Open main menu ☰
HealingWell
Search Close Search
Health Conditions
Allergies Alzheimer's Disease Anxiety & Panic Disorders Arthritis Breast Cancer Chronic Illness Crohn's Disease Depression Diabetes
Fibromyalgia GERD & Acid Reflux Irritable Bowel Syndrome Lupus Lyme Disease Migraine Headache Multiple Sclerosis Prostate Cancer Ulcerative Colitis

View Conditions A to Z »
Support Forums
Anxiety & Panic Disorders Bipolar Disorder Breast Cancer Chronic Pain Crohn's Disease Depression Diabetes Fibromyalgia GERD & Acid Reflux
Hepatitis Irritable Bowel Syndrome Lupus Lyme Disease Multiple Sclerosis Ostomies Prostate Cancer Rheumatoid Arthritis Ulcerative Colitis

View Forums A to Z »
Log In
Join Us
Close main menu ×
  • Home
  • Health Conditions
    • All Conditions
    • Allergies
    • Alzheimer's Disease
    • Anxiety & Panic Disorders
    • Arthritis
    • Breast Cancer
    • Chronic Illness
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Migraine Headache
    • Multiple Sclerosis
    • Prostate Cancer
    • Ulcerative Colitis
  • Support Forums
    • All Forums
    • Anxiety & Panic Disorders
    • Bipolar Disorder
    • Breast Cancer
    • Chronic Pain
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Hepatitis
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Multiple Sclerosis
    • Ostomies
    • Prostate Cancer
    • Rheumatoid Arthritis
    • Ulcerative Colitis
  • Log In
  • Join Us
Join Us
☰
Forum Home| Forum Rules| Moderators| Active Topics| Help| Log In

Fluctuating TSH

Support Forums
>
Thyroid Disorders
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
profile picture
Littleredlady
New Member
Joined : Mar 2018
Posts : 5
Posted 3/28/2018 9:41 AM (GMT -6)
Hi! I’m new here. A friend recommended that I come here because y’all are “a wealth of knowledge.” I’m hoping you can help me understand my labs. The last several labs I’ve had done show that my TSH seems to fluctuate but my free T4 and free T3 are staying pretty steady (in the normal range). Is this something to be concerned about?
Labs collected 3/15:
Free T4 0.67 (ref range 0.58-1.64)
TSH 9.66 H (ref range 0.34-5.00)
Free T3 2.98 (ref range 2.50-4.30)

Labs collected 2/1:
Free T4 0.64
TSH 7.84 H
Free T3 3.06
(Same ref ranges as those collected this month)

Some background: I was diagnosed with Hashimoto’s and Graves’ disease in 2013. I had my thyroid ablated and was put on Synthroid/Levothyroxin for four years. My symptoms never really improved. Every time I had lab work done, my RX changed. I fluctuated from hypo to hyper constantly. Last year, finally fed up, I did some research. I told my doctor that I wanted to get off the synthetic Levothyroxin and switch to an NDT med. My Endocrinoligist explained to me that the Synthroid is far superior and much more natural than something like Nature Throid... I no longer see him. I am, for the most part, gluten, dairy, and soy free. I got rid of most plastics in my kitchen and went to glass and stainless steel. I’ve cleaned up my beauty products. I installed a reverse osmosis system for cleaner drinking water and installed a dechlorinator in my shower. I am feeling better, but still not 100%. Lately my neck feels uncomfortable and is at times swollen.
I just want to feel like me again. I would love to hear what y’all have to say. Any advice is much appreciated!
profile picture
astroman
Veteran Member
Joined : Mar 2014
Posts : 7702
Posted 3/28/2018 9:46 PM (GMT -6)
"Synthroid is far superior and much more natural than something like Nature Throid" - wrong, good you dumped your Dr.

So your still on synthyroid and did NOT try desiccated yet?

You free t3 and free T4 labs are still a little hypo. Low end of range is still low for most people. Thyroid is not a on/off light switch, its a dimmer knob/switch. Like a mixing water faucet, gradual from cold to hot, not one or the other. The Dr reviewing your labs does not get this.

Some people get anxiety when hypo, and this is easily confused with hyper. Again Drs wont know this, its not in their text books from med school.

Proper thyroid treatment is, unfortunately, a right we must fight for.

I've taken 6 different thyroid meds in 20 years in search of feeling better.

I take NP thyroid, three times a day now. All at once in the AM made me jumpy, then tired at noon. It can be used sublingual too, with a clean mouth. This brand is a little softer than NT and Armour.

Stress effects thyroid, from cortisol levels, these two hormones work together. Stressed?
profile picture
Littleredlady
New Member
Joined : Mar 2018
Posts : 5
Posted 3/29/2018 12:13 PM (GMT -6)
Thanks for your reply astroman. I switched to Nature Throid, but based on recent labs am still having to change my dosage. For the past 5 years, I’ve not been on a constant dosage (with either the Synthroid or NT). I’m constantly fluctuating between HYPO and HYPER. I don’t know anyone else who is struggling with this. All those I know with thyroid issues were put on medication and have remained on that dosage.

I really like your analogy of thyroid as a dimmer switch.

How in the world did you figure out to take your meds 3x/day? I would never have even considered that. Everything I’ve read and been told by doctors is to take first thing in AM on an empty stomach. I’m happy that you’ve found what works for you and for sharing that! I’m actually feeling ok. The lab work has my doctor concerned so she just upped the dosage. We’ll see how this affects me. My guess is in May my dosage will change again (since EVERY time I have lab work done, my RX needs to be changed).

Yes, stress was a huge contributor. I’ve finally been able to let most of that go and have been feeling LOTS better because of it.
profile picture
Girlie
Forum Moderator
Joined : May 2014
Posts : 44522
Posted 3/29/2018 2:10 PM (GMT -6)
My husband also splits his daily dose of the levothyroxine. (takes it 3 x daily)
profile picture
Littleredlady
New Member
Joined : Mar 2018
Posts : 5
Posted 3/29/2018 2:13 PM (GMT -6)
I’m wondering how he does that? Is he cutting his pill into thirds or is his doctor prescribing three pills/day that equal a certain strength?
profile picture
Girlie
Forum Moderator
Joined : May 2014
Posts : 44522
Posted 3/29/2018 2:26 PM (GMT -6)

Littleredlady said...
I’m wondering how he does that? Is he cutting his pill into thirds or is his doctor prescribing three pills/day that equal a certain strength?


His dose has changed a few times...so not sure currently.

But at one point, he was prescribed two different strengths - that I believe are scored.
He splits them into two doses.

Then he takes his first dose in the morning. in the afternoon, he takes a bit of his second dose...and in the early evening finishes his second dose.

It works for him, even though he's not splitting his second dose exactly into two.

The daily total is exactly on, though.

Astro may have something to say about this way of taking his meds...lol.
profile picture
Littleredlady
New Member
Joined : Mar 2018
Posts : 5
Posted 3/29/2018 6:33 PM (GMT -6)
Interesting. Thanks for sharing!
profile picture
cyclinglady
Regular Member
Joined : Aug 2015
Posts : 267
Posted 3/29/2018 7:50 PM (GMT -6)
I have Hashimoto’s (20 years) and Celiac Disease (5 years diagnosed). My thyroid whacked out during the year or so prior to menopause. My swings were wild (Hyper to hypo within days) and it drove my doctor nuts. Everything went back to normal post menopause. Not sure how old you are, but perimenopause might be something that could be contributing to your swings.

I also do not take a synthetic thyroid replacement, but prefer a natural one. Armour works for me,but maybe I should try NP.

Given the choice, I would take being hypo. My mother has Graves and has permanent eye damage. So, be careful!
profile picture
astroman
Veteran Member
Joined : Mar 2014
Posts : 7702
Posted 3/29/2018 8:37 PM (GMT -6)
Technically speaking, T4 is not used the same day you take it, it builds up, thus is called the storage hormone and some is converted to "on use" T3. Only T4 can bind to protein, which then makes it unusable. Protein in stomach will effect T4 strength. The only way to do this successfully is with a near empty stomach.

The higher T3 in pig thyroid t3/t4 ratio vs human, can make us jittery and tired in one big dose. Supplemental T3 does not stay at constant levels in your blood, its a continuous hourly drop till your next dose. T3 can NOT bind to protein, so its always used, unless you have reverse T3, then it might pool and wont be used.

"Retro" Armour pre-2009, NP Thyroid, and Canadian Erfa thyroid are soft enough to melt in your cheek, sublingual, thus the T4 will not come in contact with protein. This is how I am able to take thyroid three times per day, and still eat all day long, provided I rinse out my mouth. Armour and NT need to be chewed up fine, then left in cheek longer to dissolve.

There were even two generic natural thyroids that were awesome like original Armour. FDA does not like natural thyroid and imposed high manufacturing costs on these two companies in 2009, shutting down operations of NDT.

That is why Armour and NT are different after 2009 too- FDA prob thought they would stop, but instead they jumped thru costly FDA "hoops", changed their fillers and remain today , but a harder pill with lower T4 absorption that before.

Now that NDT is gaining popularity, the price is skyrocketing. Canada's ERFA is the cheapest cash price. My ins wont cover any natural thyroid, so I bought from Canada for a few years.

Post Edited (astroman) : 3/29/2018 8:47:59 PM (GMT-6)

profile picture
Littleredlady
New Member
Joined : Mar 2018
Posts : 5
Posted 3/30/2018 8:27 AM (GMT -6)
@cyclinglady thanks for your input. I recently just learned that I’ve been going through perimenopause for approximately the last 10 years. I will be 51 this year and believe that menopause is just adding fuel to my thyroid situation. shocked I’m hoping that things will settle out after menopause. Thanks for letting me know that your swings are now resolved.

@astroman that’s so interesting how you take your meds. I haven’t noticed feeling bad/different when taking my meds in the AM on an empty stomach. My insurance changed this year and Armour is not covered (I had taken that for several months last year). NP Thyroid is VERY expensive, but not the NatureThroid... thus, why I’m taking it.

Have either of you ever experienced your neck hurting? The last several months my thyroid “looks” slightly swollen and my neck hurts. (I had my thyroid ablated in 2013). My doctor doesn’t seem to be concerned. Should I be?
profile picture
astroman
Veteran Member
Joined : Mar 2014
Posts : 7702
Posted 3/30/2018 1:04 PM (GMT -6)
NDT cash pricing in the US depends where you buy it. And what distributor they get it from. Need to shop all possibilities.

Armour is the most costly at cvs or Target (same place now) in my area and a rip off.

Walgreens has a Rx "club" membership for $20 a year that knocks the price in half of non-insurance covered meds like NP.

ERFA Canadian, even with shipping is still the cheapest and maybe the best. Takes two weeks though.

I used to get NT shipped from Clarks pharmacy in AZ, as they are close to NT lab and always stock it. Most placed replaced it with NP. After the FDA 2009 filler change, NT and Armour did not work as well.

I still have my full thyroid, thus no experience without it. Its gets sore in front when hypo.
✚ New Topic ✚ Reply

More On Chronic Illness

Navigating Chronic Illness As A Couple

Navigating Chronic Illness As A Couple

Why Support From Family And Friends Can Make A Difference

Why Support From Family And Friends Can Make A Difference


HealingWell

About Us  |   Advertise  |   Subscribe  |   Privacy & Disclaimer
Connect With Us
YouTube Facebook Twitter Instagram Pinterest LinkedIn
© 1997-2021 HealingWell.com LLC All Rights Reserved. Our website is for informational purposes only. HealingWell.com LLC does not provide medical advice, diagnosis, or treatment.