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hasimoto's thyroid, normal treatment

Discussion in 'General Treatment' started by jann1033, May 28, 2014.

  1. jann1033

    jann1033 Senior Member

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    Went to endocrinologist today, she was going to treat me for hypothyroidism till I mentioned the bucket of water poured on my head like sweating i get so she's running the test over and mentioned I have huge swings in my tsh level she felt that could be" normal" for hashimotos but wondered about others experiences with it. I think/ wonder if it has flares like it seems every other stinkin system in my body does. Thanks for feedback
  2. Ema

    Ema Senior Member

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    Yes, it is common for Hashi's to flare when the thyroid is under antibody attack.

    TSH isn't the way to assess this though; did she measure your thyroid antibodies - specifically TgAB and TPO-Ab? This will tell you if you are in an active flare or not. Ultrasound of your thyroid?

    There is good evidence for treating Hashi's with thyroid hormone even with a "normal" TSH though and clinical evidence has shown that it can help prevent the progression of the disease. Especially if you are having hyper flares...I would look for an endo that is more up on the current treatment of the disease.
  3. jann1033

    jann1033 Senior Member

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    She's doing another microsomal antibody not tsh. She just commented my tsh previously charted were at the opposite end of the range. She was planning on treating it till I told her about the sweating. Autoimmune thyroid can be hyper or hypo, it would be kind of irresponsible to treat til she finds out which it is.
  4. Ema

    Ema Senior Member

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    Actually, the treatment is the same - suppress your thyroid hormone and replace to stop the antibody attack.

    http://thyroid.about.com/cs/hypothyroidism/a/hashivshypo.htm

    Not sure why she'd need to do another TPO-Ab test if you're already positive...
  5. jann1033

    jann1033 Senior Member

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    Your link deals with hypothyroidism.she wants to rule out hyperthyroidism before giving me thyroid medication since my tsh levels aren't consistent. Sounds prudent to me
    Last edited: May 28, 2014
  6. Ema

    Ema Senior Member

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    Actually if you read it, if talks about how Hashi's flares can flip between hyper and hypo. That's totally normal; nothing to investigate once elevated antibody levels are established because the treatment is exactly the same.
  7. jann1033

    jann1033 Senior Member

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    Yeah, in my first post I said she mentioned that. The treatment for graves disease isn't the same, according to all references I looked up.
  8. brenda

    brenda Senior Member

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    I have found selenium to be very helpful for my Hashis. Also diet. My antibody level reduced with organic natural foods minus gluten and casein. It went back up again after eating too much seaweed ie iodine but hopefully it has gone back down. Hard to get regular checks on the NHS.
  9. jann1033

    jann1033 Senior Member

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    That is one thing she mentioned, many foods are heavily iodinized.
  10. Ema

    Ema Senior Member

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    A TPO antibody test doesn't test for Graves; a TSI Ab test does.

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