I was diagnosed with hypothyroidism about a year ago when my TSH was 5.27. Without any further testing, my primary immediately put me on Levoythyrioxne. I have not gotten any better even though my TSH comes in with good numbers. I have all the symptoms, and feel worse than before. I was unable to get in to see an Endocrinologist until the other day since the ones in my insurance network were all too busy until next year. She was wonderful, and felt my thyroid which was not previously done, and said it was enlarged. She ordered an ultrasound which I had Friday, and will get results hopefully soon. She also switched me to the med Armour that I have heard good things about when my primary would not. One of the diagnosis she put in her notes is bio chemical euthyroidism. I can't seem to find what that really means. She also put in her notes autoimmune thyroidis, fibromyalgia, generalized hyperhidrosis which i have severely not my hands or feet or underarms but head, face, private area, basically my entire body soaked. I had this a bit when I was a teen but it has worsened in the last few years, and especially in the past year. I do not however have night sweats. I guess I'm sharing a lot here because I've never been on a site to get suggestions, and hope it helps to deal with people suffering similar or same thing(s). Please pardon my spelling errors. Some medical terms seem to come up with no correct spelling. Thank You.
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Barbara01
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One of the diagnosis she put in her notes is bio chemical euthyroidism.
A healthy person with no thyroid problems at all would be described as euthyroid.
I suspect what your doctor means by "bio chemical euthyroidism" is that your blood tests from a Thyroid Function Test show results that your doctor thinks are normal for a euthyroid person.
Edit : A knowledgeable patient might disagree with the doctor's opinion on blood test results!
generalized hyperhidrosis which i have severely not my hands or feet or underarms but head, face, private area, basically my entire body soaked.
When people are hypothyroid and are untreated or are inadequately treated the body may start creating more cortisol and adrenaline to try and substitute for the missing thyroid hormones. Cortisol and adrenaline are better than nothing, but they aren't a terribly good substitute. I suspect high cortisol and/or high adrenaline are the cause of your excess sweating.
Be aware that in many people high cortisol will eventually reduce and levels become low. I don't know if sweating occurs with low cortisol as well, but it may do.
People who get treated with thyroid hormone replacement may find their cortisol normalising if their dose of thyroid hormone is right for them. But some people find that cortisol doesn't normalise, and in fact it might prevent people being able to tolerate the right dose of thyroid hormone replacement. So your body might need 100mcg Levo and 10mcg T3, but you might only be able to tolerate 50mcg Levo and nothing else. Getting cortisol levels up or down, as appropriate, should help people to tolerate the correct dose of whatever hormones they need.
Looking up symptoms of high cortisol and low cortisol is very often not useful. It is very difficult, if not impossible, to decide on the basis of symptoms whether cortisol is low, normal or high. Testing is essential. The best form of testing for cortisol is a saliva test performed at four separate times of day. (There is no advantage to doing more than four.) You need DHEA levels to be measured as well, and it can be tested from the same saliva samples used for cortisol.
Thank You Kindly for taking the time to share all that information. I did have my adrenals checked with a 24 hour urine collection. Lab showed to be in normal range so that has been ruled out. I saved the links you included in your reply and will check them out. I'm hoping that the change from 50 Levo to the Armour medication Endo put me on will make a big difference. I'll be having several labs after being on the Armour instead of the Levo for 28 days. I am anxiously awaiting the results of the thyroid ultrasound. Yes. I am in the US. I appreciate all the replies, and all other information shared here.
Thanks Humanbean, I can testify that low cortisol can still result in excessive sweating. I'm a typical untreated, undertreated Hashimoto's thyroiditis patient; eventually my adrenals took over and I've sweated excessively for years. Saliva tests first showed a mixture of high and low cortisol, more recently they have been all low. Your information here is invaluable and explains a lot.
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