I've posted on this forum before and was helped with finding the cause of my thyroid issue. This was confirmed by my Endo who says I do have Hashimotos.
Turns out, I've been Thyrotoxic for a few months, hence all the symptoms I experienced (anxiety, heart palpitations, appetite change and so forth).
I was taken off Eltroxin for a month and within 2 weeks I started feeling great. My endo put me back on the meds after a month. I was feel good at the time but not symptomless.
I was put on a mild dose of just 25mcg to start (Prior to all this, I was on 50mcg and then 62.5mcg of Eltroxin when I became hyper with a tsh of 0.01 and t4 at 21). However, 12-14 days of reintroducing Eltroxin, I feel hyper again.
Could I still be in a hashi flare up? Or did I need to spend more time clearing out the excess hormone causes by the Thyrotoxic state I was in before resuming meds?
Any thoughts would be highly appreciate.
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Zak312
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Do you have a range for the FT4? Ranges vary from lab to lab, so we always need to give the range that came with your results. On some ranges, 21 would be in-range, so not thyrotoxic. On others, it would be very high. So, we need to know before being able to comment. Also, you cannot give a diagnosis of thyrotoxicity without testing the FT3. A suppressed TSH on its own does not mean you're thyrotoxic. And, symptoms like anxiety and palps can also indicated under-medication.
Could I still be in a hashi flare up? Or did I need to spend more time clearing out the excess hormone causes by the Thyrotoxic state I was in before resuming meds?
Sounds like the same thing, to me. You could, indeed, still have high levels of thyroid hormone due to a Hashi's flare (not flare up) - aka Hashi's 'hyper' swing. But that's what labs are for, to tell you that. And, unless you were on a very high dose of levo before stopping it - and I do mean very high - it could only have been the 'hyper' swing that caused a stat of thyrotoxicity - if, indeed, thyrotoxicity it was.
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Important to regularly test vitamin D, folate, ferritin and B12
When were these last tested?
What vitamin supplements are you currently taking
Maintaining good vitamin levels can help reduce symptoms
Poor gut function with Hashimoto’s can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Without T4 & T3 test results that include ranges it is impossible to say. It could be a sudden large release of hormone cause by Hashimotos or it could be unsupported/treated adrenal issues.
All hormones work together and adrenal glands become compromised after spending years propping up an ailing thyroid, and sometimes when thyroid hormone replacement is introduced the body finds it difficult to tolerate. When this happens we can become jittery, anxious, lose weight, etc. In fact similar symptoms to what you describe which appears to be ongoing as your post from 3 months ago complains of severe anxiety and panic attacks.
If you get comprehensive tests and post results, members will comment. Also have you had cortisol levels measured?
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