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Hello!
I'm not sure if you all remember me....I was having horrible physical symptoms, specifically severe joint pain and intolerance to cold and was diagnosed hypo with TSH at 11.49. I also tested Positive for thyroid antibodies as well. I was put initially on 112 mcg of levo, but I had some racing heart rate, so they lowered to 100. I just had my first blood test since starting the medication, and my TSH was .03. So now they want to lower the levo to 88.
I am actually not feeling badly with my current med levels and I am so scared that my horrible symptoms will come back with the lowered medication. Is it typical to yoyo? I have been being treated by my primary care physician and have my first endo appt. on 2.4...
Thanks for any insight!!
2 likes, 15 replies
sweetmelissa rhwittman
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shannon93482 rhwittman
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LAHs shannon93482
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I could have written that comment myself. I remember the vibrting nerves on Levo, I told my new doctor that as I sat in front of her my legs were vibrating. Her response was .....nothing..... I showed her my dissapearing eyebrows and thinning hair .....nothing.... I told her that it had been very difficult for me to walk into her office and that I felt like I was dying, again, ....nothing.
All she wanted to do was measure TSH and T4. God, was I glad when I managed to get on Armour. By a stroke of luck my Levo ran out while she was on holiday last summer. Her substitute thought my request was perfectly reasonable, didn't even ask any questions, just e-mailed a prescription down to the pharmacy and I have felt very well ever since.
Except, of course, she (the one on holiday) would like to lower my dose because my TSH is low! But now I know where to get more NDT over and above what she prescribes so it doesn't matter anymore.
And rhwhittman, I hope you know that you can achieve doses of medication in between standard doses by taking the higher one on certain days of the week and the lower one on the other days of the week. If you are interested I can post some examples so that you get the idea.
shannon93482 LAHs
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I totally understand where you're coming from with regards to your doctor. Mine was the same way. He just looked at me like I was crazy. Fortunately, I tell him what to prescribe me when it comes to my thyroid and he doesn't argue. He just checks my levels from time to time. I'm completely driven by my symptoms though. If he tells me I need to increase or decrease based on his test and I'm feeling good then I won't follow his instructions. That's as long as my levels are within range. Now that I'm feeling better on Nature Throid I want to keep searching for a med that will make me feel NO symptoms. However, I'm still trying to adjust this one so I'm completely leveled out. I do add a little T4 only occasionally when I'm feeling run down because I read that when you switch from a T4 only drug to NDT your T3 goes up and your T4 goes down. I'm hoping that it's not permenant and that my body will adjust and produce what I need once it gets used to the new meds. It's only been a few weeks but what a difference! Hallelujah! So glad I didn't just listen to my doctor on this one. I would never have felt better and I'm sure I would have gone mad!
barbara98940 shannon93482
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shannon93482 barbara98940
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barbara98940 shannon93482
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shannon93482 barbara98940
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barbara98940 shannon93482
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To answer your questions...
Apparently most people require 300-600mg a day. I need 750mg. It comes in capsules of 150mg and 300mg. The 150mg capsules is the size of a 250mg capsule of penicilin. The 300mg capsule is the size of a 500mg capsule of penicilin. I take 750mg a day split into 2 doses: 300mg when I wake up (an hour before food) and 750mg 6-7 hours later. Increasing by 150mg at a time was fine. The capsules are 'plastic' (not really but it conveys what I mean) and can be pulled apart and the NDT powder, which is of the consistency of ground black pepper. This is ideal for people who can't swallow tablets because the powder can be swallowed with a glass of water. Theoretically this means the capsule can be split into whatever fraction of a dose you need.
From my order on 28th December (I ordered 3 bottles of each and got 10% discount) I calculate the 150mg tablets cost 26p each and the 300mg tablets cost 41p each. So a 300mg daily dose would cost 41p (55 cents) and 600mg daily dose would cost 84p (37.2 cents). It was about 10% cheaper when the exchange rate was better.
I have not had any problems with supply as I order 4 weeks before I need them. The expiry date on the bottle is 2018 (2 years away). Even when the tablets were on 'back order' it only took 3 weeks. I may have been lucky with regard to when I ordered as a new shipment was due within 2 weeks. In future, just to be sure I don't run out, I will order when I have 6 weeks supply remaining.
I think that answers all your questions. If you have any more, please just ask and I'll do my best to answer them. The only other thing to add is that TG (bovine NDT) is working so well I wouldn't risk switching to a porcine NDT even it was free and even though I have heard lots of people say they feel great on it. I really don't want to mess with success - I've spent 21 years feeling rough and struggling through and really don't want to risk going back to that!
barbara98940
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When starting on TG I took 150mg for 5 days, then 300mg (split between 2 doses) for a week, then 450mg (split between 2 doses) for 2 weeks, then 600mg (split between 2 doses) for 2 weeks, then 750mg (split between 2 doses) for 4 weeks. After 4 weeks on 750mg I was getting slight palpitations so dropped the daily dose down to 600mg for 4 weeks. At which time a blood test showed my iron % saturation level had plummeted, and my TSH had risen, so I increased my daily dose back to 750mg and this time I was fine. I had blood tests every 4 weeks to check TSH, T3, T4 levels.
shannon93482 barbara98940
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barbara98940 shannon93482
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shellyC19 rhwittman
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Yes, I remember you! I agree you need to have the change to 88mcg. The TSh will rise up a bit more. It is good to hear from you again.
It is typical to Yo-Yo with Hashimoto's. When I was younger I did that also.
Keep us posted.
Shelly
Alynne rhwittman
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tony_92886 rhwittman
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