In a message dated 8/15/2007 9:07:51 PM Eastern Daylight Time,
[log in to unmask] writes:
I had a positive start and have seen a significant decrease in
fatigue, but I have had some stalls along the way--one week at 45 mcg per
day and now 105 mcg per day. If I take more, my temp and pulse go up.
Have you seen this with patients? >>>>>
I wish I had seen this a few times before; unfortunately, I have lost count
of how many times I have seen this kind of thing in my patients.
Two things come to mind immediately:
1. You might be a "Rapid Compensator." This is Dr. Wilson's term for those
folks who, initially seem to be on the right amount of sustained release
Liothyronine (SRT3); but after days, weeks, or months, they need another increase.
Don't worry, this is common. Once people get the "Right" amount; they are
usually fine on that amount, allowing for slight increases in cold weather.
or
2. You may be suffering from some degree of Adrenal Fatigue. Adrenal Fatigue
is a condition usually due to excess stress or regular stress while
Hypothyroid. With Adrenal Fatigue, thyroid hormones don't behave properly. Either
they do nothing at all, or a relatively low dose of thyroid replacement gives
over dosage symptoms.
The best discussion I have found of Adrenal Fatigue is the book, "Adrenal
Fatigue: The 21rst Century Stress Syndrome," by (the other) Wilson.
Dr. Rind also has a good Web Site that discusses this overlap between
Adrenal Insufficiency and Thyroid problems.
If temperatures bounce around a lot or don't go up nicely, but increasing
SRT3 causes problems; people sometime do well with "Thyrocare" that they sell
on the Wilson Syndrome site.
I hope this helps.
Doc Don
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