Hypothyroid - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Tuesday, February 07, 2012

..:: Q & A ::..

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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8/26/2010 10:57 AM

Monica

Joined: 4/11/2010

Posts: 50

Hypothyroid

Hi Elaine,

I've been off meds for 3 weeks, and got current labs and I am now officially hypothyroid, with T3 and T4 just under the south border of the range.

The good news is that my TSI dropped in half again so it is only 56 now, and TBII is very low at about 7. And, my TPO is still declining at about 520. So, here are my questions.

Why am I still having eye pain? I thought TSI was responsible for the eye stuff. Sometimes I get these "rushes" of eye pain, etc. that last about 5 days and just dissapear.

I read that you said that being hypo can trigger TED for folks with graves. How? If TSI and TBII are both low does it still trigger TED? Or, does it trigger TED when graves disease folks have higher amounts of blocking antibodies? It seems for me that I have low blocking so I'm at a loss.

As for meds, do you have a preference? My current naprapath believes in T3/T4 compounds over armour. I'm guessing I should take a bit to get me through this. Maybe my body is just leveling itself out?

Love and many thanks,

Monica

8/29/2010 4:38 PM

Elaine

Joined: 8/1/2008

Posts: 3166

Re: Hypothyroid

Hi Monica,

Now that you're hypothyroid, it's good that you'll be on thyroid replacement hormone. When people have mild hypothyroidism, any type of replacement hormone is generally helpful. When they have severe hypothyroidism, for instance after RAI, then the type of hormone seems to matter more. See how you do on the synthetic meds, and if you don't feel as good as you think you should, you can ask to switch to a glandular product.

Both TSI and blocking TSH receptor antibodies contribute to TED. What's the range for your TBII test? If it's 0-1 or 0-5 your level would be elevated. Blocking antibodies are usually responsible for moves into hypothyroidism although thyroglobulin antibodies can also be the cause. Your eye symptoms could be from poor circulation related to hypothyroidism. It's possible that your eye symptoms will improve once you start replacement hormone. Be sure your meds are based on your FT4 and FT3 levels and not on TSH. best, elaine

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