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Been there – done that. When I was diagnosed with Graves I was on Methimazole but was constantly on the search for another way to control the disease and improve symptoms. I made an appointment with my nutritionist (who had saved me and my kids from some very serious stuff many times over the years) to see what he could do. After examining me, looking over my medical records, and talking with me, he honestly and flat out told me that even though there are lots of things that can be improved or cured by holistic, natural, homeopathic methods, he was certain there was nothing that could be done about Graves Disease…. he suggested surgery. If you’ve been to any nutritionists or holistic healers you KNOW how much they hate suggesting surgery, but I had a 20 year history with him and he had always been honest with me.
I totally understand you researching and studying all you can before doing something final like surgery – I did, too. Good for you for looking at all your options, but I really think your only choices are surgery or methimazole.
Good luck, whatever you decide.
Suein reply to: Whether to have a thyroidectomy #1184726Suze wrote:Sue,This response could not have come at a better time. Meeting with the surgeon in 2 days. Wondering if I am making the right decision. I just spoke to people who had some thoughts that raised concerns. So happy to receive this. Thank you.
Suze
Glad it helped, and glad you’re going into this armed with information and education…. this is ultimately YOUR decision so the better informed you are, the better you’ll be able to make the right decision.
I think the success or failure of a TT almost entirely depends on the surgeon so go into the appointment armed with questions and concerns. Most importantly, how often does he do these? This is a delicate procedure and he/she needs to be VERY experienced with these.
Good luck – let us know what you decide.
SueOK, the doc’s assistant called back and said the doc agrees – your dosage need adjusting so he wants you to start taking 88 mcg. 6 times a week and 75 mcg. only once a week (instead of twice like I’ve been doing). I commented that that is a really, REALLY tiny change and that I thought I needed to do more than that. She said that since my TSH was just slightly over the high end of normal that we didn’t need to change it much. I told her that even though it’s only a bit away from “normal”, it’s FAR off from where I felt my best (a TSH of about 1.5). I had been doing some calculations and suggested to her that I would like to do alternating days of 88 and 100 mcg. which would put me at 94mcg. a day (10 more a day than I’m taking now). She said she would go discuss it with the doc and call me back. I asked her to also run by him the idea of switching me over to Synthroid instead of generic and she said she would. 10 minutes later she called back, said he agreed with my dosing suggestions and that he liked the idea of switching to Synthroid. I guess I should be very grateful that I have an endo who actually LISTENS to what I want, huh?
Of course it wasn’t really that simple because then the pharmacy contacted me, said it was “too soon” to refill my prescription, I explained it was a CHANGE, not a refill, then they called back again and said the insurance company won’t pay for the brand name unless the doctor himself calls them, etc. By that time the doc’s office was closed but I’ll continue that battle Monday morning.
So I’m strapping myself in for the upcoming 6 weeks of roller-coaster riding because I know from years of experience that whenever I change doses I go through a myriad of symptoms until the TSH settles in again. My only hope is that since I am technically hypo the symptoms won’t be as bad as before because I’ve always been HYPER, never tried a dose change when I was hypo.
Thanks for the support and comments – as always, much appreciated.
SueHi Kimberly.
OK, I think I saw a 3-letter code but didn’t know what it was. Unfortunately I have thrown away my old bottles so no way of knowing if the manufacturer has changed but I can certainly keep an eye on future bottles. However, even if the pharmacy DOES change manufacturers, what can I do about it? If that’s what they are providing that particular month I don’t imagine I have much choice, that’s why I was asking about switching to Synthroid to avoid future inconsistencies.Yes, there are co-existing conditions, and I’ve gone through my medical history since April to try to pinpoint any changes. I DID start taking a colitis med again in June, but I have since weaned down to almost nothing so I would think my TSH would also be coming down, not up. I know the TSH is slow to catch up with it’s reporting, but I’ve never had my TSH climb like this from the colitis med before. Go ahead and say it – it’s just old age and my body is changing! 😆
I’m waiting for a call back from my endo and am going to ask him to write me a script for the next higher dosage which I will then alternate with my present dose. I hate increasing or decreasing my dosage too quickly – I am always symptomatic during the transition.
I’ve made some dietary and fitness changes in the past 6 weeks but even those shouldn’t have caused the rapid increase in TSH and, even if those did, I will have to adjust the meds accordingly because these are dietary and fitness changes that I can and will be keeping.
SueActually I did ask my pharmacy to please notify me if they ever change manufacturers and they assured me they would, but do I trust that? Nah. I’m sure it’s not on the top of their priority list and the way staff changes and how busy they always are, I’m not counting on that. We have to watch out for ourselves to I will go search my pill container again with a magnifying glass.
However, I doubt a manufacturer change could cause THIS MUCH of a rise in TSH….. something else must be going on. But what?!?!?! What I wouldn’t give for some consistency in this old bod of mine! :rolleyes:
SueThanks, Liz.
I have searched all the fine print on my Levo bottle and have never found what looks to be a manufacturer but I will search again when I go home for lunch, and if that doesn’t work, I will take the bottle to the pharmacy and ask them to find it. However, even if I know who the manufacturer is, I can’t control who fills my prescription when I call in a refill, can I? I always assumed I was at the mercy of whatever supplier the pharmacy was going with that year or that month.Hypo isn’t fun, but it’s still not as bad as being HYPER, at least for me.
Suein reply to: Whether to have a thyroidectomy #1184723Hi there fellow “Suze”
I had a TT in July of 2013 so will answer your questions as best I can:
- I haven’t found any downsides to having my thyroid removed. It’s much easier to keep your levels stable once you’re fully dependent on artificial replacement.
- Didn’t have any weight gain from the surgery.
- I don’t notice any difference in how I feel an hour after taking the pill as compared to how I feel 12 hours later. I don’t think it causes ebbs and tides of energy – if you’re taking it the same time every day it’s pretty much stable in your system throughout the 24-hour period.
- I haven’t been diagnosed with TED but I do notice that my vision fluctuates a little when my levels are changing. But that happened before my TT, too, so don’t think the TT affected my eyes in a bad way.
- I have recently been diagnosed with osteoporosis, but is it related to having my thyroid removed? I don’t think so. I think bone density can be affected by thyroid disease regardless of whether we’re hypo, hyper, have our thyroid or don’t have it.
- I’m above 50 and the scar is barely noticeable. No loose skin or sagging, and you really have to look to find the scar.
- Am I glad I did it? Absolutely, 100%, without a doubt. My ONLY regret is that I didn’t do it sooner.
Hope this helps – good luck whatever you decide.
Suein reply to: New to Grave’s Disease/Please Help #1184765Hello, Jessie….. you’ve found the right place for reassurance, comfort, venting, and information. Been there – done that, and it DOES get better – the stage you are going through right now is horrible but keep reminding yourself…. “This too shall pass.”
Good luck, and keep the faith!
Suein reply to: Question from an old-timer #1184668Hi Shirley – so nice (and so comforting) to hear from you, to see you’re still here and still helping people out. Your comments, suggestions and advice are always so beneficial. I will definitely ask for a calcium level next time someone wants my blood. For all I know (now that you brought it up) I may not even need extra calcium, it’s probably the age, the thyroid meds, and the steroids I take for my colitis that are causing the osteo.
Thanks, Emmtee… I just checked and it’s calcium carbonate – the last thing I need is something else upsetting my intestinal tract!
The challenge continues, but as long as we’re all still willing and able to keep up the fight, we WILL prevail!
Suein reply to: Question from an old-timer #1184665Hello, Kimberly – nice to “see” you, too!
The doc who diagnosed me with osteo didn’t recommend calcium supplements…. she said she’d rather see me get the calcium from green, leafy vegetables, but I figured calcium-rich vegetables AND calcium supplements would be even better.
I’m going to cut down to one calcium supplment a day (instead of two) and make sure it’s about 10 hours after I take my Levo. I wonder, though, if maybe simply having the calcium in my system is causing the problem, regardless of what time I take it. I’m just shocked by how quickly my TSH shot up.
I’ll be talking to both docs (GP and endo) to see what they suggest – maybe it’s not the calcium at all. (shrug). Just when things finally got stable and normal….. as the world turns.
Suein reply to: Question from an old-timer #1184663Thanks, Liz. I actually set my alarm for 6:00 a.m., grab my Levothyroxine and water that I keep by the bed, and then go back to sleep for an hour so I CAN have coffee as soon as I get up.
My doctor wants me off all dairy so that’s why I started taking the calcium supplements (even though she said I should get my calcium from green leafy vegetables instead, but I figured, why not do both).
I don’t really want to mess with my Levo dose because my calcium intake may change a lot in the future and I’ll forever be adjusting. I’ll just stop the calcium for now and see what doc says tomorrow.
I guess what I was really wondering is if t could be the calcium supplements that caused this big, SUDDEN change in TSH even though I take it 6 hours after my Levo. I guess anything’s possible, regardless of the “4 hour rule” that they say to go by.
Suein reply to: Question from an old-timer #1184661Hmmmmmm…. may have found the culprit, but it still shouldn’t have this much of an effect, but who knows. I am and always have been VERY sensitive to even tiny changes and things that doctors say won’t affect me or that I won’t even notice, DO affect me and I DO notice. It’s great to be so in-tune with your body, but sometimes it sucks, too.
A few weeks ago I had a bone scan and the doc told me I was now officially in the osteoporosis range. I started taking calcium supplements but I am DILIGENT about not taking it anywhere near my Levothyroxine dose! They suggest four hours before or after, I have been doing 6 hours! But as you said, everyone is different and bodies change so maybe the addition of calcium, even at what is supposed to be a safe time, has affected the absorption of Levothyroxine.
Guess I’ll stop the calcium supplements.
Suein reply to: Success Story (A Blast From the Past) #1184291Thanks for the greetings and the feedback on the variability of dosages from different manufacturers. I will definitely search the fine print on my prescription bottle when I get home to see if I can find any clues or evidence that I should be tracking.
Sue
in reply to: Understanding Graves Disease Results #1183607Oh my word…… can we chalk that up to Graves brain? 😮 This poor woman comes on here asking to have her confusion cleared up and I throw MORE confusion into the mix by questioning her colitis diagnosis! Note to self: don’t keep the thyroid forum and the colitis forum open at the same time anymore!
My apologies to the original poster. I’m not always this ditzy…. sometimes I actually have something useful to offer!
Suein reply to: Understanding Graves Disease Results #1183605Hello, sorry about the diagnosis but glad you found us. I’m curious….. how did you get a diagnosis of colitis confirmed through lab tests/blood work? I thought they only could do that by taking a biopsy and looking at the tissue under a microscope? What blood tests did you have that are confirming the doc’s diagnosis?
Sue -
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