Here's an update - any comments welcome - I got great feedback from my previous post healthunlocked.com/thyroidu...
Got blood test results back from 11/20/14 - this Dr insists on blood work 3-5 hrs after taking thyroid medication to see how it is working in the body; fasting otherwise. He is a holistic/MD doctor. The blood tests were from about 2 weeks ago and he also did saliva and urine testing. About 10 days before med increase my daughter began complaining of being cold again and her hair turned brittle. Positive benefits thus far are increased energy and concentration. Still low mood and lots of anxiety (typical for her but currently exacerbated by boyfriend breaking up with her and winter sport starting). She has lost about 6 lbs since starting thyroid tx (she works out a lot and also feels hungry a lot - was not able to lose weight even when eating less before now). She is losing a lot of hair - He increased compounded sustained release armour to 60mg starting Friday - hair is now shiny but falling out more! She has lost about 1/2 her volume in the past 4 months of treatment.
Results: CBC and metabolic panel all normal
Urinalysis and lipids normal
Vit B12 high 1003 (211-946) - said not to worry
Vit B6 - high 49.8 (2.0-32.8) - said not to worry
Sex hormones fine
Iron panel fine
Ferritin 49 (15-77) -- this was 18 before gluten free and supplementing
Vit C, copper, zinc, IGF-1 fine
DHEA high 1153 (40-491) said this is stress as DHEAs is normal
DHEA-sulfate 227.7 (110-433.2)
Thyroid - 45mg compounded suspended release Armour taken 4 hrs earlier so it is "in her system"
TSH 2.01 (.45-4.5)
T3 164 (71-180)
Free T3 3.9 (2.3-5)
Total T4 7.5 (4.5-12)
Free T4 1.17 (.93-1.6)
Reverse T3 14.5 (9.2-24.1)
Antibodies - negative
8am 28.5 (5.1-11.6) high
2pm 2.6 (2.3-5.3)
6pm 1.4 (1.0-2.4)
11:30pm .9 (.4-2.1)
DHEAS 8am 4.5 (1.0-3.0) high
DHEAS 6pm 1.5 (1.0-3.0)
serotonin low - 71.8 (optimal 200-415)
GABA low 181.5 (600-1100)
dopamine low 100.6 (250-400)
nor-epinephrine low 23.4 (30-50)
epinepherine low 6.0 (10-15)
Glutamate 10.2 (5-10) high
He increased thyroid meds from 45 to 60 mgs - with her weight loss, hair loss and anxiety I worry about overmedication, but I would assume that she even has room in free T3 since she took her medication before this test correct? Heart rate and blood pressure are fine. Does this plan below sound adequate? I am very nervous about so many supplements. Any suggestions on hair loss?
He said she could stop iron supplement except during her cycle; keep up with Vit D and C
To help with anxiety he gave her GABA (at a very large dose) and TravaCor (5-HTP, Taurine, L-theanine plus vitamins) to start for a few weeks as he wanted to calm her down, esp with the increase in thyroid meds before adding Adrenal support (ND), a dopamine supplement, and ExcitaPlus (for low epinephrine).
Thank you for your time