Hey, Pam - got some new figures =-)

CheriYM · 07-03-2009, 10:12 AM

Am reposting this as I seems to have posted on the general health board earlier
Also - I just don't get why my tsh bounces around so much?? I am currently taking 150 synthroid and 20 cytomel split dose

my latest labs:

TSH .052 (.450-4.5)
Thyroxine T4 Free, Direct 2.02 (.61 - 1.76)
Triiodothyronine, Free, serum 3.4 (2.3 - 4.2)

my pcp is freaked by the blip of the tsh - and my t4 seems to be too high - but t3 looks ok? Am I reading this right? I think he wants to drop my synthroid a little - thoughts??
I am reducing the prednisone - could that have an effect on the thyroid stuff??

Thanks!
__________________

inatic · 07-04-2009, 05:05 AM

Ft3 isnt too bad (could be a bit higher) but your T4 looks to be too high. Maybe less T4 and a bit more T3?

Dont know what effect reducing your prednisone might have?

nonstickpam107 · 07-04-2009, 09:24 AM

I take Prednisone (Medrol) daily for PAN. It does affect my thyroid...I need more Armour.

I agree with dropping the T4 a little (and maybe upping the Cytomel...heh heh) but a doc that FREAKS OUT about what the pituitary is doing...um..TSH...needs to be interpreting the T4/T3 NOT the TSH. Cytomel drops the TSH in the toilet on as little as 5mg....the TSH drops FIRST...whether on Cytomel OR Armour....so MOST docs who are good at titrating dosage go by T4/T3 not TSH.

Pam

CheriYM · 07-05-2009, 09:44 AM

Inatic and Pam - thanks for the input! Have a new script for 125 of synthroid - will pick that up today - or tomorrow . . . and another 5 of cytomel might find it's way into my daily pillbox

I actually am feeling great on this dosage - have lost abt 15 lbs (of prednisone weight

) without even trying

- and lung issues from the lupus are getting a lot better - rarely need my portable o2 anymore

I think the doc freaks b/c I also have cardiac issues (triple vessesl - accelerated by lupus & steroids - have had 6 MI's) and he's afraid a high tsh will not be good for my heart - but the beta blockers and ace inhibitors and isosorbide seem to take care of that.

My rheumatologist wants to keep reducing the prednsn and have me totally off of it by the end of the year - and she just informed me that I may have to stay on the chemo drug - cellcept - at half dose for the rest of my life

But - if that's what it takes to keep me alive and out of the hospital - then I can LIVE!! with that . . .

CheriYM · 07-05-2009, 09:47 AM

07-03-2009, 10:12 AM	#1
CheriYM Junior LCF Member Join Date: Jul 2008 Location: New York City Posts: 55 Gallery: CheriYM Stats: 245/225/160 WOE: low glycemic/high fiber Start Date: January 2008	Hey, Pam - got some new figures =-) Am reposting this as I seems to have posted on the general health board earlier Also - I just don't get why my tsh bounces around so much?? I am currently taking 150 synthroid and 20 cytomel split dose my latest labs: TSH .052 (.450-4.5) Thyroxine T4 Free, Direct 2.02 (.61 - 1.76) Triiodothyronine, Free, serum 3.4 (2.3 - 4.2) my pcp is freaked by the blip of the tsh - and my t4 seems to be too high - but t3 looks ok? Am I reading this right? I think he wants to drop my synthroid a little - thoughts?? I am reducing the prednisone - could that have an effect on the thyroid stuff?? Thanks! __________________ __________________ * Cheri * FitDay*WeightLossJournal MedicalStuff

07-05-2009, 09:44 AM	#4
CheriYM Junior LCF Member Join Date: Jul 2008 Location: New York City Posts: 55 Gallery: CheriYM Stats: 245/225/160 WOE: low glycemic/high fiber Start Date: January 2008	Thanks! Inatic and Pam - thanks for the input! Have a new script for 125 of synthroid - will pick that up today - or tomorrow . . . and another 5 of cytomel might find it's way into my daily pillbox I actually am feeling great on this dosage - have lost abt 15 lbs (of prednisone weight ) without even trying - and lung issues from the lupus are getting a lot better - rarely need my portable o2 anymore I think the doc freaks b/c I also have cardiac issues (triple vessesl - accelerated by lupus & steroids - have had 6 MI's) and he's afraid a high tsh will not be good for my heart - but the beta blockers and ace inhibitors and isosorbide seem to take care of that. My rheumatologist wants to keep reducing the prednsn and have me totally off of it by the end of the year - and she just informed me that I may have to stay on the chemo drug - cellcept - at half dose for the rest of my life But - if that's what it takes to keep me alive and out of the hospital - then I can LIVE!! with that . . . Last edited by CheriYM; 07-05-2009 at 09:50 AM..

07-05-2009, 09:47 AM	#5
CheriYM Junior LCF Member Join Date: Jul 2008 Location: New York City Posts: 55 Gallery: CheriYM Stats: 245/225/160 WOE: low glycemic/high fiber Start Date: January 2008	Thanks! x Last edited by CheriYM; 07-05-2009 at 09:49 AM.. Reason: dupe posting

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07-04-2009, 05:05 AM	#2
inatic Way too much time on my hands! Join Date: Jul 2002 Location: Alpharetta,Ga. Posts: 13,806 Gallery: inatic Stats: 182/135 5'4 47!yo 16/4 5 kidlets later! WOE: Coach Supervised Start Date: LowER C since 2/02 wt training 10/15/02	Ft3 isnt too bad (could be a bit higher) but your T4 looks to be too high. Maybe less T4 and a bit more T3? Dont know what effect reducing your prednisone might have?

07-04-2009, 09:24 AM	#3
nonstickpam107 Thyroid Patient Advocate Join Date: Nov 2002 Location: NE Indiana Posts: 13,937 Gallery: nonstickpam107 Stats: 230/116/120 (BF<26%) WOE: Started w/Atkins/Now BFFM Start Date: Nov. 23 2000	I take Prednisone (Medrol) daily for PAN. It does affect my thyroid...I need more Armour. I agree with dropping the T4 a little (and maybe upping the Cytomel...heh heh) but a doc that FREAKS OUT about what the pituitary is doing...um..TSH...needs to be interpreting the T4/T3 NOT the TSH. Cytomel drops the TSH in the toilet on as little as 5mg....the TSH drops FIRST...whether on Cytomel OR Armour....so MOST docs who are good at titrating dosage go by T4/T3 not TSH. Pam