Thyroid dosage transition time
Common Questions and Answers about Thyroid dosage transition time
armour-thyroid
I have had an underactive thyroid for quite some time and been taking eltroxin 50mcg daily.
recently when I went for blood test , my test results showed that the TSH level was .02 .my doctor asked me to redo the test as well as asking for T3 and T4 ,
My question is that is it possible for an uinderactive thyroid to change to overactive?
Why is this happening , I don't feel confdent to take my medication for long , I have to go for blood test every 2-3 months by the looks of it.
Hi there. Yes your thyroid and menopause have a massive effect on each other. I am going through exactly the same thing. I was told that HRT can have a settling effect on the thyroid during this transition, unfortunately I personally cannot take it due to it's side effects. So, your thyroid medication needs can change whilst on HRT.
Thank you so much for the great information. The free's were not tested this time, but I will request that you are next time. Again, thank you.
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I was feeling a little bit hyper on this dosage. I was nervous, not sleeping , etc. I think that I seem to do better when my TSH is a little higher. I already had 100 mg of Synthroid, so I started taking the 100's, with the knowledge of my doctor, but by day 3, I was crying, emotional, and not feeling good at all. What does this mean? Was the 100 already not enough or should I try maybe alternating the 112 and 100, or does this mean that I need to stay on the 112?
However, when you start on thyroid med, your TSH will go down and the output of natural thyroid hormone from the gland will drop. Since serum thyroid levels are the sum of both natural thyroid and thyroid med, the net effect on Free T4 levels will be essentially unchanged until your TSH is low enough that it no longer is stimulating the thyroid gland very much. After that, additional increases n med dosage will start to raise Free T4 levels.
Hi everyone,
I'm new here.
I had a Total Thyroidectomy this year and had rebound hypothyroidism. I've been on Sythroid (generic then brand) for about 6 years then they yanked my thyroid because of suspicious cytology. I just haven't felt well for years and worse for months after surgery.
I've run the usual gambit of high cholesterol, bone loss, wt gain, fatigue, hair loss, skin sensitivity's, SSRI, etc, etc and seeing Drs.
s patients have been known to actually transition over to Graves Disease over time, when having both types of antibodies (those that destroy thyroid cells and those that stimulate thyroid hormone production) and they become progressively hyperthyroid (not common).
FT4 is the actual thyroid hormone. It's a DIRECT measure of your thyroid status. TSH is indirect.
Your FT4 was 85% of range. 50% is where most people feel best. So, yours was quite high, indicating a reduction was in order.
Only when TSH is suppressed enough to no longer stimulate natural thyroid hormone production will serum thyroid levels reflect further increases in thyroid med. Note that TSH should not be used to determine med dosage. A hypothyroid patient should be medicated enough to relieve signs/symptoms of hypothyroidism without creating signs/symptoms of hyperthyroidism. This is called euthyroidism.
TSH is a pituitary hormone that is affected by so many things that at best it is only an indicator, to be considered along with more important indicators such as symptoms and also levels of the biologically active thyroid hormones, Free T4 and Free T3. When already taking thyroid meds, TSH is basically a useless test because it frequently becomes suppressed when taking adequate doses of thyroid med.
When your psych tested your blood, you were on meds. So, your levels should have been good. However, once you stopped taking thyroid meds, your levels went back to where they had been before you started taking Synthroid.
Did your endo ever diagnose Hashimoto's thyroiditis? That's probably what you have if he said your thyroid was dead.
I have Graves Disease & my Endo said I can have either RAI or Surgery. My Endo said that if I have RAI, I would get a dose of 15-20 millicures. Is this dose for a partial or total ablation? Also, I have heard that going through the process of the thyroid "dying" is much easier as a Graves patient vs a cancer patient b/c the dose of RAI is much smaller. Is this true?
There is no proven formula for estimating the optimal dosage of Thyroid meds. Each patient may need slightly different levels of Free T3 and Free T4, but the general rule is to get Free T4 to around the middle of its range and Free T3 in the upper part of its range, as needed to relieve symptoms. In addition, each hypo patient may convert T4 med at different rates, dependent on several other factors.
How much time will I need to transition back from morphine to buprenorphine? I imagine it won't be as long as from Methadone. Can I do it with Suboxone, or will I need Subutex?
s funny, since lowering my thyroid dosage.....I from time to time get periods of what I would describe as anxiety.....my heart starts to race/palp.....but the only difference is now.....it doesn't escalate and I can control it.....and my BP never goes above 130/90 during these episodes where when I was on 137 and 125mcg synthroid, BP could get as high as 180/105. Just an odd time in my life. I was fine for years on synthroid then BAM....something changed and I wish I could figure it out.
I think that, with no meds, and her test results, it is only a matter of time before her thyroid hormones will decrease to the point that she will have overt hypo symptoms.
First thing I would suggest is getting her back on meds. Second thing is that I would insist that the most important thyroid tests (free T3 and free T4 ) be done to determine her actual thyroid hormone levels.
TSH is frequently suppressed when taking significant dosage of thyroid meds. TSH itself does not directly cause any symptoms. TSH is only an indicator of thyroid status. Far better indicators are symptoms, and also the levels of the biologically active thyroid hormones, FT3 and FT4. In your case FT4 is barely in the lower end of the range and FT3 is just at midpoint of its range.
Personally I would be very leery of making the change in meds.
I am definitely improved since increasing from 60 to 90 mg Armour 10 days ago, but not sufficiently. What are your recommendations in terms of the equivalent dosage on nature thyroid, whether I should split the dosage in order to do better in the evening. I have a hard time getting going most mornings, and a hard time in the evening. Do you recommend I try increasing my dosage, and by how much and how soon? I'm also inconsistent in the time I take the thyroid daily.
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