Did I just go from Hyper to Hypo? - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Wednesday, February 08, 2012

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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.

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Did I just go from Hyper to Hypo?

6/29/2010 12:47 PM

Lisa

Joined: 6/19/2010

Posts: 7

Did I just go from Hyper to Hypo?

Hi Elaine,

I have a query about my meds again. I was diagnosed with Graves Disease about 2-months ago. My doctor put me on to 20 mg of Carbimazole a day and now I've dropped back to 10 mg a day.

The thing is my feet and hands are freezing, my skin and hair is oily and I'm getting pimples for the first time in years on my face. I have to admit I stopped my contraceptive pill about 3-months ago but I'm not sure if that's what's effecting my skin? The rest of the skin on my body is dry, but my head is oily... Weird!

My poor left eye is blood shot and sore most days. I also wake up with dry eyes and it continues all day. What on earth is going on with me?

I know I have to get tested to see where my levels are at? However I only changed to this dosage a little over a week ago so it's to early to know. What would you recommend? Should I change my dose? Something just doesn't feel right.

My last bloods were just below normal btw.

6/30/2010 1:11 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: Did I just go from Hyper to Hypo?

Hi Lisa,

You were probably on the 20 mg dose a bit too long and began developing symptoms of hypothyroidism. Your dose should be based on your FT4 level. Patients start on a higher starting dose and as soon as FT4 falls into range (usually around 6 weeks) the dose is reduced. Sometimes it's less of a strain on the body to reduce gradually like moving to 15 mg for a few days and then to 10 mg. 10 mg is a good choice because the usual maintenance dose for mmi after the first 6-8 weeks is 2.5--10 mg daily. I think you've had hypo symptoms and now you're having some symptoms related to the change in levels from hyper to hypo to improved. Thyroid hormone is very potent so even slight changes will cause some big changes. Probably your scalp's oil production fell when you were hypot and then increased as you lowered your dose and your thyroid hormone levels began to rise. I think once you're on 10 mg a while longer you'll feel better although maybe not your best if the mmi dose is still a bit too high. Best, Elaine

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Did I just go from Hyper to Hypo?

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