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THE Q & A
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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.
Copying of any posts is prohibited without permissions.
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Notice: No notices today.
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| andrea |
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Joined: 1/5/2010
Posts: 15
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Hi Elaine! So, I haven't been feeling so well the past few days (been having that "off" feeling and had one episode of that middle of the night "surge" which in the past is usually a T3 surge) so I decided to lab (i've been using mymedlab.com (lab corp) when I feel off now so I don't have to wait on doc).... I stopped putting down the TSH a long time ago since I was never showing any movement... and in May, I didn't even bother with the TSH to be tested. However, this time around, I did test it and OMG... I'm on the map! What does this mean? Am I headed toward remission? Was I misdiagnosed and Graves was an error? Or am I just going so hypo that i've been added to hypo hell on the map? ANY ADVICE is appreciated as I am confused over here. :) Anyhow, here are my results since April to give you an idea of what my levels have been doing:
April 20ish labs (quest labs):
Free T3: 390 (range 230-420)
Free T4: 1.1 (range 0.8-1-1)
PTU 37.5 mg. Propranolol 10 mg twice daily.
Labs from May 20 (Lab Corp):
Free T4: 0.97 (range 0.82-1.77)
Free T3: 3.3 (2.0-4.4)
Lowered to 25 mg of PTU per day. Propranolol 5 mg every morning and 10 mg every night at bedtime. (after a week, switched PTU to 25 mg one day and 37.5 mg other day (alternating days)).
Labs from June 23 (Lab Corp):
Free T4: 5.6 (range 4.5-12.0)
Free T3: 2.9 (range 2.0-4.4)
TSH: 0.447 (range 0.450-4.500)
T3 Uptake: 34 (range 24-39 percent)
Free Thyroxine Index: 1.9 (range 1.2-4.9)
Haven't seen doc yet. (see doc on July 7). Lab again on July 5 thru Quest (doctors lab orders).
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| Elaine |
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Joined: 8/1/2008
Posts: 3174
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Hi Andrea,
Your guesses are good. You're either moving into remission or your TSH is still up from the 37.5 mg PTU where your FT4 fell too low. If your TSH is still above 0.3 with your next labs, and FT4 is below mid-range, you'd want to lower the dose to 12.5 mg. If after 6 weeks or so on that dose, if TSH is still above 0.3 you'd be considered in remission. Time will tell. Good luck, 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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