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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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 7/4/2010 4:16 PM
 
dosing 

hello elaine,

it's been about a week and some change since i reduced my tapazole dose from 2.5 mg every day to 2.5 mg every other day. i gained another pound in the last few days, and my hair is falling out in clumps. also, my whole body feels really heavy and i'm tired for a large portion of the day. i also feel mildly depressed.

how long do should a person wait to see if their adjusted dose is right? and what is it measured by? should i have labs drawn again? or should i go down to 1.25 every other day?

on another note, i read that when a person adjusts their dose they can have transient symptoms of hyperthyroid? what's your opinion about this?

thanks for your help always...

monica

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 7/7/2010 12:16 AM
 

Hi Monica,

The FT4 result is the best indicator for assessing your ATD dose. Symptoms are also important and yours suggest that your ATD dose is too high. If I recall, your FT4 started out slightly above range and it's never been very high.

Lowering the ATD dose can cause a transient episode of hyper symptoms but with the low dose you're on I wouldn't expect a reduction in the dose to cause any noticeable symptoms. You might want to see if you can have your labs tested before lowering your dose. If that's not possible, it'd be good to have them tested 6 weeks after the dose change. Best, Elaine

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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.

 

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