Why have my symptoms returned

[csavery8753]

I am currently on 1.5g NP Thyroid, natural iron tablets and si b12 every other day. My brain fog has lifted now that Ive increased to 1.5g but I have the following symptoms.

My left hand and foot is numb, very swollen buttocks. legs and face, palor, dark rings under my eyes and fatigued.

I understand that my adrenals should be treated first which I did but no longer supplement for them, My question is should I restart and if so how? And when I do restart should I be on them for life?

Can anyone recommend anyone to help me I live near Brighton. willing to travel.

Thank you

[SilverAvocado]

Hi Csavery8753, Are you confident that 1.5 grain is your optimal dose?

If you'd like to raise you've got two options depending on how cautious you want to be:

1) The old fashioned way of raising NDT is to go up to 2 grain or more fairly quickly without having a blood test. As long as its been 3 weeks or more since you last raised, you could give yourself an increase of a quarter grain.

2) If you want to be more cautious, you could have a blood test first. Make sure you hold on the current dose for 6 weeks, and after that get a full thyroid panel test: TSH, freeT4, freeT3. If possible test vitamins, too: Ferritin, folate, vit D, vit B12. If you're in the UK you can go to Medichecks or Bluehorizon.

[MaisieGray]

Well, to state the obvious, adrenals need only be treated first, if there is a problem to be treated. What problem did you discover, that necessitated treatment previously? If you suspect you may have a return of that adrenal problem, or a new problem, I'd suggested first having a 24 hr saliva cortisol/DHEA test before supplementing with adaptogens or whatever might be required, to know exactly what, if anything, is going on rather than simply and wrongly assuming you have a problem now and/or supplementing regardless.

1.5 grains of NDT is only a low dose, and it is common when not yet at an optimal dose to feel good for a while after the previous increase, before beginning to be symptomatic again. It generally just means that a further increase is required.