Low Carb Friends  
Netrition.com - Tools - Reviews - Faces - Recipes - Home


Go Back   Low Carb Friends > Health Support Groups > Thyroid
Register FAQ Search Today's Posts Mark Forums Read


Reply
 
LinkBack Thread Tools Display Modes
Old 03-23-2013, 09:33 PM   #1
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
Any insight from this?

My doctor ordered some labs last week, including some thyroid numbers. Now, I don't know if it makes a difference, but I had taken my daily 50mcg of levothyroxene before my blood was drawn.

Anyway, as much as I try, thyroid numbers still confuse me. Give me cholesterol, liver enzymes, or almost anything else, and I'm good, but thyroid still confuses me. If anyone has any thoughts about these results, I'd be grateful.
Attached Images
File Type: jpg image.jpg (31.1 KB, 43 views)
Ntombi is offline   Reply With Quote

Sponsored Links
Old 03-23-2013, 11:36 PM   #2
Senior LCF Member
 
Join Date: May 2012
Location: Indiana
Posts: 317
Gallery: Lokarbiebarbie
Stats: 185/120/125
WOE: Atkins 1972
Start Date: December 2008
Doctors who give T4 (only) get used to seeing FT4 'higher' in the range...so yours is plenty high (actually, I like mine slightly UNDER middle of it's range) but take a look at your FT3. Ideally, that should be above the middle range, yet it's only within bottom of the range. Most of us stop converting T4 into the 'energy, feel less achy, more alert' T3 hormone.

Also, levothyroxine (T4) takes about four to six WEEKS before it's 'working'...that's why we need it to convert (or we need to take T3 replacement...the synthetic is Cytomel) to it. You're not converting well, and most of us with hypo tend to feel much better if our TSH if around or UNDER a 1.
Lokarbiebarbie is offline   Reply With Quote
Old 03-24-2013, 04:03 AM   #3
Senior LCF member
 
Join Date: Nov 2007
Posts: 9,469
Gallery: Leo41
Stats: 340 then/145 now
WOE: Low carb/calorie cycling
Ntombi- I'm not a physician, and you have MS and other medical issues for any doctor to consider in evaluating your thyroid levels. Usually, when someone is taking hormones, the TSH will be closer to 1.0, but there are a variety of factors affecting your situation. I read on another section that you've had recent infection as well. That's why I think you'd be best to discuss this with your doctor.
Leo41 is online now   Reply With Quote
Old 03-24-2013, 07:07 AM   #4
Way too much time on my hands!
 
inatic's Avatar
 
Join Date: Jul 2002
Location: Alpharetta,Ga.
Posts: 17,854
Gallery: inatic
Stats: 182+/126 5'4 51!yo 16/4 *5* kidlets later!
WOE: Coach:Erik Ledin leanbodies consulting
Start Date: LowER C since 2/02 wt training 10/15/02
can you ask/discuss with your dr if dr is open to lowering your t4 and adding T3? Most feel better with Tsh much lower and ft3 much higher.

If not, get another opinion of a dr that does use T3.
inatic is offline   Reply With Quote
Old 03-24-2013, 07:20 AM   #5
.
 
ravenrose's Avatar
 
Join Date: Dec 2009
Location: California
Posts: 9,652
Gallery: ravenrose
Stats: lost 130 lb so far, and miles to go before I sleep
WOE: low carb controlled calorie
Start Date: June, 2009
whatever you do, make sure your doc knows exactly how much before the blood draw you took your meds. Mine is generally good, but seems like a dolt about this point... he says you can't pay that much attention to free t3 and t4 when someone is taking the meds, since they jump all over they place during the day. I say, YES BUT, if I take the pills two hours, say, or three hours BEFORE the draw, won't that be a maximum number? how about taking one without the meds for a minimum and averaging them? something like that. he sorta gets it. but not really...

I suggest that if your doc tends to undermedicate you, you should not get the blood draw when your meds are at their highest point of the day.
__________________
Often I don't come back to read threads where I've posted. If you want me to see something, please send me a private message. Thanks!
ravenrose is offline   Reply With Quote
Old 03-24-2013, 07:30 AM   #6
Senior LCF member
 
Join Date: Nov 2007
Posts: 9,469
Gallery: Leo41
Stats: 340 then/145 now
WOE: Low carb/calorie cycling
I really doubt that the levels 'jump all over the place' during the day because both of my endos (excellent doctors) said that I should just take my meds as usual before a blood draw.

Keep in mind that the OP is taking only T4. The T4 is a very slow-acting hormone that doesn't take full effect in the body for 6-8 WEEKS. Taken regularly as we do, it would not result in 'spikes' of any kind but would tend to be stable.

I take T3, which does work immediately in the body. Since I take it at exactly the same time each morning, and my blood draw is always at the same time every 4 months (about 5 hours from my T3), my doctor is getting a level that he can compare from one visit to the next. I doubt that any physician believes he/she is getting any exact amount. Lab values are always considered in relation to an individual's symptoms because we all have different levels at which we feel best.

This is why interpreting lab results should be left to physicians rather than people on an internet board who know only their personal experiences.
Leo41 is online now   Reply With Quote
Old 03-24-2013, 07:37 AM   #7
Way too much time on my hands!
 
inatic's Avatar
 
Join Date: Jul 2002
Location: Alpharetta,Ga.
Posts: 17,854
Gallery: inatic
Stats: 182+/126 5'4 51!yo 16/4 *5* kidlets later!
WOE: Coach:Erik Ledin leanbodies consulting
Start Date: LowER C since 2/02 wt training 10/15/02
Quote:
Lab values are always considered in relation to an individual's symptoms because we all have different levels at which we feel best.
Disagree!
Leo apart from your dr and a few others.. (mine for the most part is ok too WITH ME but many patients arent getting the same 'care' i get.. Most STINK at interpreting labs values in relation to a patients symptoms.

I still say seek another opinion.. She has a 'high' Ft4 , higher than any good dr lets TSH be and very low ft3. and she doesnt feel well..
inatic is offline   Reply With Quote
Old 03-24-2013, 11:18 AM   #8
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
Obviously, I know that you're all giving opinions and such. That's what I asked for. And yes, with the MS and some other stuff, I know I'm not a textbook case. I just wanted to hear what y'all have to say, because my doctor is really happy with these numbers.

It's hard, because I still feel like I'm not properly medicated for the thyroid issues, but so many of the symptoms overlap with symptoms of other conditions I have, plus, I don't feel comfortable reading thyroid labs, so I'm just looking for thoughts as to whether I should look elsewhere for solutions, or keep pushing my doctor. I don't have the language or confidence to converse with her about the results, like I do on other issues. I feel a little stuck.

She's definitely better than my former doctor (who wouldn't even entertain the idea that I was hypothyroid), but she loves these numbers. I've been on this dose of levothyroxene for about six months, I don't feel any different, and none of my symptoms have even been alleviated.
__________________
<-- Buddy
Ntombi: 5'6˝" 40 years old
Started Atkins 8-23-02 325+
bought scale 9-7-02: 318/259.6/180?

Diagnosed with Multiple Sclerosis (and other conditions) Summer 2005 after years of misdiagnoses--> food plan went out the window!
Restarted--again--January 3, 2013.
Ntombi is offline   Reply With Quote
Old 03-24-2013, 02:21 PM   #9
Senior LCF member
 
Join Date: Nov 2007
Posts: 9,469
Gallery: Leo41
Stats: 340 then/145 now
WOE: Low carb/calorie cycling
Ntombi- I didn't realize you were experiencing hypo symptoms. However, as you point out, they could be from other causes. A good thyroid doctor considers both labs and the patient's symptoms, so if I were in your situation, I'd initiate a conversation with my doctor about this. You say that she's happy with the lab numbers, but you should tell her that you are still experiencing symptoms and are concerned.

It's important to be very specific about the symptoms you're experiencing so that your doctor can judge whether or not they are due to your thyroid.

Let me offer a personal example. I have Hashimoto's and for several years, I've had to take both T4 and T3. When my T3 drops too low, I get incredible fatigue. Last year, I began experiencing such fatigue and called my endo, asking for a check of my T3. At the same time, he also ordered a B12 check because he thought that if the T3 was OK, I might be having some problem with B12. It turned out to be my T3. My point is that 'thyroid-like' symptoms can come from other things, so try to be very clear with your doctor about what you're experiencing.
Leo41 is online now   Reply With Quote
Old 03-24-2013, 07:18 PM   #10
Way too much time on my hands!
 
inatic's Avatar
 
Join Date: Jul 2002
Location: Alpharetta,Ga.
Posts: 17,854
Gallery: inatic
Stats: 182+/126 5'4 51!yo 16/4 *5* kidlets later!
WOE: Coach:Erik Ledin leanbodies consulting
Start Date: LowER C since 2/02 wt training 10/15/02
Ntombi are you near any of these offices in Ca.
this is an awesome group.
our Locations | Holtorf Medical Group
inatic is offline   Reply With Quote
Old 03-25-2013, 03:08 AM   #11
Very Gabby LCF Member!!!
 
Join Date: May 2007
Location: Sonoma County, CA
Posts: 3,182
Gallery: watcher513
Or near Los Alamitos area?

Dr. Alex Kutas
3801 Katella Avenue #321
Los Alamitos, CA 90720
(562) 634-9803
watcher513 is offline   Reply With Quote
Old 03-25-2013, 11:31 AM   #12
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
Two of my doctors are actually in that Los Al medical complex! It's about 15 minutes from me.

Now, if I can just convince my PCP to refer me.
Ntombi is offline   Reply With Quote
Old 03-25-2013, 11:40 AM   #13
Way too much time on my hands!
 
inatic's Avatar
 
Join Date: Jul 2002
Location: Alpharetta,Ga.
Posts: 17,854
Gallery: inatic
Stats: 182+/126 5'4 51!yo 16/4 *5* kidlets later!
WOE: Coach:Erik Ledin leanbodies consulting
Start Date: LowER C since 2/02 wt training 10/15/02
not sure what the deal with them is with insurance..might not matter.. Call them.
inatic is offline   Reply With Quote
Old 03-27-2013, 12:36 AM   #14
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
I'm going to call tomorrow and see if they take my insurance. Thanks.

Leo41, I self-inject B12 weekly, and probably will for the foreseeable future. I've been doing that for about six months as well. Obviously, I eat meat and dairy, and even organ meats, so there's something up with my absorption.
Ntombi is offline   Reply With Quote
Old 03-27-2013, 04:43 AM   #15
Senior LCF member
 
Join Date: Nov 2007
Posts: 9,469
Gallery: Leo41
Stats: 340 then/145 now
WOE: Low carb/calorie cycling
Ntombi-
I only used the B12 as an example of the fact that 'thyroid-like' symptoms can be from other sources, so when you speak with a doctor, it's important to explain exactly what your symptoms are so that he/she can explore all possible causes.

One of the reasons most of us had difficulty getting diagnosed initially is that thyroid symptoms are often vague and can be from a variety of causes. My PCP told me for years that my symptoms were just 'normal aging.' It turned out to be hypothyroidism from Hashi's.
Leo41 is online now   Reply With Quote
Old 03-27-2013, 08:38 AM   #16
GME
Big Yapper!!!!
 
GME's Avatar
 
Join Date: Jan 2008
Location: CA Coast
Posts: 9,302
Gallery: GME
Stats: 250/166/175 And again...223/215.0/146 5'7
WOE: Misc.
Start Date: April 2000 (the first time)
Quote:
Originally Posted by Ntombi View Post
I'm going to call tomorrow and see if they take my insurance. Thanks.

Leo41, I self-inject B12 weekly, and probably will for the foreseeable future. I've been doing that for about six months as well. Obviously, I eat meat and dairy, and even organ meats, so there's something up with my absorption.
I go to the Bay Area Holtorf clinic and they don't take insurance at all. They will give you a bill to send in yourself, but my insurance doesn't come close to paying what they charge. I go to a regular lab for bloodwork and that gets paid through my insurance though.

I think a new patient visit is around $500 and ongoing visits are $295. I get reimbursed about $50. I can manage that and it is well worth it to me. I was barely getting out if bed and getting to work every day before I found them. Since seeing them I got a graduate degree, new job and a raise so I consider it an investment.
__________________
Gina
GME is online now   Reply With Quote
Old 03-28-2013, 01:31 PM   #17
Way too much time on my hands!
 
inatic's Avatar
 
Join Date: Jul 2002
Location: Alpharetta,Ga.
Posts: 17,854
Gallery: inatic
Stats: 182+/126 5'4 51!yo 16/4 *5* kidlets later!
WOE: Coach:Erik Ledin leanbodies consulting
Start Date: LowER C since 2/02 wt training 10/15/02
THat's awesome Gina!

Good luck Ntombi
inatic is offline   Reply With Quote
Old 03-29-2013, 01:19 PM   #18
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
I have an appointment with Dr. Kutas in a couple of weeks. Thanks, everyone.
Ntombi is offline   Reply With Quote
Old 03-31-2013, 02:01 AM   #19
Very Gabby LCF Member!!!
 
Join Date: May 2007
Location: Sonoma County, CA
Posts: 3,182
Gallery: watcher513
WooHoo!
watcher513 is offline   Reply With Quote
Old 04-12-2013, 12:50 PM   #20
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
I just left the appointment, and I'm trying not to cry. He confirmed so many things I've been saying for years. I finally might get a handle on this thyroid issue!

We're increasing the synthroid a bit for now, and then I'll be back I'm a few months. Part of the problem is that I'm often on steroids, which can skew thyroid results for the better (didn't know that!), and I was on them with these last tests. I'm back on them now too. Ugh. Anyway, he says I have a goiter, not yet sure about nodules, and is also wondering about Hashimoto's, which I have been too.

I'm so glad to have someone listening who seems to know how to approach things. It's going to be a long slough, and I understand that, but I feel like I'm at least moving in the right direction.

Thanks for the recommendation and support. I really appreciate it.
Ntombi is offline   Reply With Quote
Old 04-12-2013, 02:59 PM   #21
Senior LCF Member
 
Join Date: May 2012
Location: Indiana
Posts: 317
Gallery: Lokarbiebarbie
Stats: 185/120/125
WOE: Atkins 1972
Start Date: December 2008
I have been on daily oral and inhalant steroids for over 11 years. And if my T3 isn't in a good place for ME..I'm dead in the water so to speak.

I'm so very happy you had a good appointment though...and I'd been in a study a few years back that dealt with the effect of steroids (steroids that sustain life in my case) on thyroid and in my particular case I need more incoming T3.
Lokarbiebarbie is offline   Reply With Quote
Old 04-12-2013, 05:54 PM   #22
GME
Big Yapper!!!!
 
GME's Avatar
 
Join Date: Jan 2008
Location: CA Coast
Posts: 9,302
Gallery: GME
Stats: 250/166/175 And again...223/215.0/146 5'7
WOE: Misc.
Start Date: April 2000 (the first time)
I'm glad it worked out for you. Is he a Holtorf doctor?
GME is online now   Reply With Quote
Old 04-12-2013, 06:00 PM   #23
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
No.

Hmm, I see Dr. Holtorf prescribes bioidenticals; maybe I should have gone there instead. I might be fine with the right dose of synthroid, I hope so.
Ntombi is offline   Reply With Quote
Old 04-12-2013, 07:57 PM   #24
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
Rereading the thread, I see that the Holtorf clinics don't take any insurance at all. I'll have to keep that way far on the back burner; I'm barely able to swing all the copays I have to shell out, plus thousands in uncovered dental work, I can't afford to pay cash for a doctor. Obviously, if every other option fails, I'll have to figure something out, but for now, it's not an option.

Thanks again, I'm actually feeling hope today.
Ntombi is offline   Reply With Quote
Old 04-12-2013, 08:48 PM   #25
GME
Big Yapper!!!!
 
GME's Avatar
 
Join Date: Jan 2008
Location: CA Coast
Posts: 9,302
Gallery: GME
Stats: 250/166/175 And again...223/215.0/146 5'7
WOE: Misc.
Start Date: April 2000 (the first time)
It sounds like you found someone who will work with you anf that is what matters. I like my Holtorf doctor, but I'd love to find a good doc who would take my insurance.
GME is online now   Reply With Quote
Old 04-13-2013, 12:08 AM   #26
Very Gabby LCF Member!!!
 
Join Date: May 2007
Location: Sonoma County, CA
Posts: 3,182
Gallery: watcher513
Ntombi, Dr. Kutas was a doctor that 2bflawless, a poster that used to live in CA found, and she's since moved out of state. He worked wonders for her so I think you've got a keeper there.
watcher513 is offline   Reply With Quote
Old 04-13-2013, 12:10 AM   #27
Blabbermouth!!!
 
Ntombi's Avatar
 
Join Date: Aug 2002
Location: Boston, then OH, then NYC, now SoCal. Whew!
Posts: 38,349
Gallery: Ntombi
Stats: Restart: 360/284.4/190
WOE: Atkins for weight loss, NK for maintenance.
Start Date: Restarted: 1-3-13 Original: 8-23-02
Thank you so much!
Ntombi is offline   Reply With Quote
Reply


Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are On



All times are GMT -7. The time now is 04:56 PM.


Copyright ©1999-2014 Friends Forums LLC. All rights reserved. - Terms of Service | Privacy Policy
LowCarbFriends® is a registered mark of Friends Forums, LLC.