Doc insist I stay off meds!!!!...Help - 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.

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Doc insist I stay off meds!!!!...Help

9/2/2010 6:44 PM

KarenM

Joined: 8/31/2010

Posts: 2

Doc insist I stay off meds!!!!...Help

Hi Elaine,

Thank you for your response to my last post. I immediately took 2.5 mg of tapazole and felt better...My doctor insist I need to stay off tapazole..here's my lab results.

April 2010:

T3 uptake: 34.5 (20.0-38.5)

T4 (Thyroxine) 7.5 (4.4-12.4)

Calculated T7 (FTI) 2.59 (1.05-4.50)

TSH <0.1 (0.3-5.1)

August 19th:

T3 uptake: 29.9 (20.0 - 38.5)

T4 (Thyroxine) 5.8 (4.4-12.4)

Calculated T7 (FTI) 1.73 (1.05-4.50)

TSH: 1.3 (0.3-5.1)

August 27th: Ten days without any meds

T3 uptake: 32.0 (20.0 - 38.5)

T4 (Thyroxine) 6.9 (4.4-12.4)

Calculated T7 (FTI) 2.21 (1.05-4.50)

TSH: 0.1 (0.3- 5.1 )

He is insisting I stop meds. I went back and forth over the phone via the nurse. He say he does'nt want my T4 to drop. I pointed out my TSH dropped after 10 days off meds, which mean i'm not in remission, right? I was'nt feeling well, until I took the 2.5mg and 6 weeks off meds is a long time to feel crazy. My intuition and body is telling me not to stop. I will see him next week for labs, he want to put my mind at ease. I told the nurse, I will more than not con't taking 2.5mg. When I see him next week the labs will show results with 2.5mg of tapozole in my blood. Is there any literature or someway to present my opposition in a respectful way? I can get assertive when talking bout meds, especially if I feel the dosage or lack of will cause harm. This is my 3rd endo..If I had listened to the other two I would've been worse than bad off. Is there anything in my labs that say STOP meds?

Thanks so much, Karen

9/7/2010 5:40 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: Doc insist I stay off meds!!!!...Help

H Karen,

I think that you respond well to meds and could probably get by on either 2.5 mg or 1.25 mg or block and replace (ATD with thyroid replacement hormone) until you do move into remission. When people like you respond well to meds, there's always a chance of their FT4 falling too low, causing symptoms of hypothyroidism. But with the TSH showing that you're not yet in remission, you still need meds...either using a low dose or using block and replace. Otherwise, over time FT4 will rise. The low TSH shows that you're still producing TSI, the antibodies that cause hyperthyroidism, since they suppress your TSH level. Best, Elaine

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Doc insist I stay off meds!!!!...Help

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