Hashi's Flare

[sylus_911]

Hi.If you have a Hashi's flare is it ok to take add a small amount of t3?My consultant said it was.

[greygoose]

I don't think your consultant knows what a Hashi's 'flare' is. It's when the dying cells in the thyroid release their store of thyroid hormone into the blood, so that the levels of FT4 and FT3 rise sharpely. Why would you want to add more T3 on top? People usually feel hyper during a 'flare' so that the stop their thyroid hormone replacement completely until they feel hypo again.

[sylus_911 in reply to greygoose]

I did find that a bit weird when he said that.Thats why I thought I'd ask on here.It really annoys me.I could,ve taken his word for it and ended up feeling worse than I do at the moment.And I'm paying him!!!

I need to get another blood test done.

Thanks Greygoose.

[greygoose in reply to sylus_911]

Doctors know so little about thyroid, especially Hashi's, it's difficult to take their word for anything. It's possible he confuses 'flare' with 'flare up' as in making hypo symptoms worse. A lot of people make that mistake. Which is why I prefer to call it a Hashi's 'hyper' swing, because that's exactly what it is.

[sylus_911 in reply to greygoose]

That's what's confusing me.I didn't know you go hyper.Im certainly not hyper,feel like I,ve gone down again.Crying,feeling very down.Blood test needed I think...

Thanks.🤗

[sylus_911 in reply to greygoose]

I thought that Hashi's is to do with the gut.If you eat certain things that can cause a flare up.Its confusing to me.Mind you it doesn't take much to confuse me these days.!!!

[greygoose in reply to sylus_911]

Sounds like you're just under-medicated and/or a poor converter of T4 to T3. In which case you would need to take some T3, so go for it!

But that has nothing to do with a 'flare' or a 'flare-up'.

As for the gut, the gut and be affected by some things you eat, and some Hashi's people do have leaky gut and things like that. But, nobody really know what causes Hashi's - could be something to do with food - nor what causes the 'hyper' swings. So, I really would not say that 'Hashi's is to do with the gut. Hashi's is to do with the immune system that confuses the thyroid with the enemy, and attacks it. And, it's these attacks that cause the so-called Hashi's 'flare', or 'hyper' swing.

[sylus_911 in reply to greygoose]

Thanks again Greygoose.🤗

[sylus_911 in reply to greygoose]

Sorry I forgot to mention.. When you say "it's when the dying cells in the thyroid release their store of hormones into the blood ". What if you haven't got a thyroid?🤔

[greygoose in reply to sylus_911]

If you haven't got a thyroid then Hashi's won't affect you.

[sylus_911 in reply to greygoose]

Just one more thing..I take 12. 5 of t3...5 in the morning at 7 30. 5 at 3.45 and 2.5 at 11evening.Is the 2.5 enough to get me through the night?It is the mornings I feel at my worst usually

[greygoose in reply to sylus_911]

T3 is a hormone, it's not like aspirin, it doesn't get 'used up'. It stays in the blood for about 24 hours, and what gets into the cells stays there for about 3 days. So, if your take your T3 regularly, it's not about getting through the night because there's always some T3 available.

If you feel worse in the morning, it could be a problem with your adrenals. Have you ever had your early morning cortisol tested?

[sylus_911 in reply to greygoose]

I thought t3 only stayed in your system for 8 hours...I had a synthagen test (is that the same as Cortisol)way back in 2015.

They said it was normal.

[greygoose in reply to sylus_911]

Well, they always say it's normal because - as far as I can see - they don't understand the results. Nor why they're doing it, I don't think. Did they not do an 8 am serum cortisol test first? Why did they do a Synacthen test?

No, T3 stays around much longer than 8 hours. As I said, about 24 hours in the blood - where it doesn't do anything - depending on the person and the dose. And about 3 days in the cells, where it does its work. Did a doctor tell you it was 'only in the system for 8 hours'? What do they know? Most of them don't even know what T3 is!

[sylus_911 in reply to greygoose]

To be honest I dont know why my consultant back then done the synathen test, I was in such a bad way I didn't know wether I was coming or going I dont think he did either.He was adamant that my 100cg was the right dose and that I could take my blood pressure tablet with my levo medication.Put me on propranolol, Doctor prescribed Antidepressants.It was a nightmare.Perhaps I,ll look into the Cortisol test then

[greygoose in reply to sylus_911]

It sounds like a nightmare! A synacthen test won't tell him if 100 mcg levo is enough for your. You need your FT3 tested to know that. And propranolol will affect your conversion of T4 to T3 so not a good thing to take! Especially not at the same time as your levo! The man obviously knew nothing about thyroid.

Yes, it would be a good idea to look into cortisol because hypos often have low cortisol and that can cause all sorts of problems. Your doctor can order an 8 am serum test. But, privately, you can do a 24 hours saliva cortisol test. But you need one that includes DHEA. I'm afraid I can't tell you any more than that about testing, but you could always write another post to ask which is the best.

[sylus_911 in reply to greygoose]

Thank you very much.🤗

[greygoose in reply to sylus_911]

You're welcome.