Can i have both ?

[Doublevision]

Hi is it possible to have Hashimotos and Graves at the same time i do have Hashimotos but never considered i may have Graves and have not been tested for it.

[SlowDragon Administrator]

A month ago you were very under medicated and will need bloods retested soon after latest dose increase

healthunlocked.com/thyroidu....

Why would you suspect Graves' disease?

[Doublevision in reply to SlowDragon]

Hi yes im having a retest on 6th Jan to see if i need an increase in levo,i was just interested as i often see people advised to get both types of Anti bodies tested and i only got tested for Hashimoto.

Thanks for you speedy replies.

[Cooper27]

It is possible to have both.

[Den1987UK]

Very rare and very unusual to have both could be thyrotoxic or Thyroiditis did you have any flu or infections lately? I had flu and and infections due to low under active thyroid and it can cause Thyroiditis an inflamed thyroid chills anxiety depression and fever and fatigue. The flu I think is not good for people with thyroid problems.

[Lora7again in reply to Den1987UK]

I agree, I have a virus at the moment and because my throat is sore my thyroid is swollen and I keep choking and that is why I am up at this hour. I have just taken some paracetamol for the pain and I am sucking tyrozets which are brilliant for a sore throat.

[Jazzw]

I assume you’re wondering because you’ve posted before about having eye problems?

I think it’s unlikely unless you know that you’ve been hyper for longish periods previously? Have you ever had treatment for an overactive thyroid? If so, then yes, it’s possible but if not, then I’d say it’s probably a coincidence.

[Den1987UK in reply to Jazzw]

Hello Jazzw I agree with you it’s unusual only time that could possibly happen is from Thyroiditis or thyrotoxicity where it goes hyper overactive to hypo underactive. But I heard having flu or a bad infection don’t help at all.

[TSH110]

I had a lot of hyperthyroid symptoms as well as hypothyroid including eye problems that sounded like mild TED. When I was younger I was always on the go, sleeping very little with so much energy it used to drive me crazy. I did a lot of exercise to try and dissipate it! Later I slowed up but still had bouts of hyperactivity. I was eventually diagnosed hypothyroid but have wondered if Graves was there too. Not sure I how I could ever know now. Antibody tests would show it I believe, as it is possible to have both.

ncbi.nlm.nih.gov/pmc/articl...

There are other scholarly articles on the matter - if you google add scholar to the search words to get them.

This one discusses Graves and Hashimoto being just sides of the same coin - it is not an easy read lots of poor mice involved too. Interesting nevertheless:

academic.oup.com/endo/artic...

[Den1987UK in reply to TSH110]

Hello TSH110 good morning I did have thyroiditis last year due to infection and was not nice at all one minute hypo the next hyper and then back to hypo. I could have parathyroid but as you know doctor won't test me so I am having to get it done myself ultrasound on thyroid and MRI for brain scan. Doctor saying my thyroid is normal I said if it is normal then why do I feel like crud still would not answer me.

[TSH110 in reply to Den1987UK]

A failing thyroid is not normal! I think they like to believe you have thyroiditis which is transient and will go away again. I had been hypothyroid for years with a strong family history of it, but was fobbed off that it was the menopause causing the problems no tests just guess work and my input was simply ignored or dismissed 🙄. There was no way mine was transient - over decades? Get real daft medics. I’m afraid some GP’s should be awarded a dunce’s hat for their knowledge of thyroid disorder. Sadly, their ignorance leads to a lot of suffering as we know to our cost.

[Den1987UK in reply to TSH110]

Hello TSH110 good evening yep I agree with you one hundred percent I just recently completed a SAR form at my gp practice and also got to pay to get my medical records.

[TSH110 in reply to Den1987UK]

A result on your results so to speak 😉

[Den1987UK in reply to TSH110]

Hello TSH110 Not quite seems they the GP practice are trying to do anything to not let me have the blood test results and medical records. They don’t put medical records online apparently they say it’s NHS policy lol

[TSH110 in reply to Den1987UK]

If you are in the UK they have to give them to you by law - what utter pratts makes you wonder what have they have to hide or us it some sick power game they are playing. I just ask the reception for a print out of my test results for my records and they smile and get me a set run off. I have never tried to get medical records but presume they’d be equally helpful in providing what I wanted. I believe there are ways you can force them to cough up I think it was part of a freedom of information act that made access a right.

Happy New Year by the way!

[Den1987UK in reply to TSH110]

Hello TSH110 happy new year yep I think they trying not to to slip up somehow. But I am not backing down either so they will have to give me the medical records and test results. Nicely nicely don’t cut it with my gp practice you have to insist on what you want or they will not do anything lol

[Lora7again]

I thought I had both because I bounce back and forth between hypo and hyper but according to my Consultant who did my ultrasound on my goitre it is not the same as someone who is suffering from Hashimoto's disease and she has seen hundreds so I definitely have Graves' disease. I do find thyroid disease confusing and symptoms from a under active and a over active thyroid can be very similar.

[TSH110 in reply to Lora7again]

I don’t think your endocrinologist is right there to say Hashimotos does not cause periods of both hypo and hyper symptoms. As the thyroid dies it releases stored hormones into the blood stream causing temporary hyperthyroidism which soon abates back to a hypothyroid state as the excess thyroid hormones dissipate and under activity resurfaces sometimes with short periods of normality between phases. I think the antibody type determines which you have but some scientists believe they are actually the same, starting with Graves and ending up as Hashimotos as discussed in the second article I posted above. I had just like you but longer hypo phases as time went on. Many of my symptoms were more typically hyperthyroid ones also I was very thin. I was diagnosed as hypothyroid after them first thinking I was hyperthyroid as I went from one phase to the other between blood tests. I guess they used antibodies (although I think freeT4 could be significant too but may be wrong there). I seem to have genes for Graves but very little for hypothyroidism. Most of my thyroid disorder relatives have hypothyroidism but one is hyperthyroid. I suspect they could be one and the same but just expressed differently at different times of disease progression in individuals. When talking to those with Graves about symptoms I understood first hand what some of it was like for them. Not at all nice. Whatever I am permanently hypothyroid now with a shrivelled non functioning remnant of my poor old thyroid gland - I toast it for keeping going for many many years against all the odds 😊

[Den1987UK in reply to TSH110]

If you’re thyroid is shrivelled mine is a mouldy prune lol 17 years of smoking but quit last year and my knees feel like I am 80 as for carpal tunnel I do drop things occasionally. Electric shocks are the worst tingling and nerve pain is horrible. Bone pain is horrible. Brain fog in the mornings and memory is awful but I am still going just about.

[Lora7again in reply to TSH110]

What I meant is that she said my goitre didn't look like someones who was suffering from Hashimotos' because she has scanned hundreds and mine wasn't like that. I do know what Hashimotos' disease is because I have been studying thyroid disease for over 10 years now. I have been a member of Elaine Moore's website and she has a lot of knowledge about thyroid disease.

here is a link

elaine-moore.com/

[TSH110 in reply to Lora7again]

Sorry I totally misunderstood, re reading your comment I get it now. I never had a goitre at all it’s quite unusual but not unheard of, atropic I think they call it. I think Elaine Moore is good I haven’t been on her site for a while so thanks for the link. I have a shed load of articles on the back burner to read there is so much to know about thyroid disorder it is mind boggling you are a few years ahead of me on that front!