Hypothyroid with Perimenopause & hair loss & jo... - Thyroid UK

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Hypothyroid with Perimenopause & hair loss & joint pain

Chelleyws profile image
16 Replies

hi everyone, I am recently diagnosed with Hypothyroidism and have had hormone issues since I was 38 (now 46). I have suffered with extensive hairloss since 38 too and not thinning - literally massive bald patches that blend into bigger patches - I now have about 35% of my hair left. (I have to wear wigs)

I suffer with hip joint pain and sporadic finger joint pain. My voice is low, im always cold unless having a hot flush. I was on the Evorel Sequi HRT patch which stopped my flushes but I have discontinued that to try to sort my hormones out without synthetics. I am on 1.5 grains of Armour thyroid a day.

I am really struggling to lose weight - I eat very well - I eat organically - Im a gluten intolerant so dont eat it. My bad habit is occasional chocolate. I ice skate every week but do work in an office so on my bum most the day.

My question is - does anyone have the same issues as me? am I under medicated? Ive had T3 before but my T3 blood levels went through the roof - although I didn't feel unwell on that. Is that ok ? I was initially put on T4 only and I got fatter lol.

My hair loss is killing me mentally, my weight doesn't help that either and my brain fog makes me feel as though im a useless human being.

Has anyone tried DHEA with an under active thryroid? Do I sound oestrogen dominant or low on oestrogen (im waiting blood levels for this)

I really dont know what to try next - im just so unhappy with my health and wellbeing.

desperate to fix the levels so my hair grows back :(

x

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Chelleyws
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16 Replies
SeasideSusie profile image
SeasideSusieRemembering

Chelleyws

Welcome to the forum. I am so sorry for your distressing condition, it can't be easy for you. Hopefully members who are similarly affected may pop along and comment.

In the meantime, perhaps you can post your current results for any tests that you may have had, include reference ranges as well as these vary from lab to lab. For a start, most important results include

TSH

FT4

FT3

Thyroid antibodies

Vit D (also include unit of measurement)

B12 (also include unit of measurement)

Folate

Ferritin

When doing thyroid tests we always advise:

* Blood draw no later than 9am. This is because TSH is highest early morning and lowers throughout the day. If looking for a diagnosis of hypothyroidism, an increase in dose of Levo or to avoid a reduction then we need the highest possible TSH

* Nothing to eat or drink except water before the blood draw. This is because eating can lower TSH and coffee can affect TSH.

* If taking thyroid hormone replacement, last dose of Levo should be 24 hours before blood draw, if taking NDT or T3 then last dose should be 8-12 hours before blood draw. Adjust timing the day before if necessary. This avoids measuring hormone levels at their peak after ingestion of hormone replacement. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.

* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (most labs use biotin).

These are patient to patient tips which we don't discuss with phlebotomists or doctors.

Chelleyws profile image
Chelleyws in reply to SeasideSusie

Thank you for the information, that is really helpful. Previously I have had a vitamin d deficiency and low iron but both now rectified and at good levels.

Last bloods done: (after a during two week break of all lotions, potions and pills)

Shbg: high. 130nmol

Free testosterone: low 0.0028nmol

Tsh: 10.52 high

T4 57nmol low

FT3 : 3.4 optimal

Ft3 3.4 pmol normal

Tpoab: 14.2 normal

Tgab: 12.5 normal

Vit d : 112 normal

Creatinine: 65 normal

Crp: 0.96 normal

Hb1ac: 31 normal

LDL cholesterol : 3.9 high

H D L cholesterol : 0.39 optimum

Non hd L : 4.23 high

Thanks so much x

SlowDragon profile image
SlowDragonAdministrator in reply to Chelleyws

You’re incredibly under medicated

On levothyroxine dose is increased slowly upwards in 25mcg steps until TSH is ALWAYS under 2, most people when adequately treated on levothyroxine will have TSH around or under 1

Anyone on NDT will ALWAYS have TSH very low….usually well below 1

Do you currently split your dose ….half waking and half mid afternoon?

Whose prescribing your NDT ….they should be increasing dose NDT upwards

greygoose may advise on how fast you can increase …..1/4 grain I think at a time

Or other members who take NDT

greygoose profile image
greygoose in reply to SlowDragon

1/4 grain every two weeks at the most. At 2 grains, hold for six weeks and retest. :)

Birdarse profile image
Birdarse in reply to greygoose

I’ll Do that thank you :)

Birdarse profile image
Birdarse in reply to SlowDragon

Hi that’s really helpful thank you and makes total sense, I will begin an increase. I’m so thankful I found you all :)

SlowDragon profile image
SlowDragonAdministrator in reply to Chelleyws

You need folate and B12 tested as well

Have you had coeliac blood test done

Have you tried strictly gluten free diet

Birdarse profile image
Birdarse in reply to SlowDragon

Hi I am on a strict gf diet, I’ll get the folate and b12 done too :) thank you

Hi

Your hair loss might be unrelated to your thyroid, there are other causes, genetics, autoimmune conditions, menopause stress, illness,vitamin and mineral deficiencies or certain medications.

I know we hypos tend to blame everything on our thyroid issues but it could be something else causing the loss. Is it mainly affecting the back of your head. I found an article here that might be helpful.

forhers.com/blog/hair-loss-...

Chelleyws profile image
Chelleyws in reply to Sparklingsunshine

Thank you, my hair and hormones have been screwed for last 6 years, all seemed to go wrong at once :(

greygoose profile image
greygoose

When I was 67, ten years ago, I was very ill with a non-thyroidal illness, and suffering from malnutrition because I couldn't eat. Spent two weeks in hospital, and the treatment made me better - although I wouldn't say I was cured because they didn't know what was wrong with me! But, at least when I came out, I could eat a little. My nutrients were all very low. And, one day, a year later, washing my hair, it all fell out in one go. And, it must have been because of the malnutrition because my thyroid levels were good. When I started taking iron, it started to grow again, but it's still an up-hill battle.

I am on 1.5 grains of Armour thyroid a day. am I under medicated?

It does rather sound as if you are. 1.5 grains is not a very high dose. And, if you are under-medicated, it doesn't matter how good your diet is because you will have low stomach acid and be unable to properly digest food and absorb nutrients. But, the only way to know if you are under-medicated is to get full thyroid testing:

TSH

FT4

FT3

TPO antibodies

Tg antibodies

vit D

vit B12

folate

ferritin.

Has anyone tried DHEA with an under active thryroid?

Yup. And it all converted to testosterone, and I developed terrible acne! Not nice on a 60 year-old!

But it didn't do a thing for my hypothyroidism.

Why do you ask? Do you suspect that your adrenals are under-performing? If so, you need to get cortisol and DHEA tested. You really shouldn't take DHEA unless you know your level.

:)

Chelleyws profile image
Chelleyws in reply to greygoose

Eeek I think I’ll stay away from dhea then! I do need a hormone profile doing, I’ll have to book one :)

Has anyone tried DHEA with an under active thryroid? Do I sound oestrogen dominant or low on oestrogen (im waiting blood levels for this)

Nobody can tell you if you are estrogen dominant or deficient unless you have actual lab results along with progesterone levels because estrogen dominance refers to the ratio between estradiol and progesterone.

Symptoms can overlap so it´s important to know your actual levels.

DHEA is prescribed by some alternative practitioners who treat adrenal fatigue using hydrocortisone and DHEA. Their reasoning is that DHEA is necessary to counterbalance the anabolic effects of cortisol (much like estrogen needs to be balanced by progesterone). However, as greygoose points out, DHEA is converted in the body to sex hormones, so you can end up with too much testosterone relative to estrogen, or too much estrogen relative to progesterone (which will make estrogen dominance worse). I agree with Greygoose - don´t take DHEA if you do not know that you are DHEA deficient. In that case, it should be taken under the guidance of an experienced practitioner.

SlowDragon profile image
SlowDragonAdministrator

Before considering DHEA

You would need to test levels

This is the recommended test

regeneruslabs.com/products/...

cdn.shopify.com/s/files/1/0...

But suggest you work on getting thyroid and vitamin levels optimal FIRST

Adrenals can be out of whack BECAUSE of thyroid not being correctly treated

ESSENTIAL to test vitamin D, folate, ferritin and B12 at least once year

What vitamin supplements are you currently taking

When were vitamin levels last tested

Chelleyws profile image
Chelleyws in reply to SlowDragon

Thanks so much, I’ve added blood levels in a previous reply. :)

Serendipitious profile image
Serendipitious

Sorry to hear this. Your hair loss may be alopecia areata:

instagram.com/p/CIju7OuA7JF...

Definitely see a doctor to get a diagnosis. Start with your blood glucose levels, HPA Axis dysfunction (stress), thyroid and then sex hormones. Stable blood glucose is the foundation to the other hormones and good health.

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