clarification re symptoms duration - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Tuesday, February 07, 2012

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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

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Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.

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clarification re symptoms duration

4/22/2009 9:41 AM

Carol

Joined: 1/28/2009

Posts: 79

clarification re symptoms duration

Hello again Elaine

Thank you so very much for answering all of my recent questions concerning setpoint, symptoms, dosing etc. I understand things much more clearly now.

The hyper symptoms I had been experiencing in early January lasted about 2 wks. and had a regular appointment with my endo towards the end of that time - I agreed with the dose increase because of the duration of the symptoms (not surprisingly for her, my endo was concerned I was going hyper and also wanted to see my TSH increase (sigh).

If I had to/could choose between hypo and hyper symptoms, I'd take hyper anyday and will admit I'm anxious to find my setpoint after almost 2 years into this Graves' journey.

As you know, the dose increase suited me well for 8 wks. but, at 11 wks., the hypo symptoms started and they continued with the addition of more hypo symptoms.

Ironically, shortly after increasing my dose, you had posted on someone else's thread and mentioned that the stress of the holidays, etc. could cause an increase in FT4.

I began to suspect this might have been the case for me.

This question remains open in my mind.....if, after two weeks of hyper symptoms, do you think the body could still correct itself or do you think a dose increase (temporary?) is appropriate?

Thanks for everything!

Carol

4/22/2009 1:39 PM

Elaine

Joined: 8/1/2008

Posts: 3166

Re: clarification re symptoms duration

Hi Carol,

The thyroid hormone levels would eventually correct themselves but it doesn't hurt to temporarily increase meds as long as you can avoid becoming hypothyroid when things change. Another approach is to use a low dose of beta blockers on an as needed basis. Most patients don't need to continue on beta blockers after their initial 6-8 weeks of starting medical therapy. Many doctors will wean their patients off of beta blockers and for these patients as well as patients who never needed beta blockers used regularly, physicians will prescribe a low dose, like 40 mg propranol tops, to be used to reduce any transient symptoms.

Other people manage their symptoms with acetyl-L-carnitine, meditation, or light exercise. I'm reading a book on magnesium now and hope to write an article this week on this topic, which describes how magnesium deficiency causes hyperthyroidism and increases symptoms. Junk food and stress directly contribute to magnesium deficiency. Best, Elaine

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clarification re symptoms duration

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