Palpitations in Hashimoto and thyroid

[Suzi_]

Any one experience fast heartbeat enough to keep u awake? Does the meds need adjustment?

[greygoose]

Depends. What are your levels? Palps can be a symptom of both hypo and hyperthyroidism/over-medication.

[SlowDragon Administrator]

Looking at previous posts

Are you still only on 50mcg and 5mcg T3

Always test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

Day before test divide T3 in half and take last 2.5mcg dose approx 8-12 hours before test

Add most recent results and ranges…thyroid and vitamin levels

[Suzi_ in reply to SlowDragon]

Yes, I did all that. Endo says lab results ok, Palps not due to thyroid meds. Thanks

[SlowDragon Administrator in reply to Suzi_]

Please add actual results and ranges

Frequently results might be within range, but far from adequate

Approx how much do you weigh in kilo

What vitamin supplements are you currently taking

Are you already on strictly gluten free diet, if not get coeliac blood test done BEFORE trialing strictly gluten free diet minimum 3-6 months

[Suzi_ in reply to SlowDragon]

Please see my reply and lab results

[Suzi_]

Component

Latest Ref Rng & Units

Hemoglobin A1C

14.6 - 5.9%

Average Estimated Glucose

mgidL

TSH

0.35 - 4.94 ulU/mL

T4 Free

D. TO - 1.48 ng/dL

0.48 - 1.59 ng/mL

T3

1.71 - 3.71 pg/mL

T3 Free

Vitamin D 25-OH Total

130 - 100 ng/mL

Alkaline Phosphatase Bone Fraction

Collagen Type I C-Telopep(CTx)

pg/mL

[Suzi_]

Yes I am on the Same dose as mentioned in your reply.

8/3/2021 labs

Tsh R- 0.35 to 4.94. 0.07

T4 free R 0.70- 1.48. 1.02

T3 R 0.48- 1.59. 1.06

T3 free R 1.71-3.71. -

Vitamins D 30-100 32 6/17/21

A1C 4.6-5.9 5.9 6/17/21

I am on vitamin D 2000 iu daily, one baby aspirin 81 , take at lunch

One tablet calcium citrate and D3 at night. For constipation I take isabgole psyllium husk or calm, magnesium supplements daily.

I am not on gluten free, endo doesn’t think necessary. Born in India, wheat is my staple diet, must have few times a week.

I weigh 108 lbs in USA which is about 39 kg

I hope I answered all the questions.

I do daily walk, Tai chi, meditation.

Thanks

I took a picture of blood test but couldn’t attach it, how? Thanks

[SlowDragon Administrator in reply to Suzi_]

Tsh0.07. (0.35 to 4.94)

T4 free 1.02. (0.70- 1.48)

T3 1.06 (0.48- 1.59)

T3 free No result? (1.71-3.71)

Vitamins D 32 (30-100)

No Ft3 result

Vitamin D too low. Aiming to improve to at least around 40ng/ml (30-100)

Many thyroid patients need higher dose vitamin D than 2000iu daily, especially if you have dark skin too.

No folate, ferritin and B12 results

[Mino40 in reply to Suzi_]

108 lbs = 49 kg

[SlowDragon Administrator]

Ft4 only 41% through range

No Ft3 result

Total T3 is not a useful test

Total T3 51% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

Obviously need Ft3 tested together with Ft4

Plus folate, ferritin, B12

not on gluten free, endo doesn’t think necessary. Born in India, wheat is my staple diet, must have few times a week.

I don’t think any Hashimoto’s patients find it easy, especially initially, adjusting to a strictly gluten free diet, but for majority it can significantly improve symptoms.

[SlowDragon Administrator]

Likely to need increase in T3

Adding 2nd 5mcg dose approx 10-12 hours after first

but obviously ideally you need to test Ft4 and Ft3

[Suzi_ in reply to SlowDragon]

My endo says increasing T3 will make the palpitations worse

[SlowDragon Administrator in reply to Suzi_]

Not necessarily

Palpitations can be due to being under medicated

Or because need more T3 and/or need less or more Levothyroxine

Or low vitamin levels…common if under medicated ….especially low magnesium

Food intolerance or sugar spike other causes

Hives is common with Hashimoto’s

thyroidpharmacist.com/artic...

Are you on strictly gluten free diet

Lactose intolerance often improves after year or two on strictly gluten free diet

coeliac.org.uk/information-...

[limonene7]

Hi, yes, I have had this. In my case it has not happened due to over medication. I have had palpatations when I believe i was having a Hashimoto's flare-up and my thyroid was prob producing too much T3 due to the attack. In this instance, other symptoms like anxiety, noise sensitivity and jumpiness were also present. The other instances' for palpatations I have had is if I've eaten something with high sugar. In this case, I can get palps almost straight away or they will appear a few hours later when my blood sugar drops after the initial spike. Too much alcohol can also cause palps when blood sugars plummet later on. So blood sugar stability in general can be a factor.

I have also heard that food intolerances can cause palps in some people and may be worth considering if all other possibilitiess been eliminated.

[Suzi_ in reply to limonene7]

Yes, I have some food intolerance but don’t know which food

[tangolil]

I am sorry to hear you suffer from this - it is very distressing and disturbing to say the least... Being a fellow-sufferer I decided to tackle my food intolerances (already very active for peppers, cucumbers etc.) and stopped eating wheat. I now have a gluten free diet (or as near as I can knowingly achieve) and my palpitations have ceased . It is, for me at least, miraculous to find this works and I have since read in posts here that others have found this to be the same for them. I hope it works for you.

[Suzi_ in reply to tangolil]

I had a allergy test done, showed intolerance to cows milk. However, I get hives and rash after eating certain food or spices, haven’t managed to narrow down what causes the reaction. Thanks

[KCFryer]

I was having horrible palpitations along with other horrible symptoms described in Yellow card, while taking levothyroxine in UK. I tried different formulations but it never got better. I soon as I stopped the meds within days they stopped. Now I’m visiting family and friends in Brazil and saw my endocrinologist who advised me to have my dose in one tablet which is Synthroid. Feeling way better now in the same dose. I’m still undergoing some other tests, scans etc but just by changing to a good brand, most of my problems have gone.

[Suzi_ in reply to KCFryer]

So nice to know that you feel so much better. I had been on generic synthroid before. Don’t know if being on synthroid or generic makes a difference.

[KCFryer in reply to Suzi_]

The problem was not only the brand but taking three different generic formulations to compound my dose! If only I knew the harm. It’s important to find out if you’re sensitive to any of the excipients with your levothyroxine. Each manufacturer is different.