Stumped about which way to go and considering self-medication.
Here's me in as small a nutshell as I can muster:
April 2013 - Hashimoto's diagnosis (Switzerland)
TPO - 535.5 kUl/l (<5.6)
TgAB - 46.7 kUl/l (<4.1)
TSH 3.47 (0.3 - 4.2)
No treatment - endo suggests "wait and see"
February 2014, consult GP (London), referral to new Endo - must wait 7 wks for appt.
extreme bloating, frequent diarrhea
sudden weight gain of 2 stone plus in five months on 1200-1500 healthy calories
sudden spike in cholesterol - 7.3 when usually 4.5
morning body temp 35c - 35.7c,
puffy face, upper arms, legs ( feel pregnant-swollen )
outer eyebrows fast disappearing, hair brittle
acute cold intolerance
pain/numbness in outer toes of one foot
March 2014 bloods
TSH - 2.47 mu/L (0.3 - 4.2)
FT4 - 11.2 pmol/L (9 - 23)
FT3 - 4.1 pmol/L (2.5 - 5.7)
TPO - 498 u/mL (0 - 75)
March 2014 - consult private, integrative medicine doctor while wait to see endo Start Nutri Thyroid (hormone-free powdered bovine glandular), T-Convert, Thyro Complex
Quit gluten, wheat, sugar, alcohol
Quit all processed foods bar gluten-free oat and rice cakes.
Within two weeks, feel energy boost of supplements.
Within a month, feel bloating subside, a likely benefit of going gluten/wheat free. Resume exercising: 5 sessions per week of aqua aerobics, bodypump, yoga, pilates, cardio (treadmill + X-trainer)
May - Endo finds thyroid ultrasound normal but fatty liver discovered (a first) cortisol overnight test normal
Vitamin D liquid prescribed as level 40
Ferritin of 47 judged normal by endo (I challenge but get nowhere)
May 8th bloods after two months on supplements and gluten+wheat free :
TSH - 0.54 mu/L (0.3 - 4.2)
FT4 - 12.1 pmol/L (9 - 24)
FT3 - 5.3 pmol/L (2.5 - 5.7)
TPO - 206 u/mL (0 - 75)
Endo dismisses symptoms, declares I am euthyroid, says my thyroid function test records (annually 2000 --> 2009 ) show FT4 around 12. She says this is my normal. But I was only getting so many tests done since 2000 because had symptoms and knew something was up beyond the run-up to menopause.
Now, seven months on, weight refuses to budge despite supplements, despite exercise, despite "clean" gluten + wheat-free diet.
End of July and I am still an extraordinary 81 kilos - no change whatsoever - after a lifetime of swinging between 53 to 63 kilos. And I'm 5'3"! Nothing fits. Barely go out.
I am 56 and just went through menopause. This kind of weight gain - sapping confidence and enthusiasm for life - cannot be explained by menopause. Estrogen also tested and it is low so estrogen dominance not an issue.
And finally, results of 24-hour urine thyroid hormone transport test done in July by private, functional meds guy but dismissed as useless rubbish by endo:
T4 - 428 (range 347 - 1994)
T3 - 833 (range 592 - 1850)
On net, found this:
optimal level of T3 in urine is 1400-to-2600 pmol/24hours.
optimal level of T4 is 1925-to-3000 pmol/24hours.
Whew - my nutshell ended up being a veritable orchard. Huge thanks for reading and for any insights you can offer.
I need to get on something stronger than these broad spectrum supplements + powdered bovine glandular but what? Naturethroid? T3 only? I cannot wait for treatment and cannot afford to keep paying for private guy.