Diagnosing thyroid problems, WAS RE: antidepressant + thyroid – help
Question:
I have probably had thyroid problems for years and years. However, I had no clue what was happening to me, when even in the throes of bulimia, and near starvation, my weight went *absolutely_nowhere*. I talked to doctors about it, and they just told me I was eating too much, and here is a good idea for a diet (rolls eyes). They did NOT believe me when I said I went for days, sometimes weeks, without food, followed by bulimic behaviors. They assumed, big girl, probably lives at fast food joints – end of story. I never even *heard* the word "thyroid" until a few years ago, when a doctor decided to actually *hear* me. I was unaware that there even WAS a thyroid gland which controlled so many essential functions of my body. I am so damned angry, the assumptions people make about heavier people. We are taught by default that it’s because they sit around on their ass every day eating some high calorie food every hour on the hour. While it may be the case for some, It certainly is not true for everyone, because I lived the total opposite of the stereotype. For *years* I had metabolic problems, energy problems, dry skin, irregular menstrual cycles, tingly sensations… NO doctor had ever asked me about any of those symptoms. except for the one that diagnosed me and put me on synthroid, which has now made a WORLD of difference to me. I am still a heavy gal, but not eating disordered, not gaining more weight, (well except for now for the pregnancy, but before getting pregnant, my weight had pretty much stayed the same), and now everyday things are not such a horrendous effort. I am making sure that throughout my pregnancy my thyroid levels are monitored closely. Not that it matters now, or is any constructive being angry about the past, but I am sure I could have had a lot better 20’s decade if I had someone actually take me seriously. Cheers, Adagio
Response:
switch the T4 and thyroxine and you’ve got it =) diagnosing thyroid problems in people with eating disorders-especially anorexia-is very hard. when you’ve been anorexic for awhile you get a high level of something called reverse T3. your thyroid is stimulated by TSH to produce T4 (the most active form of thyroid hormone) and T3. in anorexia, you get a high level of reverse T3 so if you only test for T4-the tests come back looking like the person is hypothyroid when in actually he/she is euthyroid. being on synthroid if you dont’ need it is awful. learned that the hard way. so to answer the original question-don’t just get your T4 level tested. you need TSH, free T4, free T3 and reverse T3 if your hospital can get it done. if not, just the TSH, T3 and T4 will give you a general idea.
Response:
Bottom line, though, as ever, is to see your dr, and get your bloods
tested. That’s the only way of knowing for sure. If by chance your doc isn’t willing/informed regarding thyroid blood tests, request a referral to an endocrinologist (medical specialist for ductless glands, of which the thyroid is one). I’ve been hypothyroid all my life and have been on Synthroid since 18 months of age. signman
Response:
Ooops! Thanks Lea
) Love fi
– Hide quoted text — Show quoted text – switch the T4 and thyroxine and you’ve got it =) diagnosing thyroid problems in people with eating disorders-especially anorexia-is very hard. when you’ve been anorexic for awhile you get a high level of something called reverse T3. your thyroid is stimulated by TSH to produce T4 (the most active form of thyroid hormone) and T3. in anorexia, you get a high level of reverse T3 so if you only test for T4-the tests come back looking like the person is hypothyroid when in actually he/she is euthyroid. being on synthroid if you dont’ need it is awful. learned that the hard way. so to answer the original question-don’t just get your T4 level tested. you need TSH, free T4, free T3 and reverse T3 if your hospital can get it done. if not, just the TSH, T3 and T4 will give you a general idea.
Response:
Hi Salamandra I don’t know if you meant _generally_ how does one go about finding out if there is a problem with your thyroid, or specifically trying to detect whether medication might be causing it. If you mean the latter, forgive me for explaining all the general stuff! Basically you have some blood taken for biochemistry. They’ll measure the levels of stuff called Free T4 and Thyroxine and see if they’re within normal limits or not. Free T4 is a hormone which stimulates the T gland to produce Thyroxine. Therefore if there are high levels of T4, but normal levels of Thyroxine, it means your T gland is not as efficient as it might be, and although no active treatment may be needed, it would still be worth keeping a check on, say annually or more often, just to make sure enough Thyroxine keeps being produced. If there’s high levels of Free T4 _and_ abnormally low levels of Thyroxine, they will probably give you Thyroxine itself to take daily, since even though your T gland is being stimulated to the hilt, it’s still not capable of producing enough, and oral drugs will make up the shortfall. Re: meds and effects. Some meds are well documented as sometimes having an effect on the Thyroid gland (eg Lithium). Other newer ones of course may also have an effect, but it might not be as clearly recognised as with some older more well-known drugs. If your dr is in any doubt (or you could maybe do this yourself), he or you could ask your local pharmacist to check whether any drugs you’re on have a ‘history’ of interfering with the Thyroid gland. Bottom line, though, as ever, is to see your dr, and get your bloods tested. That’s the only way of knowing for sure. _And_ – it’s also important for drs to take note of any unexpected side-effects – they report it to the drug manufacturer and if a pattern develops, the manufacturer has to take action. Of course, people are so individual that who knows _what_ side effects we may get! It’s worth checking out, for your own peace of mind, and also for any benefits it might have for people who may take the same meds (or combo – now that’s another potential can of worms!) in the future. Good luck, and i hope you can sort this all out soon! With love, Fi — O that I had wings like a dove: for then would I flee away, and be at rest. Prayer Book, 1662
– Hide quoted text — Show quoted text – i have a question regarding all this thyroid talk. after reading most of these posts and doing my own research, i wonder how does one get diagnosed as having an under-active or over-active thyroid? when i found out i had ecxema, i was tested for thyroid problems. they came back negative. however, i still have just about every symptom related to having an under-active thyroid. so, my question is: how does one make sure that one has/doesn’t have a problem with his/her thyroid? i ask this because i found out from one of the web searches that the medications one takes can often affect thyroid test readings. any input? and yes, i know you are not all doctors, and none of you should play one on ased.
sorry. i couldn’t resist…. salamandra
Response:
i wonder how does one get diagnosed as having an under-active or over-active thyroid?
I would go back to the doctor, and if you’ve been seeing just your regular GP or internist, you may need a referral to a specialist who would be able to do more extensive testing. If you think that you’re experiencing thyroid malfunction, it would be a good idea to check this out as thoroughly as you can! –Connie — "Starving the flesh wastes the spirit." –Kandis Elliot
Response:
i have a question regarding all this thyroid talk. after reading most of these posts and doing my own research, i wonder how does one get diagnosed as having an under-active or over-active thyroid? when i found out i had ecxema, i was tested for thyroid problems. they came back negative. however, i still have just about every symptom related to having an under-active thyroid. so, my question is: how does one make sure that one has/doesn’t have a problem with his/her thyroid? i ask this because i found out from one of the web searches that the medications one takes can often affect thyroid test readings. any input? and yes, i know you are not all doctors, and none of you should play one on ased.
sorry. i couldn’t resist…. salamandra
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