties before that time, I

> will make an earlier appointment.

>

> It's nice, on one hand, to have a disease where labs can tell us

> something of what is going on, but, on the other hand, this disease

> is a bit too fiddly for my tastes. It is not as straightforward as I

> would wish it to be. Well, too bad for me, eh?

>

>

>

>

> -------------------------------------

> 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 do not have the endorsement

of

> the listowner. I have no input as to what ads are attached to emails.

> --------------------------------------------------------------------------

------------

>

>

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  • 2 months later...
Guest guest

Hi ,

PTU is helping to suppress your TSI level. Without the PTU it's likely that

your TSI level will rise and your hyper symptoms will return. People who are

truly normal have TSI levels of <2% activity. You want your TSI to be

somewhere in that range before stopping PTU. Rather than decrease your PTU

dose, you may want to ask about adding a small amount of thryoid hormone.

This protocol is block and replace and it helps suppress the thyroid gland

even more than PTU alone. This will help slow your thyroid gland and antibody

production down faster. Take care, Elaine

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Guest guest

Hi ,

PTU is helping to suppress your TSI level. Without the PTU it's likely that

your TSI level will rise and your hyper symptoms will return. People who are

truly normal have TSI levels of <2% activity. You want your TSI to be

somewhere in that range before stopping PTU. Rather than decrease your PTU

dose, you may want to ask about adding a small amount of thryoid hormone.

This protocol is block and replace and it helps suppress the thyroid gland

even more than PTU alone. This will help slow your thyroid gland and antibody

production down faster. Take care, Elaine

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Guest guest

Hi -

One other thing. Even if your TSI level is low. TSI antibodies can stay in

the thyroid and not be circulating much since antibodies tend to be found at

the site where the antigen is presenting. In this case, it's a mistake

since your thyroid isn't a foreign antigen. This is why hyperthyroid

Graves' patients can still have normal TSI levels and Elaine told you that

TSI needs to be less than 2%.

Take care,

dx & RAI 1987 (at age 24)

> I *finally* got the elusive TSI test...now can someone shed some

> light on all of this? I'm so confused! My background, diagnosed in

> 1997, been on PTU. Currently on 50mg. which I split in half to take

> 1/2 in am, 1/2 in pm. I currently take a liquid mineral supplement

> and caltrate.

>

> 3/13/03

> Free T3 301 (normal 225-370)

> Free T4 1.2 (normal 0.8-1.4)

> TSH 1.073 (normal 0.3-4.0)

> TSI 91 (reference range: <125)

>

> The only thing tested on 10/15/02 was TSH:

> TSH 1.040 (normal 0.4-5.0)

>

> My endo wrote a note saying that even though my TSI was " normal "

> she's seen that in Graves patients.

>

> What the heck does all this mean? I see my endo in April, I'm hoping

> to go off the PTU. If I do go off the PTU is there a chance I could

> get worse where I couldn't control my symptoms with the PTU? I just

> feel like I'm crazy. I'm so tired all the time and cold (hypo?) but

> then the littlest things set me off and my mind feels like it never

> shuts down (hyper?).

>

> I'd appreciate any input, I'm really at a loss to what all this means.

>

>

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Guest guest

Hi -

One other thing. Even if your TSI level is low. TSI antibodies can stay in

the thyroid and not be circulating much since antibodies tend to be found at

the site where the antigen is presenting. In this case, it's a mistake

since your thyroid isn't a foreign antigen. This is why hyperthyroid

Graves' patients can still have normal TSI levels and Elaine told you that

TSI needs to be less than 2%.

Take care,

dx & RAI 1987 (at age 24)

> I *finally* got the elusive TSI test...now can someone shed some

> light on all of this? I'm so confused! My background, diagnosed in

> 1997, been on PTU. Currently on 50mg. which I split in half to take

> 1/2 in am, 1/2 in pm. I currently take a liquid mineral supplement

> and caltrate.

>

> 3/13/03

> Free T3 301 (normal 225-370)

> Free T4 1.2 (normal 0.8-1.4)

> TSH 1.073 (normal 0.3-4.0)

> TSI 91 (reference range: <125)

>

> The only thing tested on 10/15/02 was TSH:

> TSH 1.040 (normal 0.4-5.0)

>

> My endo wrote a note saying that even though my TSI was " normal "

> she's seen that in Graves patients.

>

> What the heck does all this mean? I see my endo in April, I'm hoping

> to go off the PTU. If I do go off the PTU is there a chance I could

> get worse where I couldn't control my symptoms with the PTU? I just

> feel like I'm crazy. I'm so tired all the time and cold (hypo?) but

> then the littlest things set me off and my mind feels like it never

> shuts down (hyper?).

>

> I'd appreciate any input, I'm really at a loss to what all this means.

>

>

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Guest guest

Thank you so much for your explanation, Elaine. I have such a hard

time understanding what's going on or what to do. I'll definitely

bring up the thyroid hormone to my endo in April. I really

appreciate your response!

> Hi ,

> PTU is helping to suppress your TSI level. Without the PTU it's

likely that

> your TSI level will rise and your hyper symptoms will return.

People who are

> truly normal have TSI levels of <2% activity. You want your TSI to

be

> somewhere in that range before stopping PTU. Rather than decrease

your PTU

> dose, you may want to ask about adding a small amount of thryoid

hormone.

> This protocol is block and replace and it helps suppress the

thyroid gland

> even more than PTU alone. This will help slow your thyroid gland

and antibody

> production down faster. Take care, Elaine

>

>

>

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