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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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 7/19/2010 1:17 PM
 
DebbieB
No Ranking

Joined: 7/16/2010
Posts: 32

Hi Elaine,

I have read a lot of different things on whether to take natural vs synthetic thyroid hormones with Grave's disease. I am post RAI and have taken both. I find that I feel much better on Armour though I wonder if it has anything to do with antibody production? When takimg Synthroid and Cytomel, I feel sick and depressed most of the time. Is there any reason I shuold not take natural thyroid hormones?

Also, I tried LDN earlier this year, while on Synthroid and Cytomel, and my TSI went from 162 to 380 though my Trab dropped from .79 to <.50. My TED has flared up since this change so I stopped the LDN. This is another reason why I question the need to go off Armour since my TSI rose on synthetic thyroid as well.

Debbie
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 7/21/2010 9:47 PM
 
Elaine
1st Level Poster

Joined: 8/1/2008
Posts: 3150

Hi Debbie,

Most people do fine on Synthroid alone for the first few years after RAI and eventually need to add T3. Some people do fine on glandular extracts and others do well on synthetic formulations.

TED typically develops either within a year after RAI or around 6-10 years after RAI. The replacement hormone doesn't play much of a role although becoming hypothyroid can trigger TED.

Since TSI is a type of TRAB, your antibody results, if done with the same lab draw, would be considered erratic, meaning that one or both results are flawed. Your doctor should have asked to have the tests repeated. Since you mention TED, it's likely that TSI rose and TRAb as well. LDN typically lowers antibody levels but if you reacted to one of the fillers this would account for a rise in your levels.

In general, it's best to use the type of replacement hormone you tolerate best at a dose that keeps FT4 and FT3 at least at mid-range. Best, Elaine
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