New Labs - Block more or less? - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

Web Site Search

Wednesday, February 08, 2012

..:: Q & A ::..

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.

Copying of any posts is prohibited without permissions.

The Q & A with Elaine Moore

Notice: No notices today.

Forum

Discussions

Question and An...

New Labs - Block more or less?

8/4/2010 11:18 AM

CorallineSky

Joined: 8/4/2010

Posts: 1

New Labs - Block more or less?

Hi Elaine,

I am 30 years old and was diagnosed with Graves in April 2009.Have been on 'Block and Replace' since about 6 months. I am currently taking 20 mg Neo-Mercazole and 100 mg of Thyronorm in the morning and 10 mg of Neo-Mercazole in the evening.

I got my labs done today and below are the results.

Free T4,serum
Reference Range:11.5 - 22.7 pmol/L
Observed Value: 22.7

Free T3, serum
Reference Range: 3.5 - 6.5 pmol/L
Observed Value:5.2

Sensitive TSH, serum
Reference Range:
Euthyroid : 0.35 - 5.50 microIU/ml
Hyperthyroid: < 0.35 microIU / ml
Hypothyroid: > 5.50 microIU/ml
Observed Value: 0.01

My throat feels tight since last few days and I feel like my body is telling me reduce some medicine, I am confused about how to interpret this. I feel relatively (compared to last year) since the past few weeks.

Am I hypo or hyperthyroid now? Please advise!

Thank you so much.

Coralline

8/5/2010 6:41 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: New Labs - Block more or less?

Hi Coralline,

Your FT4 is borderline high and this could cause you to notice some hyper symptoms. Your FT3 is fine, and your TSH is as expected. TSH stays low for a long time, and a low TSH while on meds doesn't mean that you're hyperthyroid. Your thyroid status is based on your FT4 result since that's our primary thyroid hormone. Your result could be considered euthyroid (normal) or slightly (borderline) hyperthyroid.

Since your result is borderline, your doctor may want to increase your neo or slightly reduce your replacement hormone. Another option would be to add a low dose of a beta blocker like propranolol. This would reduce symptoms and mildly lower your thyroid hormone results. Be sure you're also avoiding environmental triggers and incorporating some form of stress reduction. best, elaine

Page 1 of 1

Forum

Discussions

Question and An...

New Labs - Block more or less?

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.

HOME | ARTICLES | BOOKS | BLOG | Q&A | RESOURCES | ABOUT | CONTACT | SUPPORT

ELAINE-MOORE.COM
Elaine Moore Graves’ Disease and Autoimmune Disease Education
Copyright © 2008-2011 by Elaine Moore. All Rights Reserved.
These pages and their content, including all articles and images are not to be copied, reproduced or printed without written permission. All articles are copyrighted. All images are copyrighted or licensed to use.

SITE LAST UPDATED 23 JAN 2011

ABOUT THIS SITE
This site is self-funded exclusively by Elaine Moore. Moore has no other external sources of funds and receives no monies from government agencies, pharmaceutical companies, Amazon, or other commercial entities to operate this site. There are no conflicts of interest in the operation of this site.
This site complies with the HONcode standard for trustworthy health information: verify here.

DISCLAIMER
The information at this site is true and correct to the extent that all information contained herein about the benefits or performance of any diagnostic or treatment are backed up with scientific evidence such as medical journals, reports, articles, and other relevant materials.The educational information provided within is designed to help users better understand the nature of disease and the solutions available. Nothing contained on this website should be construed as or is intended to be used for medical diagnosis or treatment. Under no circumstances is a particular treatment recommended and in all cases it is recommended that a physician be consulted for any treatments. Reference to any specific commercial or noncommercial products, services, processes, companies or trademarks does not constitute an endorsement or recommendation. Elaine Moore does not host any form of commercial advertisement, does not sponsor or endorse any products or services that may have been mentioned at the site. This excludes mention of her own copyrighted materials, articles, and books. The opinions, views and recommendations of individual registered members of this website, specifically as it pertains to personal inquiries at the Q&A forum or comments made to blogs, are their own and do not necessarily represent those of Elaine Moore.