Thursday, August 2, 2007

Hi.

I haven't been able to log in for some reason, but I got in today. Weird.

I am 12 weeks pregnant, so I am not totally sure in some cases if I am feeling one way or another because I am pregnant, or because of the drugs. lol I wasn't trying, but we weren't preventing either, so there you go. :) We are very happy, and I just hope all the bouncing around I was doing when I got pregnant doesn't effect the baby.

I did end up going on 1mg synthroid (actually, I am getting generic) and 60 mg Armour. It seemed to help a lot. I have more energy, and no heart palpitations. I just had some tests done, and my TSH is completely suppresed, but my T3 and T4 are now in the upper-middle normal" range... right where they should be. :)

I was in the process of weaning off the HC when I found out I was pregnant, so just continued to do so. I think the HC really made all the difference.

Of course, now I am tired most days, and sick.... but I am pregnant. On days when I feel good, I feel pretty good, so that is a good sign, right? ;)

Monday, May 7, 2007

I should post more.

I didn't stay at 180mg Armour for long, because I wasn't feeling quite right. The pounding heart wouldn't go away, and I wasn't sleeping well. I tried upping my HC some too, but it didn't seem to help. After a few weeks I dropped back down to 120mg Armour, and felt really good again. I think I just need the extra T4 without so much T3. I have another appointment with my doctor next week, so I am going to ask about getting a combo of Armour and Synthroid.
If I remember right, humans usually have 3% T3 to 97%T4, and Armour is 20/80. It works good for a lot of people, especially people that have a hard time converting. All I know is I felt so great right when I switched to Armour (I had all the T4 from the synthroid still in my body) and then the way my doctor explained it, is that the T3 in the armour kind of gave my body a kick start. So now I want some more T4 to go along with that T3.

I think my adrenals are getting better! I am taking 20mg HC. I will take 10mg in the morning, and if I forget my noon dose, I don't shut down like I used to, I just get a little tired. Before if I missed it, around 3:00pm or 4:00pm, it would be like someone unplugged me and it was time for bed. lol

I have been losing weight slower. Mostly because I hadn't been eating as good (I think it is harder to eat well when I am not getting enough hormone. I have way more cravings, ect.) I am back on track the last few days though, and exercising more, so eventually it will come off. ;)

Tuesday, April 10, 2007

Doing better, but still not quite there yet.

I did finally call the doctor, and he increased my HC prescription to 20mg. Since I was not better mentally, after seeing the doc and getting blood tests, I began to raise my Armour (with docs approval). I am now up to 180mg (or 3 grains), and the fog is pretty much gone, but I am still pretty low in ambition and sex drive. I am better than I was last summer, but not anywhere near as good as I was for those two weeks right after I switched to Armour.
I think it is my adrenals keeping me from getting that well again. (I think at the time, that much energy in my body freaked my adrenals out.... which is why I got even worse after those two great weeks then I had been before.)
So the good news is that I do feel human again, the bad news is that I am still working on getting myself all the way back to myself.
I think I might need to increase the HC just a bit again, because since I raised my Armour, my temps have been unstable again.
I have a follow up appointment with my doc next month.

ETA: I have also lost about 12 pounds so far! That is good news too. ;)

Tuesday, February 13, 2007

Feeling better

I am taking 20mg of HC now. I am feeling a lot better physically. Not 100%, but definitely better. Mentally I have improved a little bit, but I am still a pretty foggy, and have low ambition. I am going call my doctor about my increase in HC, and then I think I will try raising my Armour again. Now that my body has enough cortisol to handle the energy.... hopefully it will help. :)
I am also losing weight. I have been on a "diet"... meaning I have been eating healthier and keeping track of how much I eat. I lost 5 pounds in the last week and a half though, and that has never happened that fast before! I am not hungry between meals either, which was always a huge problem for me when trying to eat less before. I was hungry all the time, and it was like I couldn't control myself. Now I am having almost no problem resisting. :D

Wednesday, January 31, 2007

Hydrocotisone for my Adrenals

I went to the doctor on Thursday, and since I was not feeling much better, he prescribed hydrocortisone (from now on I will refer to this as "HC"). I am so excited it isn't even funny. Most doctors are afraid to prescribe it, because at high doses, it can be dangerous. At this low level though, it is really just replacing the cortisol that my adrenals are/should be making.
Taking HC is supposed to take over for the adrenals for a while, and give them a break, allowing them to heal. I don't fully understand it. If a person takes too much thyroid replacement, the thyroid will work less, and may even shrink, but replacing the cortisol, allows your adrenals to heal. It is important not to take too much though, and not to take it for too long, or your adrenals may shut down..... I think..

Anyway, I am just ready to feel good again.

He prescribed 10mg, taking 5 mg in the morning and 2.5 at noon and in the afternoon. I have been working my way up though, just in case of a thyroid dump. (If your body can't utilize the thyroid hormones in your system, the cortisol can jump start it, and you might end up with too much thyroid hormones working at once.) I am up to 7.5mg right now, and will probably end up around 20mg. Most people at www.stopthethyroidmadness.com/community seem to have the best luck around 20mg.
I will just do what my body tells me. (Letting my doctor know what I am doing.) He did say it might need to get raised, but I am not going to wait 6 weeks for that to happen. I have done enough waiting. (Sorry doc. ;) )

Since starting the HC on Saturday, I have been mostly tired, but I do feel just a tad bit more aware than I did. I think the HC is making me tired, but once I get an optimum dose, that should fix itself.

I am keeping track of my temp too. I am trying to follow this... http://www.drrind.com/tempgraph.asp

If my temps get stable from day to day, then it means that my cortisol/adrenals are optimized, and getting my temps higher means my thyroid is optimized. So the goal is higher more stable temps. Well, actually the goal is to feel better. :P

Saturday, January 13, 2007

Waiting

At my last appointment with the doctor, he prescribed some T3 to go along with my Armour. When I went to fill it, my insurance wasn't going to cover it, and I didn't want to pay $53 a month when I could just raise my Armour dose. Armour is about 20% T3, 80% T4, and since my T4 was so low, that could only get better. He did say if my I started feeling hypo to call him.

I was doing ok, but after about a week, my heart was pounding a lot at night, and my insomnia was getting worse. I pretty much expected it, because from everything I have read, my body just can't handle that much energy while my adrenals are like they are. They just can't handle normal amounts of energy. So I lowered my dose back down, and I am sleeping better again.
I didn't call my doctor though. I will just tell him about it at the appointment.

I don't really feel any different after starting the supplements.

Wednesday, January 3, 2007

Symptoms

My major symptoms: (They are worse some times then other times, but always present.)

Fatigue - This is my worst and most prominent symptom. I rarely feel totally awake, and never wake up refreshed. I don't remember what it was like to wake up feeling refreshed.

Mild Depression - I am not sad, but I have low ambition, and often feel "blah".

Low Libido

Hard to lose weight

Brain Fog - I rarely, if ever, feel clear minded.

Hard to concentrate

Poor memory

Hard to wake up - I have a very hard time waking up in the mornings.... even if I have gotten 8-9 hours sleep.

Insomnia - I also often have a hard time getting to sleep at night. I feel sleepy around 8-9pm, and if I don't go to bed then, sometimes I don't get to sleep until 1-2am.

Cold - I usually feel cold when others are warm. I do also get hot sometimes when I shouldn't.

Low body temp - I am usually around 97*F

Menstrual cycles are "off" - I recently went 4 months between cycles.

I have other symptoms too...

Here is a small list of hypothyroid symptoms found here http://thyroid.about.com/cs/basics_starthere/a/symptoms.htm (there are more, this is just a basic list.)

I will put a * by the ones I have

*fatigue
*exhaustion
*feeling run down and sluggish
*depression
*difficulty concentrating
*brain fog
*unexplained or excessive weight gain (more of a problem losing... and will gain easily if I am not very careful)
*dry, coarse and/or itchy skin
*dry, coarse and/or thinning hair
*feeling cold, especially in the extremities
*constipation
muscle cramps
*increased menstrual flow
more frequent periods
infertility/miscarriage



Symptoms of adrenal fatigue: found here http://www.newstarget.com/019339.html

I will put a * by the ones I have.

*Morning fatigue -- You don't really seem to "wake up" until 10 a.m., even if you've been awake since 7 a.m.
*Afternoon "low" (feelings of sleepiness or clouded thinking) from 2 to 4 p.m.
*Burst of energy at 6 p.m. -- You finally feel better from your afternoon lull. (sometimes)
*Sleepiness at 9 to 10 p.m. -- However, you resist going to sleep.
*"Second wind" at 11 p.m. that lasts until about 1 a.m., when you finally go to sleep.
*Cravings for foods high in salt and fat
Increased PMS or menopausal symptoms
*Mild depression
*Lack of energy
*Decreased ability to handle stress (physical stress for me)
Muscular weakness
*Increased allergies (I think)
Lightheadedness when getting up from a sitting or laying down position
*Decreased sex drive
*Frequent sighing
Inability to handle foods high in potassium or carbohydrates unless they're combined with fats and protein

Monday, January 1, 2007

I think I finally found a good doctor!

I found him at http://www.thyroid-info.com/topdrs/index.htm

He is a holistic M.D. He doesn't do thing exactly the way that I would. Mostly just does things at a slower pace, but it is all headed in the right direction, and I have a lot of HOPE!!!

I saw him for the first time two months ago. I told him about my past experience, and told him that I had raised my Armour dose on my own. He said that was probably the right thing to do, and raised it even more. Most doctors would probably have lowered my dose.
Anyway, I went home with two home tests (stool and saliva). The stool was to check my system for any possible viruses, and just a general check. The saliva test was to check out my Adrenals. (Again, most doctors would not have even acknowledged that there could be a problem. Most of them thing adrenals either work, or they don't. They don't realized the might be working, just not very well. Just like the thyroid.)
Anyway, then I went back in 6 weeks for my blood tests, and then finally saw him again a few days ago.

Here were my test results.
My TSH is so low, other doctors would be scrambling to decrease my thyroid dose, but my free T4 is on the lower end of normal, and T3 is in the middle. That just doesn't make sense. According to my TSH, those should be above normal.
TSH= <.03 reference (.47-5) Actually, new research shows that the range should be .3-3 many labs just haven't changed yet.
Free T3= 2.5 (1.7-3.8)
Free T4= .9 (0.7-2.0)
reverse T3 is .25 (.18-.51)

The saliva tests are what really showed what is keeping me down. Keep in mind that cortisol should be high in the morning, and lower at night.
7:30am - .12 (.27-2.06... 1.5-2 would be ideal)
1:05pm - .16 (.03-.77)
5:30pm - .04 (.03-.56)
11PM - <0.03 (.03-.5)

So instead of being high in the morning, and going down during the day, I am almost flatlined, either under or at the bottom of the "normal" level. It pretty much means that my Adrenals can't keep up, and are working so hard just to keep me going, that I can't handle much stress. (It is also the reason why it is SO hard for me to wake up in the morning.)
Now, I don't find myself flying off the handle or anything, but I physical stress is hard for me to handle, and I feel overwhelmed very easily. DHEA is high 318 (14-277) DHEA/Cortisol Ratiox 10,000 is 2,650 (35-435) I am not quite sure what that means yet, but it is obviously not where it is supposed to be.

Here is a graph showing where "normal" is (green) and where I am (black line with circles.) You can see where the doctor drew a line about where I should be. (Sorry it is not more clear, our scanner is not hooked up, so I had to take a picture of it.)
Photobucket - Video and Image Hosting

When he started explaining what that meant (which I pretty much knew from all the reading I have been doing, and from forums.) I started crying! It was happy tears! LOL I was so happy to finally have something to point at! T
he plan is to take some Adrenal supplements and see if that helps. If it doesn't, then he will put me on Hydrocortisone. I want to feel good now, but at the same time, I am more than willing to try it a more natural way first. That is my inclination anyway. I am pretty sure that the Hydrocortisone will be needed though, from what I have been reading.

My GI stool tests showed that I have too much bad bacteria, and not enough good bacteria in my gut, so that can work against my immune system, and is probably connected. Not sure exactly how that works, but it explains a lot of things... (like me being so hungry sometimes, and digestion problems.) The supplements he has me on for Adrenal support are Metagenics Adrenogen http://www.metagenics.com/products/detail.asp?pid=112
and Metagenics Adreset http://www.metagenics.com/products/detail.asp?pid=211

For the gut bacteria problem he has me on
Metagenics Ultra Flora Plus DF http://www.metagenics.com/products/detail.asp?pid=86
Xymogens IgG 2000 DF http://www.xymogen.com/feature_formulas.asp
Florastor http://www.florastor.com/

(Also on my own I have been taking selenium for my thyroid (supposed to help in converting T4 to T3) and 3000MG of vitamin C for my adrenals... along with a multivitamin, super B complex and A and E. There are others I want to take too, but haven't yet. I do think that when I started taking the C and selenium, I started to feel a bit better.)

I go back in a month for a follow up. :)