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THE Q & A

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.

Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.

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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 3/8/2010 11:27 AM
 
purelife
No Ranking

Joined: 2/11/2010
Posts: 22

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 12:54 PM
 
Elaine
1st Level Poster

Joined: 8/1/2008
Posts: 3150

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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