Is There Life after Thyroidectomy: Hi, I have... - Thyroid UK

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Is There Life after Thyroidectomy

Bena22 profile image
11 Replies

Hi, I have just joined, so probably asking questions that I'll find down the line. But - I had a thyroidectomy 7 years ago, for Graves and Nodules; I had hope that the palpitations would stop, but, of course, they didn't, and I now have Afib I guess.. once or twice or more times a week, heart rate of 150 or so, for sometimes 24 hours. My Gp has given me Bisoprolol 2.5mg, and I take 125g thyroxine daily. Thats it. I am in the back of beyond, and only see my GP. He says all my levels are fine. I know I am out of kilter - hair falling out, all joints hurting, etc. Bad tempered!!!!! So, my question is should I pay to be seen privately to get all my levels checked? Should I just suck up the fact that I have Afib, that seems to be getting worse...OR is there another small road of hope?

Thank you!!

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Bena22
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SlowDragon profile image
SlowDragonAdministrator

welcome to the forum

First step, yes….. is to get FULL thyroid and vitamin testing done

Do you always get same brand levothyroxine at each prescription

When were vitamin levels last tested

What vitamin supplements are you currently taking

do you have any recent blood test results from GP you can add?

You are legally entitled to printed copies of your blood test results and ranges.

The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results

UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.

Link re access

healthunlocked.com/thyroidu...

In reality many GP surgeries do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.

Important to see exactly what has been tested and equally important what hasn’t been tested yet

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

 

For full Thyroid evaluation you need TSH, FT4 and FT3 tested.

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels very common with Graves’ disease

As is gluten intolerance

Recommended on here that all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test 

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

Only do private testing early Monday or Tuesday morning. 

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Bena22 profile image
Bena22 in reply to SlowDragon

Thank you so much - I am ON IT!!! This is so helpful and reassuring, and I will report back x

pennyannie profile image
pennyannie

Hello Bena and welcome to the forum :

Finding a Grave's Disease specialist is near impossible, let alone a thyroid specialist especially if stuck out in the woods, and if like me, unable to travel too far, though of course many now offer visual consultations.

Thanks to this forum and a couple of books I've been able to put myself back together again, as best I can, and now self medicate and am much improved.

I've Graves and went through RAI thyroid ablation in 2005 becoming very unwell around 8 years later and when I started my learning curve as according to the doctor, I was fine and good to go, though falling apart and referred to as a conundrum and offered anti depressants.

First and foremost we do need to see a full thyroid panel - TSH Free T3, Free T4, antibodies, inflammation, and ferritin, folate, B12 and vitamin D run as already detailed as then you will receive considered opinion on what you can do for yourself to get back on track and it is where we all start - many of us are forced to arrange this for ourselves - so you are not alone if your doctor is not able to help you.

If you go into Thyroid UK - the charity who support this patient to patient forum there is section detailing companies who will run the appropriate blood tests for you and once you have back the results and ranges just start a new post with all these details for considered opinion.

I think both Medichecks and Blue Horizon offer a nurse home visit to draw your blood so this might suit you best as living in a remote area and certainly less stressful.

Your small road to hope is here - on the forum - it twists and turns - but widens out as you read of other people's situations and the answers suggested, and you will undoubtedly take a detour or two but there is an end and you can do much for yourself once you follow a map.

thyroiduk.org

elaine-moore.com for all things Graves Disease :

Your Thyroid and How To Keep It Healthy written by a doctor who, on resigning his position wrote to equip patients better to advocate for themselves. Barry Durrant-Peatfield writes in an easy to understand manner and it's a go-to for a basic human body physiology and I think recommended on the reading list that you'll also find within the Thyroid UK website.

Bena22 profile image
Bena22 in reply to pennyannie

Thank you so much Pennyannie, this is really useful; I am following leads and getting tests done.. it feels good to be pro active.

pennyannie profile image
pennyannie in reply to Bena22

Yes I remember that feeling - ask any questions as you go, we are here to help and start a new question with new information, so everybody has the opportunity to help and support you with your thyroid journey back to better health.

humanbean profile image
humanbean

Just wanted to say - you can have tachycardia (fast heart rate) without Atrial Fibrillation. They are different conditions. You may need a proper diagnosis of AFib from a doctor. But if it doesn't happen all the time perhaps the doctor wouldn't catch it.

Although I don't have such a gadget I have read that some Apple watches or Fitbits or other things of the same type can actually detect AFib. I don't know how accurate they are or how reliable. Nor do I have a clue how much they cost.

I have a couple of gadgets that I find helpful with respect to heart health (although mine don't detect AFib I know some more modern and sophisticated ones do) :

1) A blood pressure monitor. Omron is a good make, and you will see them in use in hospitals and surgeries. Make sure it uses an upper arm cuff, and that the cuff is the right size for you.

2) I have a gadget that measures oxygen saturation in the blood (an oximeter). It's one of those gadgets that gets put on your finger. It will measure pulse too, the same as the BP monitor.

Bena22 profile image
Bena22 in reply to humanbean

Thank you humanbean( cute name!) - i will investigate all of this x

FancyPants54 profile image
FancyPants54 in reply to Bena22

Apple Watch are very reliable for catching Afib and providing a 1 lead ECG that can be emailed straight to your GP.

I too have Afib and hypothyroidism. The Afib for me is all the time. Never stops. And for me, that's way better than the sort that just used to start out of the blue and knock me off my feet. I don't feel it now. My watch tracks my heart rate and oxygen levels as well as the pattern. The only thing the watch can't do is BP.

Afib can be hereditary. My dad, his brother and sister and one of their kids at least had/has it as well as me. And my mum's family had thyroid problems. I have inherited from both of them 🙄

You will probably have to do a lot to help yourself here. GPs are scared of Afib with thyroid. If you want the name of a private endocrinologist that I see (and rate highly) send me a message. He has been a great help and gives me the private prescriptions I need for T3 (to buy) and other things. He is not afraid of T3 and Afib.

Bena22 profile image
Bena22 in reply to FancyPants54

Hi , Thank you so much; I would love a recommendation , that would be so helpful... thank you

FancyPants54 profile image
FancyPants54 in reply to Bena22

We do doctor recommendations by private message. Not here on the public forum. I will message you now.

SlowDragon profile image
SlowDragonAdministrator in reply to Bena22

I use an Apple Watch

Been very helpful at picking up ectopic beats …..and gives a printable/emailable read out

It also records very low heart rate

My heart rate often drops under 45bpm in night

I have the alarm is set to record any heart rate at or below 45.

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