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in reply to: Pain being hypo after TT. Might go on Armour. #1181490
Hi Amanda,
I hate to say this, but 3 months isn’t all that long (since your TT). I remember feeling fairly crappy for a good 4 months post TT even though my numbers were normal 2 months post TT. At about the 4 month mark, after my dose adjustment (and I had been on it for 2 months), I started to feel better and see symptoms improve. My issues were daily headaches, insomnia (which I still deal with off and on), feeling down although not exactly depressed, and yes, I got Raynaud’s as well. It came on about 6 months after my surgery in my feet. It’s not too bad now, but I had a few months were it was painful, itchy, inflamed and fairly miserable.
It could be that you will feel better at the lower end of normal (instead of a TSH of 2.6 which is mid- range). How long have you been on the 175? Has it been 6-8 weeks yet? I’d give it a chance and continue to allow your body to heal from Graves, surgery, and accustoming itself to Synthroid. It takes longer than we think it should. I agree with Nancy that switching to Armour might make things harder right now. Your body is trying to find its rhythm again, but it needs time. You might consider asking your doctor about adding some Cytomel with the Synthroid it you really want to try T3. At least with Cytomel, you can control the amount of T3. With Armour there is a ratio of T3 to T4 within the one dose that you can’t change independently. I did try Cytomel (only 1/4 of a 5 mcg pill) at one point. I had hyperthyroid symptoms return though, so I had to stop it. Bummer.
I am almost 1 and 1/2 years out of surgery and am doing well. No, it isn’t perfect nor is it “pre -Graves me”, but it is good. The hardest thing is giving our bodies the time they need to recuperate and get used to our new normal. It takes months- especially if your dose is being changed- your body needs a good 2 months on that dose to really see if it’s right.
in reply to: Newly diagnosed #1181407Hi Karen,
I’m guessing by your user name you’re a mom! Me too! I have 4 boys- I’m not a cheer mom, but I’m a gymnastics mom! I was started on methimazole (an anti thyroid drug) for 7 weeks- 5 mg. a day. It helped get my thyroid levels normal, but I was one of the few who had issues with the medicine because it escalated my liver enzymes 8 times the normal range, so I had to stop it right away. Six weeks later, I had a thyroidectomy. That was over a year ago, and I’m doing pretty well now! I would suggest asking for liver enzymes labs to go with your first set of labs to check your thyroid levels after being on the meds. for 6-8 weeks. It is a good precaution.
My symptoms started to go away on the methimazole – about 2 weeks after I started it. It wasn’t perfect, but it was better. I must say that I feel better after my surgery than I did on methimazole. I’m on Synthroid now and have my life back, homeschooling my boys, living life, exercising, and enjoying life again. So, yes you do get better! I had terrible anxiety, panic attacks, insomnia, weakness, slight tremors, diarrhea, quite a bit of weight loss and didn’t eat anything. All I “ate” was Ensure drinks; if it wasn’t for those, I would’ve starved as all foods, smells made me gag. All of the above symptoms are now GONE! Yay!
I didn’t choose RAI because I didn’t want to be away from my family, I also was (and still am) nursing my youngest. I didn’t want to wean him. I was concerned about possible eye involvement and also didn’t want to wait for my thyroid to die out or be dead inside me. I wanted to move on with life sooner than later so I opted for surgery. There is no “right” answer though as everyone is different.
I haven’t had any other complications from Graves and am hoping it will continue that way. I know eye complications can happen at any time. I have a little bit of dry eyes off and on, but I use Systane eye drops (the non preservative vials) and that helps quite a bit.
Start with the meds., get labs done, and then go from there- that would be my advice.
in reply to: new to graves, treatment options #1181373Hello!
I was started on methimazole (ATD)- a low dose of 5 mg a day for 7 weeks. It got my thyroid levels normal, which was great! Unfortunately, I was one of the few who had liver issues. My enzymes went up 8 times the normal amount, so I was told to stop the drugs right away. They had my liver enzymes run 2 days after stopping the drugs to make sure they were coming down- which they were. Eventually, they returned to normal. I also had a liver ultrasound done to make sure no damage had been done- all fine. So, if you have liver labs along with your thyroid labs at the 6-8 week mark after starting the drugs, you should be okay- even if you do have liver issues. From what I understand, when caught early, any problems reverse themselves. I didn’t have any symptoms of liver issues, but my enzymes were still quite high from the ATD’s.
So… 6 weeks later I chose surgery. That was over a year ago and I’m doing well! I’m on Synthroid and have my normal life back again! Yippee! It’s not perfect, but it is good! And, I am grateful. I recently found out my dose was too high (112 mcg) even though it was fine for awhile. So, I’m on 100 mcg twice a week and 112 mcg five days a week, and I’m feeling better now.
I didn’t chose RAI bc I have 4 young boys including a nursing toddler (who at the time was an infant). I didn’t want to stop breastfeeding or be away from my family. I also had worries about eye involvement and didn’t want radiation. I also didn’t want a dead gland in my body or wait for it to die off. I wanted it out and wanted to move on with life with Synthroid. Yeah, I’m a bit of a control freak. Although not as bad as I used to be!
Everyone is different, so you weigh the risks and benefits of each treatment option and go from there. My endo didn’t want me to do surgery- he recommended RAI, but he did support me in my choice for surgery as medically, I was a good candidate.
Personally, I would start with the ATD’s, get labs done (with liver labs too- enzymes) and go from there instead of jumping into RAI. But, that is just me. Sometimes it’s hard to think clearly when we’re hyperthyroid so the ATD’s get us back to a normal place so we can be and think more like ourselves. Maybe you are okay there, but if you’re suffering from worry, anxiety, fear, and all the other mental issues that go with hyperthyroidism, you might want to try the ATD’s so that those symptoms subside and you can make a decision more clearly.
in reply to: 11 Weeks Post TT #1181336No, I think the smallest dose is 25 mcg. So, you could split that, but I don’t know if technically you’re supposed to split that pill into a 1/4. I think that’s why people end up alternating doses or maybe even skipping a day entirely while remaining on their regular dose 6 days a week. From what I understand, the weekly intake is what is looked at as opposed to what is taken in daily. When I was upped to 112 mcg, I was give the option of getting the 112 mcg pills or taking 100 mcg 6 days a week and 200 mcg (2 100 mcg pills) 1 day a week. I wasn’t too keen on taking 200 mcg in one dose, so I opted for the new prescription.
in reply to: methimazole and Hyperthyroidisim #1181309Hi,
Symptoms are dark urine, yellow colored skin, sore throat, fever, flu like symptoms. But, like I mentioned, I did not have any of those symptoms yet I still had liver issues with the methimazole. So, it is a good idea to have your liver labs run to check the range of your liver enzymes to make sure you’re okay.
Normally, the range for TSH is 0.4 to 4.0- so, 1.45 seemed to be in the normal range, but maybe your lab has a different range for what is normal?
in reply to: 11 Weeks Post TT #1181331Hi Sue,
3 weeks can definitely make a difference. When I started on 100 mcg of Synthroid, I had been on it for 6 weeks. My TSH was around 6 at that point. They increased my Synthroid to 112 mcg and 2 weeks later, my TSH was a 0.79!!! In just 2 weeks! Eventually it went down to 0.68 or so at the 6 week mark. So, I would say that yes, you could be feeling the results of your dose change. As an aside, my 112 mcg is now too strong and I’m at a 0.29 so I’m taking 112 five days a week and 100 mcg two days a week. It might be that, if you were decreased to the next lowest dose, you may find that you need to alternate doses to find the right spot for you. For me, 7 days of 100 mcg was too little yet 112 mcg seven days a week is too much… so, what can you do? Alternate! Your doctor will probably want you to wait another 3 weeks for labs, but if you’re looking a little hypo, maybe alternating the doses will help some.
in reply to: newly diagnosed, need advice #1181271Hi!
Starting on methimazole or PTU would be the best way to start getting well again. After 6 weeks or so, you can get labs to see where your levels are. Also, get liver function labs to make sure the meds. aren’t upsetting your liver (like mine did). It isn’t a common thing, but it does happen. I didn’t have any symptoms of fever, sore throat or dark urine, but my liver enzymes were 8 times too high all the same. So, I’m glad I asked for the liver labs when I had my thyroid checked. I had to stop taking the methimazole at that point and had surgery 6 weeks later. That was over a year ago. I’m doing pretty well now on Synthroid.
I think the methimazole not working for me was a blessing in a weird way. The surgery went very well, and I’m much better now. I’m on Synthroid 112 mcg. 5 days a week and 100 mcg 2 days a week. I was on 112 all 7 days, but it was too much med. where 100 mcg. wasn’t enough (all 7 days).
Also, whether on methimzole or Synthroid, it takes time to feel better- so try to be patient while your med. dose is adjusted. Waiting 6 weeks for labs is frustrating sometimes, but it will get better.
in reply to: methimazole and Hyperthyroidisim #1181306Hi!
It is true that methimazole can cause liver damage, but it is not common. I was one of those who had to stop taking it because it was beating up my liver. I was on methimazole for 7 weeks (5 mg once a day). My liver enzymes were 8 times the normal range when I had my labs drawn. So, I stopped taking it that night and had surgery 6 weeks later to remove my thyroid.
You will take the medicine to keep your thyroid levels in normal range. From what I understand, about a year maybe into that you can wean down to see if you go into remission. Sometimes having labs to check antibody levels will help predict whether remission is likely (low antibody levels are an indicator that remission is more likely). If your TSH is 1.45, that is in normal range. So, maybe after some time, your doctor will attempt to lower your dose and wean you off the meds.
Osteoporosis is caused by being hyperthyroid for a long amount of time. I don’t think methimazole causes osteoporosis- but I’m not sure.
Hi!
I was diagnosed 2 months after my 4th baby was born. Initially, I thought I was just over tired from having a new baby along with homeschooling my older 3 boys. I felt “dizzy”/ off center a few times, but it went away (that was a month after the baby).
Then 2 months postpartum I really felt dizzy, off balance, I had a panic attack (which I never had before), my heart started racing and I went to the ER as I thought I was going to pass out. The ER doctor said I had a sinus infection (which was true) and that I blew my nose to hard and that’s why I felt dizzy like I was going to pass out. Yeah, no… anyway… so I was put on a Z-pack for the 1st time of my life. THAT was what broke the camel’s back. I had a terrible reaction to it and it pushed my body over the edge. Once the Z-Pack wore off, I still had heart palpitations (120 just walking down the hall), horrible fear and anxiety (I never had that before), diarrhea, ZERO appetite. I ate Ensure drinks for 2 weeks and no solid food as food made me gag. I lost 13 lbs. in those 2 weeks. I was shaky and a mess. So, back to the doctor. That doctor told me I had an anxiety disorder and he wanted to give me a valium and sent me home with a paper bag to breathe into… I kid you not. I couldn’t take (nor would I take) valium as I was (and still am) breastfeeding (and I still wouldn’t have taken it anyway). So, back home.
Went back AGAIN to a different doctor who finally ran some labs & discovered my screwy TSH of 0.01. She thought initially it could be postpartum depression (which I knew it was not). I really had to be persistent. I ended up at the endo. where my free T4 & T3 confirmed hyperthyroidism. I had antibody labs that confirmed (with a 95% certainty) of Graves. I was put on 5 mg methimazole daily, but my liver enzymes ended up being 8 times the normal amount 7 weeks later, so I had to stop it right away. Fortunately, my thyroid levels normalized on the methimazole and I was able to have a thyroidectomy 6 weeks later. That was 1 year and 4 months ago! What a ride! I’m on Synthroid now and doing pretty well. It isn’t perfect, but it is good. I am healthy again and able to care for my children and am still homeschooling & breastfeeding. I didn’t choose RAI for many reasons, but everyone is different. Glad to hear you’re on methimazole and hoping it all works out for you.
in reply to: No sleep driving me insane! #1180936Hi!
I completely understand where you’re coming from. When I was hyperthyroid, I probably slept 2-3 hours a night. I also was homeschooling my 3 older boys and taking care of my infant. Ugh- what a mess. When I was on methimazole, it helped, but I still had a hard time with sleep. I have since had surgery and my sleep is now back to normal! Yay! I still have bouts of rough sleep, but not nearly as bad as before.
One of my friends who has a brain tumor and suffers from insomnia due to it went to a sleep specialist. Here is what the specialist said: make sure you have a routine. Get up at the same time and go to sleep at the same time- especially the waking up part though. Take time to unwind. I drink camomile tea and watch 30 min. of some mindless TV before I sleep. I also take a warm bath or shower. I go to sleep with ear plugs and a mask. If I can’t sleep after 30 min., I get out of bed and read with a low light- that does usually help quite a bit. Exercise (during the day) also helps me sleep better. When I’m very desperate after many days of 2-3 hours, I would take a Benadryl, but if you’re hyperthyroid, you have to be careful with it as it will raise your heart rate. If I take Benadryl now on occasion, I do not suffer from any heart rate issues now that my thyroid is gone. Maybe if you’re thyroid hormone levels are stable, Benadryl would be okay sometimes, but I would
ask your doctor. My doctor was fine with it (even before surgery).in reply to: Another Husband #1180778Hi Rick,
I’m married with 4 children (all boys). I got Graves after I had my 4th baby and had surgery about a year ago to remove my thyroid. I’ve been on Synthroid since. Graves was the worst for me probably for 2 months. I laid in bed, cried, thought I was dying, had panic attacks, anxiety, no sleep, lost 13 lbs., headaches. I was a mess. I never dealt with rage, but my joy and love for life pretty much was gone. And I will admit that even though my Synthroid is the right dose and stable now and has been for 10 months, there is a certain bit of spark/ pep, love of life and joy that is hard to find again. It’s frustrating because I remember who I WAS before Graves as it was only under 2 years ago, and I (honestly) mourn that person. The carefree mom who could play tag with her kids, keep up with everyone, be the Energizer Bunny, and just do it all and love life kind of went “kerpluff”. I’m much better now than when I was hyperthyroid and having anxiety attacks and in bed all the time with heart palpitations. But… even though I have my health back, I’m not pre- Graves “me” and that, at times, gets me down. I do laugh and enjoy life and my family, but the road isn’t as smooth as it once was. I still have some issues with insomnia. Although I don’t have panic attacks or huge anxiety anymore, stress effects me more than it used to.
It sounds like you’re really trying to hang in there and be a great support to your wife and children. You wife is fortunate for that. I am fortunate too that my husband has been so great through all of this. I don’t know how I can say anything helpful, but that I understand that it’s hard. Even when everything is as good as it can be with Synthroid, it still isn’t always easy. So, I can imagine she is really frustrated having to change her dose all the time. Does she stay on a dose for a good 2 months and get labs before the doctor changes it on her? Maybe a different medicine might help? Tirosint is a newer medicine much like Synthroid except that it is a gel cap. Some people seem to have had success with it. I know using natural thyroid hormone like Armour or Naturethroid is controversial, but maybe after 10 years, a change of meds. might be worth a shot if she can’t get stable on normal Synthroid or levothyroxine (generic). Maybe ask about the Tirosint.
in reply to: Help! My 33 yr old daugter recently diagnosed. #1180743Has she been given the option for anti- thyroid drugs (methimazole or PTU)? Usually that is the first course of action to stop thyroid hormone production (or slow it down) so that her thyroid hormone levels will get closer to normal range and hopefully within normal range. Once that happens, then she would be able to look at all 3 treatment options with her doctor and make a good decision. Some people are able to take anti-thyroid drugs long term, some opt for RAI, others for surgery.
From what I understand having thyroid hormone levels close to normal is ideal for not only surgery, but for RAI as well. During RAI, the thyroid dumps the stored up hormone into the body. If there is a lot, it can be a rough few days while all those hormones are zipping around, making the person deal with some hyperthyroid symptoms. Where if the patient is closer to normal hormone levels, the thyroid “dump” isn’t so big.
For surgery, it is probably more important to have better levels though. I had surgery as I couldn’t stay on methimazole (it was causing me liver issues). I was on the methimazole for 7 weeks and then had surgery 6 weeks after I stopped it. Fortunately, I was able to get my hormone levels normalized within those 7 weeks and they stayed there while I waited for surgery. I had labs every week while I was off the meds. to make sure I was okay. One of my friends ended up in the ER because of her uncontrolled hyperthyroidism (from Graves). They put her on betablockers I think and she had her surgery fairly quickly after the ER visit. So, I do not think her levels were ideal, but she was unwilling to do RAI and the surgeon was willing to remove her thyroid. She was fine and is doing well now.
I would ask the doctor about starting on methimazole, trying to get her levels to a normal range and then reconsider the possibility of surgery if she is not open to RAI. If she is (apart from Graves) healthy and a good candidate for surgery (once her thyroid hormone levels are normalized with methimazole), then maybe it will be a possibility. My endo. wanted me to do RAI as well, but I didn’t want to. Although he didn’t recommend surgery, he did support me in my decision. Let us know how she is, and do let her know that she must do something to manage her hyperthyroidism. Not taking the methimazole or PTU is a very dangerous thing when she is hyperthyroid. My friend who ended up in the ER had Graves for 10 years and was on anti- thyroid drugs on and off all that time, but she let things slip and had a scary episode. Fortunately, she is okay now.
in reply to: Running out of Steam Post TT #1180668I understand that not being able to describe how you feel. I had all these odd symptoms that I’d try to describe. The only 2 that were easy to describe were headaches and insomnia. Otherwise I felt “off”, slightly off center, but not exactly dizzy- I’d describe it like I felt like I was walking on a trampoline or that all of a sudden I’d feel like I was about to float into the air for a split second- really odd. It all went away though.
in reply to: Running out of Steam Post TT #1180666Hi Sue!
Just wanted to offer some more encouragement. Yes I remember feeling pretty well until about 11:00 AM and then I would be so tired and wouldn’t be feeling too well. I still pushed on as I homeschool my 3 older boys and have a toddler as well so no naps unfortunately! But, I do remember feeling pretty good and energetic in the morning and not so great in the afternoon. I think once your Synthroid dose is right and you’re stable on it for a few months and your body continues to recuperate, you will feel better. It really is a journey, but I did feel better about 4 months post TT after my dose was increased for 100 to 112 mcg and I was on it for about 2 months.
in reply to: Sue’s TT – Part 2 #1180643Hi!
3.5 weeks?? Hmmm… My endo. did tell me that your body’s stores of thyroid hormone last about 2 weeks to 2 months post TT. So, it is possible that you’re almost done with your natural hormone supply. Your body is probably transitioning to just relying on Synthroid. I remember feeling sooooo many symptoms that I thought there was truly something wrong with me. Every doctor from the endo, to the GP to the neurologist (yes, my headaches were so bad and frequent I thought I had a brain tumor and asked for a CAT scan!) told me it was my body trying to heal and find it’s new normal. It’s possible your Synthroid dose isn’t quite right and my guess is you’ll have labs done in another 3 or 4 weeks to see if your current dose is right or not.
I think that what you’re going through is par for the course (unfortunately). I still battle insomnia on and off (right now I’m going through a rough bout of it). In general I’m well, but there are good days and bad days, but that would be true with or without a thyroid I suppose! Hang in there and see what your labs say when you have them done and then go from there. It’ll get better (especially once your levels are stable). Good luck to you!
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