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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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| tfilm |
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Joined: 1/26/2010
Posts: 10
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Elaine:
Alittle over a month ago, I took a stress test and had ultrasound of my liver, discovering that with the hepatic panel a little out of range that I had a fatty liver. A recent hepatic panel revealed the same (my GP's note below)
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You liver tests are a little high and your protein is low.
I don't have a good reason why there has been a change in your values since Jan 2010
Can you send me a complete list of ALL the medications you are taking including OTC and herbal meds.
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I have read that thyroid disfunction may affect the liver, and may exsacerbate fatty liver. I am surgically hypothyroid and take levothyroxine to restore TSH to a normal range, however, as I explained before, I experience intermittent hyper and hypo episodes, tachycardia, extreme fatigue,dry eyes (contact lenses are a good indicator for eye swelling), night sweating, hoarse voice.... I am hoping that I can find an endocrinologist that will first measure T3/T4 for a baseline, and then when I experience symptoms, measure it again to be absolutely sure of the condition of my thyroid.
Is this unreasonable?
Thank you for your kind response.
Michael E. Lindenmeyer
tfilm@sbcglobal.net
100707.2002
Michael E. Lindenmeyer, MS,MS, PE
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| Elaine |
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Joined: 8/1/2008
Posts: 3150
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Hi Michael,
Your baseline should be any recent set of thyroid function tests taken when you've been on a specific dose for several weeks. If you're having symptoms of hypothyroidism, you could always call your endo and ask to have labs then. Or you could ask for a written lab order so you can go in when symptoms occur. If you have an understanding endo and don't have restrictions on the number of times you can have labs, this could work.
If you started out with Graves' disease you could easily have TSH receptor antibodies that are causing your levels to fluctuate. However, if your lipid levels are elevated and you're showing signs of fatty liver disease, your endo might also consider increasing your dose to prevent these transient hypo symptoms.
If your endo isn't helpful, you might also consider having your hypothyroidism treated by a family practice doctor, internist, or osteopath. best, 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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