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redrose77
Veteran Member


Date Joined Sep 2005
Total Posts : 2573
   Posted 6/18/2009 12:44 AM (GMT -7)   
I saw my psychiatrist today. She says I am mentally stable but stressed out by the situation with my son. But that isn't the big news.
 
She is concerned about my inability to lose weight and the fact when I am in remission the weight falls off like water. She had me describe how I gained the weight and lost it and re-gained it. Then she asked about dry skin and hair loss. She says it sounds like a thyroid problem. She is testing me for thyroid issues. She also said she has experience with patients whose thyroid is subclinical (within normal test range but still needing treatment) and that I fit that profile and the tests will likely confirm this. Apparently thyroid hormones play a large role in psychiatry as do other hormone levels and thyroid medication is sometimes used for certain types of depression. She also said that she will research diet pills to see which one I could safely take, she feels a pychiatrist should manage or at least monitor them as they have psychiatric side effects. She is also checking my blood sugar as I am on 20mg of prednisone. She said metformin would be a good medication for me if my sugar is the least bit high as it can cause weight loss. I think it is great someone is finally listening to me when I say I need help lossing weight. It is strange it is my psychiatrist but heck at this point I am willing to try anything. Of course my psychiartist has training as a GP and in psychiatry so I feel comfortable letting her manage this part of my care at least for now since my GP is reluctant to do anything beyond blood pressure and infections. But finally someone listened when I said I do not over eat and something else is going on. yeah
 
Has anyone else been told they may have subclinical thyroid issues? Anyone out there been on diet pills that worked? Anyone been on metformin? If so could you tell me about it?
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements, cozar


okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 6/18/2009 11:56 AM (GMT -7)   
Hi redrose, I have never been on diet pills before. I would take 1 and I would get the shakes so bad I couldn't stand it.
Yes it is so important to have at least one dr that will listen to you and make you feel human. I was told I need to see a pschy dr too. I've lost my bro. my hubby,and my dad. and the dr thinks I need to get grief managment. I'm kind of dragging my feet on this one.
I would love to have help with loosing weight though. That would be great.
Let us know how the thyroid goes.
love ya hang in there
carol
 CAROL
 scleroderma.  stage 4 COPD, sleep apnea, Osteoporosis,osteoarthritis
Detrol LA,spironal,Lisinaprol,furosemide,azithromiazin,plaquanil,pottassium,Citrocal,vicodin,percocet,tons of inhalers.
 
Bear ye one another's burdens
Galatians 6:2 KJV

 
 


SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 6/18/2009 12:11 PM (GMT -7)   
Metformin! Ok from what I understand on it it keeps my bloodsugar level. ANd last I knew it was used for the pancreas. (thinks) maybe multi? I dont know. Anyhow, I had my menstraul stop (hormone imbalance) and no cycle 6 months. Doctor said he thought I was diabetic (but tests were normal) and said he was going to put me on metformin. Said if I was diabetic I would regulate back to normal and if I wasnt it wouldnt hurt me. I got my ccycles back (dang it). Diabetes was the diagnoses. Bummer.
 
Smurfy Shadow/Desirèe 
DX: Wegener's Disease, Migraines, Diabetese Type II, PCOS, Lactose Intolerant, Benign Heart Murmer, Depression, Asthma, Asperger's Syndrome, Necrotizing Gramultous Inflamation in eye, A.D.D., Acid Reflux, Tumor Behind the Eye, Carpal Tunnel, Fibromyolgia, Clasterphobic, Arthritis
Medications:  Tri Nessa, Percocet, Metformin, Prilosec, Protonix, Zantac, Advair, Cingulair, Albuterol, Calcium + Vitamin D, Pro-Air, Pepcid, Rolaids, Zofran, Compuzeen, Refresh Plus Eye Drops  PRN: Epi-Pen, Albuterol Nebulizer, Benedryl
Undergoing Radiation Taking Lorazepam (Ativan) on Radiation Days


MJLD
Veteran Member


Date Joined Jul 2007
Total Posts : 1048
   Posted 6/21/2009 12:05 PM (GMT -7)   
My sister was just placed on metformin for type II diabetes and polycystic ovarian disease (which contributes to diabetes by making you insulin resistance) She lost 11.6 pounds in the first 10 days. She did go low cal and lo fat. She has done amazing! **If you have kidney involvement you can't take metformin****

redrose77
Veteran Member


Date Joined Sep 2005
Total Posts : 2573
   Posted 6/21/2009 9:30 PM (GMT -7)   
No kidney involvement. I don't learn anything about my blood work until the 1st. Good thing I have an appointment then since court on the 29th will leave me emotionally weird.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements, cozar


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 6/22/2009 9:08 PM (GMT -7)   
Hey redrose, have had subclinical thyroid, was actually in the mental hospital from my thyroid, and also have related pituitary and adrenal issues. Prednisone is not kind in this regard, it messes with them. I also take metformin. I would try to see if you can get an abdominal ultrasound to check for fatty liver. Metformin is a good med for fatty liver, it saved my life and my dads. I didn't get weight loss from it but my weight stabilzed and my sugar and blood pressure stabilized. It may help keep you from gettng more fat in your liver, I don't think it has been proven to remove the fat already in your liver. It hasnt in mine. A good hepatologist can help if you have elevated liver levels with diabetes and obesity or have fatty liver on an ultrasound.

These meds did improve my life greatly. I am often euthyroid, though my antithyroid antibodies can be extremely high. I have less than half of my thyroid functioning, hough my bloodwork has always been fairly normal, borderline, except for the antibodies. This is because my pituitary and adrenals are also messed up, pred can cause them to alter the thyroid tests. Also, I was told thyroid tests should be done first thing in the morning, you should not drive and should not take your thyroid meds until after, and you should be fasting. In other words, I need to be my normal, half awake zombie person that is falling asleep in the car and stuff. This shows them the worst case I guess. I usually forget though and get it done in the middle of the day because I have to drive myself.

I'm sorryyou are going through so much and my heart goes out to you. This doc sounds good, like she really cares andwill go the extra mile. A psychiatrist thatwill test your thyroid and other medical stuff? Awesome! For most obese people like myself, these meds really help.
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids


redrose77
Veteran Member


Date Joined Sep 2005
Total Posts : 2573
   Posted 6/22/2009 11:00 PM (GMT -7)   
Marji, my liver tests are normal and a stomach ultrasound was normal too. I actually took this thyroid test fasting first thing in the morning this weekend. My other thyroid tests have always been done in the afternoon and my last reading was 3 on TSH which is the upper end of normal while my T4 was the bottom of the range for normal which basically means my thyroid was barely functioning within normal parameters when tested in the afternoon and after a sugary snack. My pcp said since I was still within normal parameters even if I was barely within them she wouldn't treat me. I know a lot of people on metformin and about half find they lose weight and half don't. My husband reacted baddly to metformin- intestinal distress so bad he couldn't function. I am just hoping my psych can figure out what it will take to make me lose weight because I really need to. Telling her I was ready to ask for a diet pill is what started the conversation. Admitting I hated the idea but am desperate enough to do it because I know I need to lose weight and will power isn't a problem made her ask about my weight history. I went from underweight to overweight in a few short months with no change in diet or exercise after my birth control pills were changed. Then I got pregnant. I went on depo after the baby and couldn't lose weight. I had another baby did the pill then depo got pregnant on depo. Between the babies I ballooned up some more. After the third baby was born I gained more weight. Then suddenly in 1999 I lost over 150lbs no diet no exercise. I had another baby, he died and I got depressed 6 months after he died I was fat again but the thing is when I am depressed I don't eat I sleep. So I cannot understand how I gained back about 100lbs- I was on depo during this time period. Now add prednisone and I am sick of not being able to lose weight. Bringing up depo is what made her think my thyroid might be an issue, that and my symptoms- dry hair and skin, hair falling out, cold constantly and can't stand cold, weight issues, irregular cycles, fatigue, memory issues.
 
I really hope what we do will help a lot.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sjögren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements, cozar


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 6/23/2009 10:29 PM (GMT -7)   
Its good the liver isnt involved. I like being on glucophage. It helps alot. It does help some with food cravings. My metabolism is so slow and so messed up I just don't burn fat. The thyroid helps tremendously. I want to get on the pituitary meds since most of the stuff they felt was thyroid is eding up to be pituitary and I will endup losing my adrenals ifthey don't get me going on it. I plan to go and beg on thursday. I lose weight on prednisone, it is the only med so far that has made me lose weight, I gain wieght and eat alot and fall asleep alot on amphetamine diet pills.

I sure hopemy doc is good and I'm really glad things seem to be on the right track with this doc for you. You have been through so much. You deserve a break and something to help you get better.
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids

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