I wouldn't suggest supplementing iron purely on the basis of an iron result. You need more information, such as ferritin and transferrin saturation as well as the iron to have a hope of making sensible suggestions.
Being hypo often linked to jaw clenching or teeth grinding. This can cause lot of pain
See dentist for possible mouth guard at night ...very effective
What are your most recent Thyroid results
How much Levothyroxine are you currently taking?
Essential to test TSH, FT4 and FT3
Many people after Thyroidectomy have low FT3.
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Might it be worth checking with your dentist if your jaw is 'out of place', I don't know much about this but a friend had it, the dentist gave her rather a lot of wirework to ease it back into line.
Your symptoms could be TMJ, I developed this earlier this year and found wearing a mouth guard at night as well as botox injections in the jaw muscles helped. I also had my reimagining wisdom teeth out to even my bite and a chiropractor worked on my neck for a few months. Now pain free, although I have to wear the mouth guard every night and keep up the botox every 3/4 months.
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
The current dose is 100 mcg of levo and 5 mcg of T3, I have little more than a month with that dose, since before I tried with pure levo and saw no improvement.
The latest results of last October showed the following:
Tsh 0.091 pUI/ml (0.270-4.200)
FT3 .082ng/ml (0.80--2.00)
Ft4 1.67ng/dl (0.93-1.70)
As you see the Ft4 was in the highest range and the Ft3 in the lowest, thas why I decided try addind T3.
At that time I had symptoms of hyperthyroidism, with this new dose I have seen some improvements but I know that I need to get my new blood thyroid test soon.
Personally I found teeth clenching and teeth grinding got noticeably worse after adding T3....though it does improve slowly as adrenals get use to better levels
I never imagined that it was because of that but it makes sense because I had few days of having the dose when I started with those problems, all this time I tried to attribute it to other causes.
It has helped me a lot that you shared your experience.
This week I'll start using the mouth guard 👍
Calcium Management in Thyroidectomy Patients - Hypocalcaemia.
Your symptoms seem to indicate that you may have too low calcium levels. Vitamin D and vitamin K helps the absorption of calcium. Beef liver is high in iron and vitamin k.
Tetany is a symptom of calcium. You should go back to nurse for tests for calcium levels.
I take magnesium and calcium carbonate which might help in Rennies. indigestion remedy.
Think you need to see minor injuries unit if the symptoms persist as you need expert advice on calcium management after thyroidectomy. Hope you feel better soon.
The link is just to the University of Iowa Health Care - Carver College of Medicine and does not in any immediately obvious way mention Calcium. If you know the actual link, you can edit your reply to add it.
In the symptoms of hypercalcaemia it refers to increased neuromuscular
irritability and spontaneous muscle cramps. Tetany is seen in severe
hypercalcaemia. As your level is normal from your tests, then it is not known if vitamin K deficiency might cause muscular problems if it affects the matrix protein inhibitor of calcium salts.
Another article from the BMJ stresses the problems with lack of vitamin k with vascular disease. I have a teeth grinding problem but this was explained as a problem of tension and the brain function. My grandson had tooth grinding, but he had an open bite and had dental treatment which solved the problem. I have had thyroid symptoms with tension in the neck, and a feeling of weakness but I have type 2 diabetes.
I guess if you have been hyper and hypo but your thyroxine levels are not adjusted Shaws is right.
The advice for post thyroidectomy patients was to take 1 gram of calcium if they have problems with the symptoms along with vitamin d. (In the article from University of Iowa). I take vitamin d3 rather than D2 as it is the sunshine vitamin which can be digested in the liver, Normally the d3 is made in the skin when the sun activates a prohormone d3. I get these in value paks from chemist and feel fine after them. Vitamin k synergises with vitamin D and can be bought in supplements but is high in certain foods such as goose liver beef liver pate, parsley, and kiwi fruitbut is very low in the western diet unless you eat plenty of green dark vegetables. It can be found in kale chard, but unless you eat large amounts many peoole and kids are deficient. My grandchildren don't like many green vegetables!
I also found a cough medicine with anti histamine helped the vagus nerve to the throat and calmed down the feeling of lock jaw. It is made by welcome labs. Can pm private message the name of it over the counter. Take care.
Hi have looked up the drug Olanzipine and found it has many side effects such as hyperkinetic muscle activity akinesia . Citalopram can affect your menstrual cycle.
As you mentioned in other posts you had difficulties with menstruation and were considering a hysterectomy due to your endocrine problems and now after a thyroidectomy you still have problems, May be you should go back to the doctor about the drugs which you are taking.
Mental health problems can occur with thyroid and endocrine disorders. If you can be fast tracked to a gynaecologist, and your drugs revised, this might help. If it is perimenopause, or menopause, then you need a well woman test to see if you have oestrogen dominated hormone levels or are lacking in progesterone.
My daughter has similar problems has had operations on cysts, and has fibroids. She has been told to have a hysterectomy but the menopause is now underway so there might be a chance she wont need an op. I think you have had gynaecological problems associated with endocrine and been prescribed strong drugs, which may not help your medical condition.
I had an early menopause like you and had to have a hysterectomy and felt better. It takes over two years for hormones to settle down after this op.
May be the Olanzipine is causing the problem with hyperkinetic muscle problem.
May be the emphasis should be more on gynaecology and how to correct hormone imbalances which can affect your health. Olanzipine also can give rise to personality disorders, much as any other drugs can cause changes in the liver, and affect the brain. We are unique and what may suit one may very well make someone else ill.
Hi, regarding hysterectomy, I have decided to wait, for now I don't want to know anything about hospitals.
I am sure that the premenstrual syndrome started with my thyroid problems since 2005.
I regularly have gynecological hormonal blood tests and they are normal.
As for the estrogenic domain or the low level of progesterone, I agree with that, there are already two cycles in which I use wild yam cream and I have felt an improvement of 40% or so.
Speaking of olanzapine, that was the first cause in which I thought about the problem of the jaw and I am in the process of leaving it little by little, although in reality I only take a very small part of a divided tablet.
My story of how I got to the point of taking citalopram, olanzapine and tasedan is a bit long and gradual, but it's about thyroid problems, maybe poorly treated (I had thyrotoxicosis before surgery) and it has been a long way. Unfortunately, these Medications are helping me to have a little "quality of life", it's hard to depend on something like that, but sometimes you have no choice.
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