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Registered users can submit a thread (each thread is a single question) on any autoimmune, thyroid or health-related topic – including questions about your pet! Questions will be answered by Elaine Moore.  Because this is not a community forum, members will not be able to reply to threads once questions are asked and answered. Questions may be edited for brevity and grammar. If you need technical help, contact Admin.

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 3/8/2010 10:27 AM
 

Dear Elaine,

Thanks for your continuous support. I just want to update you on my latest thyroid condition:
 
My previous lab result is TSH 0.9 and FT4 0.96 (FT4 range 0.8 – 1.9) . Endo then reduced my dose from 50mg to 25mg PTU. I also started taking multivitamin 150mcg iodine since i seldom consume seafood and avoid processed/fast food.
 
After 2 weeks, my newest lab result at 25mg PTU is TSH 1.47 and FT4 1.01 . Do you know when will the thyroid level start showing the change after the dose reduction? I'm not sure whether this was tested too early. My FT4 is still low. My next lab test will be in every 6 weeks. My endo is keeping me in the same dosage. What is your opinion? I prefer to reach mid or high range for the FT4.
 
I’m still eating goitrogen food but not in the raw state. I heard that cooking can destroy the element that is causing the antithyroid effect. Is this true? I also eat a handful of nut (cashew, brazil, almond, peanut) every day, is this ok too? I’m asking you on advice for a good diet to avoid being hypo.
 
I still wake up earlier everyday – maybe still hypo. But I feel warmer now; my hand and feet are not as cold as last time. Maybe bcoz spring is coming...
Love, Jane.
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 3/8/2010 11:54 AM
 

Hi Jane,

The rise in TSH even after a dose increase suggests your dose may still be too high. I can't remember if you were tested for thyroid antibodies but after miscarriage people can develop postpartum thyroiditis, a condition that causes a temporary (2 months or so) period of hyperthyroidism followed by a similar period of hyperthyroidism. What tests did you have to confirm your Graves' disease?

Cooking does inactivate the goitrogenic properties of food. Typically 1.5 cups of goitrogens reduce thyroid hormone levels. If you're eating that amount, you could consider eating less.

Your FT4 should be stable after two weeks so I wouldn't expect it to rise much more on your current PTU dose. If you notice any hypo symptoms you can always call and ask to have labs sooner. Best, Elaine

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