Hashimotos Swing Confusion!

[MrsBoilie]

Hello,

I’ve done some searches and read all the posts but I’m still struggling to understand about a Hashi’s swing. When we have excess hormones dumped then we could we essentially be hyper even on the same dose as we’ve been on for months?

Sorry if it’s a silly question.

Merry Christmas All!

Thanks

[humanbean]

1) With hyperthyroidism you can have too much thyroid hormone in your blood.

2) With hypothyroidism and Hashi's you can have too much thyroid hormone in your blood.

3) With hypothyroidism and too high a dose of thyroid hormone replacement you could have too much thyroid hormone in your blood.

The causes of having too much thyroid hormone in your blood in each case are different. It is important to understand why there is too much thyroid hormone because the actions you need to take are different in each case.

1) You might need anti-thyroid treatment to reduce the overactivity of your thyroid gland, or possibly beta blockers if the attack is a mild one, or possibly both.

2) If you are being treated for hypothyroidism you may need to stop treatment for a few days or a week or two, until you feel very mildly hypo, then restart at a lower dose. Expect to have to return to your original dose of thyroid hormone replacement fairly soon, or possibly even a higher dose than before. It depends on how long the Hashi's attack lasts.

3) Stop thyroid hormone replacement for a few days until you feel very mildly hypo then start up again with a slightly lower dose than before. The amount you lower might be as little as, say 25mcg per week, or as much as 25mcg every day. It depends on how close to optimal you are. You might not need to leave a gap in dose at all - just lower it slightly. It all depends on how you feel.

[MrsBoilie in reply to humanbean]

That’s really helpful thank you. Great explanation!

[SilverAvocado in reply to humanbean]

Brilliant explanation