Free T4 increased in Carbimazole

emmaj43 mal26768 · 2018-02-23T21:04+00:00

It sounds like you need a higher does of carbimazole as it is not high enough to block the over production of thyroxine. It takes 4- 8 weeks to become euthyroid.

Be patient, it takes a lot of juggling to get it right. Make sure you have regular blood tests. x

Mike61308 mal26768 · 2018-02-23T21:58+00:00

I consider 30mg carbi a very high dose (even 20mg is high) -- high dose ATM usually bring strong side effects. ATM take time to lower T4 T3 (what's your T3 number?) Also other conditions can interfere or negate ATM's effectiveness, e.g., stress etc.

Guest mal26768 · 2018-02-23T22:22+00:00

Carbimazole interferes with an enzyme that the thyroid needs to produce its hormones. At sufficiently high doses (typically at least 40mg per day) it can inhibit the production the thyroid hormone completely. High doses are used when the patient in on a block-and-replace treatment, and in this case thyroxine supplements are necessary.

As long as you have regular blood tests and adjust the medicine accordingly you will be fine.

You can also monitor yourself by keeping a chart of your resting heart rate. In my case, the heart rate correlates pretty well with my thyroid hormone level. The more hyperthyroid I get the higher the resting heart rate.

Guest mal26768 · 2018-02-25T12:10+00:00

Hi, like emmaj43 above I would recommend a diet with plenty of protein to minimise loss of muscle mass. You could try to eat nutrient-rich food consuming a lot of vegetables, fruits, nuts, etc.

If you are coeliac then it is important to strictly avoid gluten. Otherwise, it makes little sense to cut out entire food groups. There is plenty of information on the subject of thyroid and gluten that is based purely on anecdotal evidence and in some instances on obvious misinformation.

The same goes for dairy. If you tolerate dairy products well, then you should include them in your diet as they provide high-quality protein, calcium, B vitamins, Vit D, etc. If you are lactose intolerant try fermented products like kefir or yoghurt or lactose-free products. In the UK dairy products are the main source of Iodine (as Iodine is added to animal feed).

Unless you are advised by your doctor to have iodine free food, for example before treatment with radioactive iodine, there is no reason to avoid iodine entirely. Even if you are hyperthyroid at the moment your body needs a minimal amount of Iodine (around 150 micrograms per day). An Iodine deficient diet is the main cause of goitre as the thyroid becomes enlarged to absorb even more Iodine. On the other hand, it is very important to avoid too much Iodine as this may exacerbate your hyperthyroidism. In practice, this means restricting food that is super rich in Iodine like kelp and other seaweed types and strictly avoiding supplements that contain Iodine.

When it comes to salt, moderation is important. The daily recommended intake is 6 grams and if you would like to reduce your Sodium intake you could opt for low-sodium table salt (that will provide you with Potassium). However, again restricting your Sodium intake coupled with drinking a lot of water has the potential of causing more damage instead of being beneficial. A low Sodium level can cause vomiting, nausea, muscle cramps, etc.

https://patient.info/doctor/hyponatraemia-pro#nav-2

Finally, I would recommend eating plenty of goitrogenic vegetables like cabbage, broccoli, kale, cauliflower (all from the cabbage family).

Here is a recipe for stir-fried cabbage that is super fast to prepare and tasty.

Ingredients: One tender heart cabbage (the little soft-leafed pointed cabbages), olive oil, red balsamic vinegar, salt, soy sauce.

Method: Cut the cabbage into fine strips. Place it in a non-stick wok together with one tablespoon of oil and cook it for about 5 min on a rather high flame while covering with a lid and stirring occasionally. When tender add a dash of balsamic vinegar and season with salt or soy sauce (I prefer soy sauce). Fry for another minute and that's it.

Free T4 increased in Carbimazole

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