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Questions and Answers
My thyroid level is high so my doc is taking me off synthroid When can I expect my level to be normal again? I am due to have surgery on my ankle in a week and it just so happened that I had an endocrinologist appointment today. My thyroid levels (which I am currently on synthroid to treat a hypoactive thyroid) is now hyperactive, meaning my thyroid is now healthy and all I have to do is stop taking the synthroid and I will be good to go. BUT, my levels have to be in a healthy range--meaning no hyperactivity--before surgery can occur. About how long will it take for the synthroid to disappear from my body? If it helps any, I believe my levels were .01 but I am not 100% sure. Thanks!!

stacy n replied: "i believe in a week and a half depending"

Gem replied: "four to six weeks."

amembal4444 replied: "HOME REMEDIES: THYROID PROBLEMS * Kelp Sea Weed is an excellent antioxidant and contains iodine to assist thyroid function. * L-Tyrosine is an amino acid that helps increases plasma levels, helps with weight loss and is a crucial building block of thyroid hormone. * Spirulina is very useful for maintaning the over all health. * Take Vitamin B Complex. It improves cellular oxygenation and energy, and helps with digestion, immune and thyroid function. * Primrose Oil, is an essential fatty that is important for proper thyroid function. * Bladderwrack is high in iodine, which is beneficial for hypothyroidism. * Irish Moss nourishes the thyroid and endocrine system. * Agnus Castus supports the pituitary gland and helps balance estrogen, which is known to interfere with normal thyroid function. * Black Cohosh helps balance estrogen levels and may be useful in thyroid conditions. * Siberian Ginseng helps the adrenal and thymus glands, which help support thyroid health. * Black walnut is rich in organic iodine and manganese that nourishes and strengthens thyroid function. * Mullein covers and protects tissues and reduces swelling in glands. * Calcium, iron, zinc, copper, manganese, neodynium, terbium, thullium are minerals and trace elements necessary for the good functioning of important metabolic reactions in the thyroid. * Take low calorie foods and it is important to cut down on cakes, biscuits, sweets and alcoholic drinks that are relatively high in calories, but low in nutrients. * Increase your physical activity. * Continue to be cheerful and enjoy your life. * Eat foods rich in vitamin A, such as yellow vegetables, eggs, carrots, and dark green vegetables. * Iodine rich foods that nourish the thyroid are: fish and sea vegetables such as: arame, kelp, dulse, hijike, nori, wakame, and kombu. Seaweeds are very nourishing to the glands."

Macchiato Junkie replied: "If I miss a pill it takes 5 days for me to feel the affects. On the other hand I have been told to be off the synthroid all together for a month before doing a particular test. I have had my thyroid removed, so I'm thinking it takes over a month for the synthroid to completely be elliminated. Hope a doctor answers this for you because this is just a guess."

my tsh is 4.19 and i weigh 225 lbs my dr wants to start me on synthroid 25mcg. i heard taking it will make my? tsh normalize but i wont lose weight. could i have lapband surgery to lose weight?

knicname replied: "I take 75 mcg. of Synthroid & have not lost any weight except by watching what I eat & my portions. I also started to get Physical therapy to get some conditioning & strengthen my muscles. If you want lapband surgery, you need to be 100+lbs overweight. You need to research it & the surgeon very carefully. My best to you."

DNA replied: "It won't help you lose weight, but it will stop the weight gain. Also, you mght have more energy, so that you;ll be able to exercise. Increased exercise could help you to lose weight. If you weight is strictly by eating too much, then the surgery might help. If its due to lack of exercise and your thyroid problem, it won;'t help. Check out the below group. It's about being hypothyroid and trying to get healthy"

Synthroid for Hypothyroidism? I was diagnosed with hypothyroidism 15 years ago (I am now 26 years old) and had surgery to completely remove my thyroid 9 years ago. I've been taking synthroid all along and have been doing well on it. For the past 2 years, I've been taking 100 MCG one time daily. I just received my 6 month check up and my doctor said that TSH level is at 3.09, and she said that people with hypothyroidism tend to do better/feel better with a TSH level between 1 and 2, so she is putting my dosage at 125 MCG daily. I have a hard time understanding the dosages with this. What causes the TSH level to change if my thyroid is completely gone? Does this mean my doc is INCREASing my dosage, or DECREASing my dosage? As regards to weight/metabolism, is this going to mean that I may have a harder time losing weight now, or an easier time? My previous dose of 100 MCG, did that mean that I was getting TOO MUCH synthroid, or TOO LITTLE? Thanks!! I'm just trying to understand this all.

Me replied: "TSH is a funny little thing to understand. It stands for Thyroid Stimulating Hormone. If your body isn't getting enough thyroxine (what synthroid replaces), TSH levels go up in order to stimulate the thyroid to make more thyroid hormone. Obviously, it doesn't do anything in your case, but the level is still useful to see how well the synthroid is doing. If the synthroid is too low, your TSH will go up. In order to reduce the TSH level, you need to increase your dosage of synthroid, and reduce the body's need to make more. You may need more synthroid if you've gained weight, etc. As a bonus, this will make it slightly easier to lose weight."

mbestevez replied: "She increased your dose, from 100 to 125 mg of Synthyroid. Hormones are delicate, and are balanced by other hormones. Thyroid axis goes as follows: Hypothalamus produces TRH or thyrotropin release hormone Hypophysis produces TSH, thyroid stimulating hormone or thyrothropin Thyroid produces Thyroxin and T3. So, if the levels are too low, the hypophysis increases its TSH to stimulate the thyroid. As you have not thyroid gland, you should take an increased TSH level as a signal that your "body feels it is not enough and wants more thyroid hormones". So the dr increased it. Hypophysis would reduce its TSH to show "go on that way" with a normal level of TSH."

DNA replied: "Your doctor is correct about that the TSH should be below 2.0. You are lucky to have this doctor, as far too many doctors leave their patients at higher TSH levels and then prescribe additional meds to help with the other symptoms that would have been resolved if the doctor just gave them more thyroid meds. You don't say why your thyroid was removed. If it was because of cancer, then you need to have your TSH below 1.0 to suppress cancer cells from coming back. Your doctor is increasing your dosage. It could be because of the time of day you previously tested that you were on a lower dose. It could be because of the pituitary sensing mechanism. TSH is not a thyroid hormone, but a pituitary hormone. When you test, TSH should always be done in the morning and first thing. The reason, TSH is highest while we sleep and upon rising it goes down. By 2PM its at its lowest point. I highly recommend that a free t4 and free t3 be done with the TSH. These are actual amounts of thyroid hormones in the blood available for use. These levels should be at least midrange. Below is a good thyroid site"

Information about complications after thyroid surgery.? I've had an overactive thyroid and a large goiter for 15 yrs, and after switching doctors last year, the new dr immediately wanted me to have surgery and remove my whole thyroid. In December I had the surgery, the surgeon accidently removed 2 parathyroids (which I'm still taking 6 calcium pills a day), I've gained 20 lbs, I'm stil exhausted all the time, and losing ALOT of hair. My dr has been adjusting the synthroid trying to find the correct dosage, but shouldn't I be feeling some relief from the synthroid I am taking already? I'm litterally exhausted all the time.

WULIWUTO replied: "I HAD THE SAME SURGERY IN NOV 05. I KEPT LOSING MY HAIR TOO FOR ALMOST 6 WEEKS AFTER TAKING THE SYNTHROID. STARY THERE. IT WILL STOP. IT TOOK ME 6 MONTHS BEFORE I CAN GET BACK TO A MORE NORMAL ACTIVITY LEVEL. STAY UPBEAT. RELAX. YOU WILL GET THERE. IN THE MEANTIME, SET YOURSELF SOME POSITIVE GOAL TO LOOK FORWARD TO. IT WILL STIMULATE YOUR SYSTEM TO PROGRESS. I HAVE ANOTHER BRAIN SURGERY TO GET TO IN A FEW WEEKS. NEED TO BE POSITIVE."

Jusi finished I131 treatment, I feel terrible, gained 20lbs+ in last 2 weeks, will synthroid help me shed lbs? I recently had a total thyroidectomy and 2 weeks later I131 radiation treatment. I have gained 20 pounds plus since the surgery and I feel terrible. I cannot begin hormone treatment until full body scan here in a few days, but the oncologist that prescribed it will not monitor or regulate how much I need. He prescribed 100 mcq once daily. My metabolism is virtually come to a stand still, I feel fatigued and nauseteous. My endocrinologist can't see until mid December. I've gained a ton of weight and none of these doctors have addressed the issue which I have brought up repeatedly. I guess my question really is will the hormone take the weight off because I have read that it is virtually impossible to lose weight after a total throidectomy. All the doctors like to pass the buck when it comes to my post radiation treatment. My back hurts from the rapid weight gain and I feel uncomfortable in my own body. Is there any hope for weight loss?

jodie replied: "I have been there and done that recently. I am tired of being told that I am lucky to be alive in a situation that lends no solution. Sometimes I feel like a statistic that everyone wants to parade out as some kind of success story. The weight gain and symptoms can be monitored with some good results. Please, investigate what is causing the weight gain. I abandoned the hormone treatment as I found that the results of the treatment were greater than the possibility of recurrences. I decided that the quality of my life was more important than the length of time which I do not believe any doctor can evaluate. The choice and who and what you decide to do can only be left up to you. Good luck and know you are in my thoughts and prayers."

Mom replied: "synthroid can help, try taking fish oil pills , they are full of omega 3 and drinking green tea, and stay on a healthy diet. Try to stay around 200 carbs a day, doing these things I lost 80lbs. There is always hope. When you go back to the doctor ask to see a nutritionist. thats what I did, my local hospital offers classes for free."

Andrew replied: "I have also had a total thyroidectomy and 2 rounds of I131 treatment in the last 12 months. The first time I gained about 14 pounds when I was removed from all thyroid medication prior to the radioiodine treatment and the second time I gained about 10 pounds. I have managed to lose the weight fairly easily on both occasions. My doctors put me on tri-iodo thyronine 20mcg twice a day (T3 or Cytomel) for a week starting on the day of the full body scan. T3 has a much quicker, but shorter lasting effect than thyroxine (T4) so it helps you to start feeling normal again much quicker than taking T4 alone. Following that I was put on 200 mcg/day of T4 for six months (In the UK they start everyone off on that dose). I'm now on 175 mcg of T4 daily until I get a blood test. I'd say that you probably will lose the weight you have gained since surgery if you get on the right dose of thyroid replacement but it may take a while. If I were you I'd ask your oncologist to start you off on T3 for a week before switching to T4."

How do you lose weight after a medical problem that caused the weight gain? I was diagnosed with hyperthyroidism a few years back. I was treated with radioactive iodine and it got rid of my thyroid gland. The doctor I was seeing at the time never gave me a medication to replace the thryoxin the thyroid naturally produces..and is vital to the body's functions.. which caused me to DOUBLE my size in a very short time. It has been about 3 or 4 years now of trying to get the synthroid dosage [yes, I changed doctors] adjusted so that my system is at a normal level. NOW, I have about 150 pounds I need to lose.. a vigorous exercise program is impossible because I have also been diagnosed with asthma. Diet pills are not an option with my medication.. and I refuse to have gastric bypass surgery because I don't eat very much anyway, and the function of gastric bypass is to cause you to eat less. So what do I DO??? Help!! I don't wish to live my life this way.. I have a young child and I want to play outside with her.. and I want to be able to go for long walks again. Unfortunately, I apparently did not make clear the problem I truly have. I cannot undertake a vigorous exercise program nor can I ride a bike enough to make a difference.. as I stated initially, I have asthma. And with thyroid disease, normal dieting does not work as it would with anyone else.. and when you take medication to replace the thyroxin normally put out by the thyroid, you cannot take diet pills at all. Thank you all for you efforts anyway.

mamabear replied: "Healthy diet, lots of water and exercize."

Alyssa replied: "Go to Weight Watchers (it worked for my mom) or maybe see a doctor and tell them your situation. I'm sure they can put you on a diet plan that will work for you. I think its sweet that you want to lose weight also for your child. Good luck!"

kimberleibenton replied: "That is a really good question! First of all, I would ask your doctor what is the best approach to losing the weight. I am not 100% sure, but could it be possible that you need to have your synthroid dose changed?? I looked up some information on the web and added the site for you to look at. I am sorry you are so frustrated! I hope you find your answer and wish you the best of luck."

LIAM GERARD C replied: "eat 1 large meal a day and nothing else preferably before 6 pm i lost 7 stone in 4 months this way the problem is keeping it of so get a bike and see the world as you get fit best of luck Liam"

Does synthroid or total thyroidectomy affect menstrual cycles? Hi, I would like to know any advice anybody can tell me regarding my unique situation. Last month on March 7th I began taking Metformin (I have PCOS). My period began on March 12. (Note - I was very regular before taking the Metformin so my period starting on time was not due to the met. My endo put me on it to help lose weight and to ovulate). I had a total thryoidectomy (goiter) on March 19th and began taking Synthroid that following day on the 20th. I had sex on the 29th of that month (w/my husband :)), and my next period should have began on the 12th of this month. I have not received my period yet. Is it possible that all the meds I am taking are affecting my cycle? Could it be my thryoid levels since the surgery are affecting my cycle? Or, could it actually be that I am pregnant? Any advise at all would be greatly appreciated! I'm scared to take a preg test as I am tired of being let down. Thanks for any help!!

Sparkles is having a Boy 7-16-09 replied: "I had my thyroid removed due to cancer and was put on metformin as well for PCOS. As soon as my Endo upped my synthroid I was pregnant. It took me 3 years but I finally got pregnant. nothing ever messed with my cycle but if your thyroid meds aren't just right it can affect you becoming pregnant. make sure they are checking your thyroid levels often as the med dosage needs to be adjusted frequently. It is possible to get pregnant even with all these obsticles. I hope I an give you some hope. You might even be pregnant right now."

When is it time to surgically remove the thyroid gland due to multinodular thyroid disease? I have had multinodular thyroid disease for many years. My thyroid gland works perfectly, but I have been monitored by various endocrinologists for years. I take Synthroid to get the nodules in check. However, in January, my tests (an ultrasound and a nuclear medicine scan) showed I now had 6 large fluid filled cold nodules. The Dr assured me they are benign. My Dr. increased my thyroid dosage for 6 months to see if there would be any improvement. I just had another ultrasound prior to my doctor's appt next week & now I have 30-40 nodules. I have some difficulty swallowing, especially at night if I lay on my back, and my neck sometimes hurts. I am I know that the medical people are reluctant to remove a thyroid gland that works, but I am beginning to feel that maybe it is time for the surgery. I am 54 and in good health otherwise. Has anyone else had this situation? Do you think I should discuss this with the endocrinologist and maybe get a 2nd opinion?

Joseph replied: "I certainly agree, you need to see another endocrinologist and get a 2nd if not a 3rd opinion. Do not neglect your condition, your current doctor might be right but might also be wrong. Good luck."

Post Total Thyroidectomy Depression, is it normal? I am 4 weeks post TT. I have been on 100mcg of synthroid since the surgery. Two weeks ago, I felt really good, but now I am tired, really depressed, and irratated. I haven't gained any weight, which was my biggest concern before surgery, but I am in a constant fog from the depression/sleepiness. Has anyone experienced anything similar? I am having my bloodwork done in a couple days. I was just wondering if anyone had experienced anything similar and if so, how long it took to feel back to normal. I forgot to mention...my biopsy was clean - no cancer. That was a big relief.

jerrys_love replied: "You won't feel better until your TSH is regulated with Synthroid. The fog is bad, but for me, the aches and pains were worse. They're better, but they haven't gone away. About.com has one of the best forums I've found for information. Thyca.org is also a good source of information. You don't say if you had cancer or just had your thyroid removed. If you had cancer, you may have to go off meds ocassionally and you'll suffer this same "fog" every time. I take 137 mcg and some people need more. 100 seems pretty low. If you're lucky, you'll find a doctor who is willing to try you on Armour. If you ask others, it works better for all their symptoms. Most doctors just won't prescribe it. I'll say a prayer for you. I hope you have a support system behind you until you feel more normal."

I am morbidly obese, surgeons will not take my insurance for surgery, what am I to do,? I have been over weight all my life, have slimmed down to a normal size twice, gaiining it back in around 5 yrs, Now I am almost 60 yrs old, with a lot of health problems, which isnt going to improve til i get the weight off, Right now my problem is an extrememly low thyroid that isnt responding to medicine, I am to go to a endocrinologist the 13th to see if He can get my thyroid straightened out and build my metabolism, The chances of me loosing a substantial amount of weight now at this stage is very poor, they have told me so, Im not sure Id be a candidate for baractric surgery or not but another huge problem is I cannot find a surgeon in Alabama who does weight loss surgery, that will accept Medicade Alabama, and that is only insurance I have, Does anyone have any answers for me to a very complicated set of problems, Im at my rows end, I dont wanna die, Im too weak to exercise much on account of the non working thyroid,, does anyone have any special diets in my that I could loose some on without much execise that would get me down some just incase they ever can do the surgery,,,, right now im pretty much house bound, I cant hold out stamnia wise to go anywhere, but I am mobile, I lost 100 lb at weight watchers in 2004-05 but when the thyroid stopped working I gained it back, I went 7 months and didnt know my thyroid had stopped, Ive had the problem for 15 yrs and take synthroid, but the synthroid failed and I didnt realize it, Im not on a very strong dosage of synthyroid, I hope I havent provided so much info, that Ive got everyone confused,,, There are two things I need to know ou t of this mess, 1,does anyone know a surgeon in alabama who will accept medicade alabama, 2,,, can anyone reccomment a diet that I can loose on that doesnt require a lot of exerice, just until I hopefully get my stamnia built up so I CAN exercise,, my wt is over 400 lb, and I am so tired of it, this is biggest ive ever been,,,,,,,,,,,, thank you,,,,,,,,,,,, pat

Kayla W replied: "your verii pretty not fat ! :)"

Megan G replied: "move more, eat less....."

jullilly replied: "Weight Watchers has helped with many people. You can do it online withuot going to the meetings. Best of luck to you."

~Serenity~ [Pro-Ana] replied: "Doctors SHOULD be able to do more and help you out. Unless, they're getting lazy.. Maybe try a Special K milkshake. [Replace them with Breakfast and Dinner] Drink water, only water/milk. Screw weight watchers, I tried that when I was 13, didn't work. [I was a fatass my whole life too.. -_-] Good luck! XOXO Serenity"

karlt T replied: "find your way into canada apparently with their health care anything can happen! gl buddy"

Dio replied: "My mom is in a similar state of health so over the past year I have been doing a tonne of research for her. The best source I could find is Dr Mark Hyman. He has written several books on metabolism and thyroid issues etc. I would highly recommend you go to his site and read as much free info as you can and maybe purchase a book if you can as well. The one he wrote about thyroid issues is really cheap. I hope this helps. I would put down some tips from his book here, but I don't remeber them all and I am reading another book about nutriton right now so I will get my facts confused. He really does provide a tonne of info and it is worth the read."

student182001 replied: "try an elliptical. It's really low impact and won't bother your knees. It will be even easier if you kind of get into a rhythm while on it. Also I knew some one who had a hyperthyroid and they removed the gland altogether is that an option? Sorry, I don't know of any surgeons. Maybe if you put your story out there in the media someone would volunteer to do the bariatric surgery for free. Go for lap-band because at least it's reversible. Good Luck!"

Billme replied: "You need to buy this book, and if you love your life, give up meat for 3 weeks and see if it helps you. Dr. Barnard's Program for Reversing Diabetes. You can do what the docs say is impossible. If you have diabetes, you can reduce your medication by 50%. Now don't by the book and throw away 1/2 of your meds. What you do is continue to measure your blood sugars 5 times a day (or what your doc says is your schedule) and then eat healthy. As your blood sugar levels fall, call the doc and say Doc mon, my sugars is low again, what drug do I toss today? He will says something like take less of drug a or more of b. When it gets lower dosage of each drug, he might take you off of the stronger drugs and give you ones that are better for you. (I am guessing that the weight gain is due to diabetes?) If you have not been tested for diabetes, then they should do that test and get your A1c level too. Search on Craigslist.com for alkaline water. You can sample some for free. This will also help in your weight loss. According to the PH Miracle for weight loss, becoming more alkaline will help the insulin in your body become more effective. Stop drinking any form of soft drinks right now. If you read The PH Miracle for Weight Loss, by Dr. Young, you will see that he recommends a very alkaline diet, and that is good for you. It will allow weight loss in a controlled fashion. If you are eating a diet high in vegetables, beans and grains, with plenty of fruits, you will see the cholesterol drop off the scale, and you doc will say Mon what are you doing? Trying to put me out of business? Don't tell your friends about this, I will be through. Eat oatmeal for breakfast, include 1/4 - 1/2 teaspoon of cinnamon. Eat plenty, it is good for you. Starving yourself to lose weight is the wrong way, your body has said "Feed Me" ever since your last weight watcher meeting. And it has recovered nicely. Try this for dinner. Bake a sweet potatoe in the microwave. Peal and eat with cinnamon on top. Add some vegetables, green salad, (no dressing) and you have a healthy meal. Again no meat. Make some split pea soup. 1 pound of split peas, 1/2 pound of lentils, 1 onion for flavor, some pepper, and 12 cups of water. Cook in a crock pot for 5 hours and it is ready. Add some chopped up carrots at the last hour if you want to. Add a little more water if it is gettin dry. I used 9.5 PH alkaline water in mine, it makes it a very alkaline meal, good for you, and helps you get over being to acidic. When the body is to acidic, the excess acids are stored in fat cells, and those lead to weight gain. You want to eat foods low on the Glycemic Index. These are foods that are absorbed into the bloodstream slowly, like a bowl of strawberrys, not ice cream. Spagetti with a tomato based sause, with mushrooms, parsley, oregano, and other spices, not meat or cheese. (Skip the meat for about 3 weeks and see if you feel better - You can to it) You will find that making simple dishes at home is also less expensive than eating out or buying prepackaged spagetti sause or garlic bread that is pre-buttered. Did I mention to skip eggs, cheese, and most milk products. The reason is in Dr. Barnard's book. He says that many doctors are just as likely to die from diabetes as the public in general. By giving your body a constnt supply of sugars all day long, in the slowest manner possible, then body will not be converting the "Spike" of sugars from fats and super intence sugar rush into body fats. When insulin is released, and you have a high blood sugar level, then that insulin will make you fat, because it takes the hih blood sugar level and makes it into body fat. If you are not diabetic, then the pancreas will release the insluin as the blood sugar level starts to exceed 120, and will also make you fat. For diabetic, they are adding medication that will convert the (excess) sugars to fat. Good Luck to you and your family, Happy New Year !"

JOSEPH C replied: "YOu are not the only one who met this problem,I have met this type of problem before.I have good experience here to solve my similiar problem."

bee b replied: "health-quotes.isgreat.org - here is my health insurance plan. As I remember they can provide such a service."

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