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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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 8/4/2010 11:58 AM
 
little my
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Joined: 8/4/2010
Posts: 1

I was diagnosed with Graves in March of this year. I started on 30 mg of Methimazole per day, then after a month went down to 20. My TSH has been suppressed this whole time, and my endo has clearly been dosing based off of TSH and not FT4. With a range of .7 -1.5, my FT4 has been:

3/30/10 3.90

5/14/10 1.03

At this point I bumped myself down to 10 mg per day, thinking I was heading hypothyroid, then:

6/15/10 2.84

so he put me back on 20 mg per day, and FT4 was most recently:

7/22/10 .61

Should I try 15 mg, 10? He told me to stay on 20, which I know is too high.
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 8/5/2010 6:46 PM
 
Elaine
1st Level Poster

Joined: 8/1/2008
Posts: 3166

Hi Little,

A reduction to 15 mg sounds like a good idea. Your level of 0.61 FT4 is too low and it's important to avoid hypothyroidism. Ideally, you'd be on the lowest dose needed to bring FT4 up to at least mid-range. A 15 mg dose should accomplish this. best, elaine
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