Osteoporosis risk with suppressed TSH

[RockyPath]

Many of the endocrinologist I've encountered seem to be vexed with borderline sociopathy, lurking beneath grimacing, slightly tolerant demeanors. However, the last one seemed to be merely friendly and inept.

Recent communication from current specialist: "Having a low TSH can increase your risk for heart complications as well as contribute to osteoporosis. Therefore, I recommend you lower your thyroid supplementation dose to help bring TSH to at least above 0.1."

TSH Normal range: 0.27 - 4.20 uIU/mL

My result TSH July 18: 0.03

Free T4 normal range Normal range: 0.93 - 1.70 ng/dL

My result FT4 July 18: 1.05

This is several months after an NDT dose increase of 50% (from 1 grain to 1-1/2)

Previously the FT4 was 0.84 and I showed various metabolic signs of hypothyroidism.

Previously, I had difficulty swallowing, with numerous thyroid nodules. On examination recently, my swallowing was improved and the endocrinologist noted that reducing the demand on the gland from the pituitary (TSH) permits the gland to destress and shrink.

I've seen the alarmist clinical journals on bone remodeling published in the States, which essentially say "Suppressed TSH seems to result in osteoporosis, but we don't have the slightest idea why."

What clinical resources do you have that might shed some helpful light on the subject? I'm not feeling particularly alarmed at my suppressed TSH. Should I?

Many thanks for your collective brilliance and deep wisdom.

RockyPath

[SlowDragon Administrator]

if endocrinologist thinks osteoporosis is an issue they should organise a Dexa scan

Many members see bones improve with addition of T3 or NDT

As explained in this link we need good Ft3

Low Ft3 can be risk of osteoporosis, not just high Ft3

thyroidpatients.ca/2018/07/...

[RockyPath in reply to SlowDragon]

Thank you for the article citing medical authority. Not that I can say anything to the perplexed specialist at this point, but I can rest in the logic presented.

My FT3 is comfortably near the middle of the reference range with this higher dose. As it was on the lower dose. Ergo, adding 50% more T3 merely made my cells happier and did not result in a spike of blowtorch-like excess hormone ravaging my bones.

Now what I wonder is how this fits into the phenomenon of aging, where our bones shed calcium while our arteries accumulate calcium and grow inflexible. In youth we can be careless, but interest grows as the expiry date looms.

Thank you, SlowDragon, for the succinct explanation, delivered so efficiently.

[serenfach]

Just to add, taking Vit D with K2 helps the calcium go to the bones and not the arteries. I was told to do some weight lifting. I farm.

A spud bag in either hand and lift to shoulder height. Did that for a week. I may put the spuds in the bag next week.