I have read the following: "Hypothyroidism is low production of thyroid hormone by the thyroid gland. Hyperparathyroidism is overproduction of PTH by parathyroid glands. Although the parathyroid glands are next to the thyroid, they are completely unrelated glands, and can cause problems seperately or together. Hypothyroidism is fairly common, so is primary hyperparathyroidism in women, so you could easily have both.
" How does one know if one has hyperparathyroidism?
Elevated calcium levels could possibly indicate hyperparathyroidism, and a specific test for elevated parathyroid hormone plus associated other tests might indicate more conclusively; but other symptoms can be read about here nhs.uk/conditions/hyperpara...
Primary hyperparathyroidism is not common and doesn't have any connection with thyroid, it's trust that some people do have both thyroid and parathyroid problems, I did and so did a few others on my pth forum but the vast majority don't, it's an isolated problem.
Diagnosing hpth is complicated and can take a long time, the initial tests are Calcium, VitD, phosphate and pth but even if all those are abnormal it's a case of working out why as there can be several causes.
bessygo
You seem to have two questions there. I can't help with hyperparathyroidism but
Is it possible to be hypothyroid with hyperthyroid symptoms?
Yes, if you have autoimmune thyroid disease aka Hashimoto's.
Perhaps that is why I'm confused. I dont have many of the symptoms of hypothyroid. Just the ones I listed. And also why my dr is hesitant about raising my synthroid from 75 mcg or increasing my T3 because of anxiety and my ADHD. Greygoose says it's all about my lab numbers, but isn't it about symptoms as well? I dont want to make my symptoms worse. And since lab tests seem to vary, is it worth it to try and bring a 2.29 TSH below 2 by dosing my body with more synthroid?
Hi bessygo,
There is no exact science with how much medication to take, and I am a case study of that! Even micro doses of meds affect me and after 13 weeks post TT my meds have yet to be balanced properly - but I’m on my way thankfully.
I don’t know what your blood tests say - have you posted them already? If so, sorry that I haven’t seen them.
Most people on this forum have long recognized that symptoms DO matter - and since I regularly read greygoose’s posts and responses, I don’t think she would disagree with me either - I can’t speak for her of course, but that’s my impression and I always appreciate her advice.
Your blood work tells part but not the whole story. It’s always bloods plus symptoms and good docs recognize the importance of both - but they have to make sense together and not in isolation.
Since you are hypothyroid, you can experience anxiety if you are not well controlled. As I am now surgically hypo, I was very anxious up until recently when my meds started to be properly adjusted. My anxiety has decreased significantly with the addition of T3.
See if you can convince your MD for a short trial of dose increase. I would start with the T3 because it’s faster to feel results and faster to clear as well - if you are more anxious you can always stop the extra dose.
Wishing you the very best and hope you feel better soon!
Thank you so much. Yes my results were posted. My dr is reticent about giving me T3 since she thinks it will exasperate my insomnia and anxiety since I tend to be hyperactive ADHD My Ft3 is 2 5 and my TSH is 2 29 ft4 is 1.3. Was just dosed up to 75 mcg from 50 mcg because TSH jumped from 1 48 to 3 46 while on 50 mcg. Also have Asymptomatic Hashimotos.
Low T3 causes anxiety and also what some would call hyper symptoms as your brain/body tries to keep you going with adrenaline instead, which can cause anxiety, shakes, insomnia and so on. You don't give a free T3 result, but it's likely that it is too low with that TSH - the majority of healthy people have a TSH of around 1.2
You are so welcome! You’re in a tough spot, and with multiple issues, it’s always difficult to balance them.
Hope all works out with you. Take care and all the best.
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