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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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The Q & A with Elaine Moore

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ForumForumDiscussionsDiscussionsQuestion and An...Question and An...Can a person with Graves go hypothyroid?Can a person with Graves go hypothyroid?
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 7/9/2010 9:34 AM
 
Deb
No Ranking

Joined: 3/27/2010
Posts: 3

Hello Elaine,

Thankyou for your prior reply. I was diagnosed in September 2006, was on carbimazole for 2 years before my endo said I was in remission July 2008.

At diagnosis TSH 0.2 (0.4-4), FT4 25 (9-20) TPOAb 87 (0-35). At remission TSH 1.28 & FT4 14. My TSH shot up March this year after eating alot of soy to 4.16, now down to 2.56. My FT4 has dropped to 11, TPOAb jumped up to 216.

My concern is that I feel I am experiencing symptoms of hypothyroidism (what you call subclinical hypothyroidism). Is is unheard of to put a Graves patient on thyroxine (or similar FT4 drug) to increase FT4 to a mid range, being that mine is only 2 points above the bottom of the range? I am to see my doctor Monday and I am worried she will not want to in case it leads to my going hyperthyroid. But I am coming to the end of my tether with the symptoms : depression, weight gain, zero libido, tired, emotional, memory loss.

Any advice would be greatly appreciated.

Thankyou, Deb
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 7/9/2010 12:48 PM
 
Elaine
1st Level Poster

Joined: 8/1/2008
Posts: 3174

Hi Deb,

Actually, about 20% of Graves' patients (using ATDs, no treatment, or alternative meds) move spontaneously into hypothyroidism. This happens when they start producing blocking rather than stimulating TSH receptor antibodies. Like the hyperthyroidism, the hypothyroidism can be temporary and it's generally mild compared to the hypothyroidism caused by RAI or surgery. Still, replacement hormone is required and doesn't cause a relapse or move back into hyperthyroidism. Several people here, for instance Carol, are now on replacement hormone after achieving remission with ATDs. Good luck, Elaine
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