Evidence for GP of Hashis flares

[MiniMum97]

Hi

Does anyone have anything that I can show a GP (ie from a medical journal or something written by a reputable medical doctor etc etc) that confirms that if you have hashis you get "flares" or swings? I can't find anything online.

Thank you!

[shaws Administrator]

These three links may be helpful:-

thyroiduk.org.uk/tuk/about_...

thyroiduk.org.uk/tuk/about_...

endocrineweb.com/conditions...

[MiniMum97 in reply to shaws]

Sorry, not sure if I am missing it but can't see where it mentions flares or swings. I don't have antibodies, but appear to be having a flare (see previous post and responses), and want to be able to discuss this with my GP. I have something that explains that hashis may be present without antibodies, but am aware that GPs aren't often aware that Hashi's can produce high T4 and T3 and low TSH when someone is experiencing a "flare". I can't find anything "medical" supporting this.

If I am missing it please you could direct me to the right paragraph? Struggling to take in info today so maybe why I can't see it.

Thank you!

[shaws Administrator in reply to MiniMum97]

My fault and I shall have another look. I am hypo

and those who have hashi's will respond when they read your post.

[MiniMum97 in reply to shaws]

Thank you!

[Helena877]

I had a flare-up and I’m on NDT rather than Levo. My test at the time showed a very suppressed TSH and over range T3. At the time it occurred I was having monthly blood tests so it was clearly evident on the blood tests that something odd had happened.

Aren’t there flare-ups with all autoimmune conditions ?

[MiniMum97 in reply to Helena877]

Thanks Helena. Yes I believe so. But I believe that to persuade a doctor I need concrete evidence!

[shaws Administrator]

These are a couple of links which may be helpful as the owner of the following Thyroid Pharmacist knows a lot as she herself has hashi's.

youtube.com/watch?v=iskmU9N...(Not working as expected?)

youtube.com/watch?v=8egFSEy...(Not working as expected?)

[shaws Administrator]

This is an excerpt from the following link:-

Progression through hyperthyroidism and hypothyroidism

Many patients, unfortunately, can go years (or decades) without a diagnosis of Hashimoto's or autoimmune thyroiditis.

During this time some patients will experience swings or episodes of hyperthyroidism followed by episodes of hypothyroidism.

This can occur as a result of the damage done to the thyroid gland by thyroid antibodies.

As antibodies attach to the thyroid gland your body will react in turn with an inflammatory response that may damage or injure the thyroid gland.

​The thyroid as a gland has a job to release hormones under a stimulus. And this stimulus can be triggered by the damage and cause a "flush" of thyroid hormones to be released from the body.

This flush can temporarily trigger symptoms of hyperthyroidism which can make symptoms worse (especially if the patient is already on thyroid medication).

Symptoms that mimic episodes of hyperthyroidism or a "flush" of thyroid hormones in the blood stream/body:

Hot flashes or episodes of heat intolerance

Mood changes, typically on the anxiety spectrum

Jittery sensation or sensation of "too much energy"

Fatigue or episodes of energy swings (up and down)

Difficulty sleeping or episodes of insomnia

Facial flushing or sensation of warm extremities

Heart palpitations or sensation of racing pulse (usually episodic and at night but can occur at any time throughout the day)

Weight loss/weight gain accompanied with changes in appetite

These symptoms do not occur in every patient, however.

restartmed.com/hashimotos-s...

[MiniMum97 in reply to shaws]

Wow, well those symptoms sound exactly like what I have been experiencing. Not sure whether the source will satisfy my doctor, but will try this I think - it's a great explanation of what happens.

[diogenes Remembering]

I can give a clinical case study if that will help:

PLoS Med. 2005 May; 2(5): e89.

Published online 2005 May 31. doi: 10.1371/journal.pmed.0020089

PMCID: PMC1140938

Autoimmune Thyroid Disease with Fluctuating Thyroid Function

Ali S Alzahrani,* Saleh Aldasouqi, Suzan Abdel Salam, and Ali Sultan

[MiniMum97 in reply to diogenes]

Thank you. Yes I saw this but thought it was more a situation where a single patient has been hypothyroid, then euthyroid for a number of years (without meds), then hyperthyroid, and then hypothyroid again. Have I misunderstood it? Do you think her Hyperthyroid episode was a hashis flare?

[diogenes Remembering]

Very probably