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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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| linda |
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Joined: 7/7/2010
Posts: 11
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Hello Elaine, thank you for your wisdom! I was diagnosed with Grave's in December of 2009-i lost from 144 pounds down to 124 pounds in about 2 months. My values at diagnosis were TSH >006, T46.1, T3 17.93. One sister has hashimotos, other sister ITP, and my mom has rheumatoid arthritis. I was started on Methimazole 30 mg daily and after 2 months dose was dropped down to 10 mg daily. My weight is back up to 138 pounds. I was diagnosed with grave's opthalmology and am being treated for that. My most recent levels: TSH <.011, T4 1.4, T3 3.65. My doctor says to stay on my current Methimazole 10 mg daily, BUT, i do not feel myself. I have no energy to do anything but get to work. I am walking for 1/2 hour in the morning, but it takes all i have to do this. I wasn't tired like this before! Are my levels too low, even though they are right there in the middle? i felt like he should have tried me on 5 mg of Methimazole. What are your thoughts?
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| Elaine |
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Joined: 8/1/2008
Posts: 3174
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Hi Linda,
The ATD should be lowered over time. Starting at 30 mg was ok and so was dropping your dose to 10 mg, but it probably is time for a reduction based on your symptoms. Ideally, you'd be on the lowest ATD dose needed to bring FT4 to at least mid-range and preferably near the higher end of the range. You might ask your doctor about reducing your dose to 7.5 mg based on fatigue. Some doctors hesitate to lower the dose if you mention weight gain, but they listen to concerns about other symptoms. Other common hypo symptoms include depression, constipation, fatigue, joint pain, hearing loss, mental fog, and more. 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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