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Old 01-14-2017, 03:24 PM   #5
Senior LCF Member
Join Date: May 2012
Posts: 734
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I'll put in my 2 cents worth on this. If you didn't do well with Synthroid, my recommendation is to not go back on it. I did not do well on it either. I have been on Armour/Nature-Throid (same thing essentially) for about 30 years. It's not easy to find a doctor that will Rx Armour, so I would not run away from the doctor you have who *will* Rx it. I would have several tests done to show you the entire picture.

TSH is important for initial diagnosis, but Armour will lower the TSH levels significantly. I've been dealing with that recently and my research shows that Armour/NDT lowers TSH levels...moreso in the afternoon than morning hours.

The tests that show where you really are are specific and not just any T4 and T3 tests. Some are dinosaur tests or not known how to treat via them. The ones you want are FREE T4 and FREE T3. That tells you what your body has to use. It's like having a bunch of hamburger in the freezer, but you need to make a burger right now (sorry for my silly analysis). The regular tests show what is in, your freezer. The FREE T4 and FREE T3 tests show what is available for you to use right, you can make a burger with the meat now and not have to wait for it to thaw...or in thyroid terms, for it to convert for use...and many of us (especially as we age) are not able to convert well at all.

The "average" dose of Armour is about 2 grains/120 mg. Some need more and some people need less to be "optimized".

You can run the tests on yourself without a doctor if the doctor won't run these tests.

Other recommended tests are TPO AB (I think that's right). It tells you if you have antibodies. It will let you know if you have Hashimoto's. Most women do, I don't. I'm hypo, but not having Hashi's. Treatment is the same, but it's good to know if you have antibodies as I think you need to test more often than someone like me.

Leo is right that it takes 6-8 weeks for the dose to convert/balance in your body. So, you want to test ever 6-8 weeks until the tests show the improvement you want and you FEEL!

There is a new book out that is written by an MD who specializes in thyroid and tells her story of doctors not testing her correctly and the nightmare she endured...thus going into the medical field. Anyway, she has basic levels in all these tests that are "be at this level or above" for most people. It's above the low end of the range. Her name is Dr. Amy Meyers (I think she's in Atlanta?) bug she has a book called "The Thyroid Solution" and it's excellent. I highly recommend it. You can also go to her blog/website where she has just listed the levels she feels are "low optimal" and the tests you should have run. Just google her and look for her latest blog and it will be most helpful, but her book is amazing. I got mine online.

Finding an excellent and knowledgeable doctor is very hard. Leo has been very very lucky. Most of us don't have that type of luck. I've lived where I am for 12 years and am knowledgeable (very), but still haven't found anyone that I would consider even barely competent when it comes to thyroid diagnosis and care.

It's great that you found this group and are asking questions. There are a few of us who have been on this forum for a long long time and are always willing to help/answer.

Hang in there....I would keep this doc and request more tests. If they won't run them (that's why the book is show them what a specialist requires), then you can run your own (which is what I've been doing for over 10 years). But you need that medical person to Rx for you! So, don't give up on this doctor just yet. They "might" run the necessary tests and you can help teach them and they can help others with their newfound knowledge (if they are willing to learn).
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