In a message dated 3/12/2009 8:07:14 A.M. US Eastern Standard Time,  
[log in to unmask] writes:

Doc Don  -- how about gout?  >>>>>
In the doctors' section in "Solved: The Riddle of Illness" Dr. Langer, MD  
says that Hypothyroidism causes elevated uric acid-the underlying pathology in  
gout.
 
The University of Maryland Medical Center web site says, "Gout (maybe  
related to hypothyroidism). Hypothyroidism and gout often coexist and may have  
biologic mechanisms in common."
 
From personal experience and in retrospect, my brother became hypothyroid,  
got gout, diabetes, and heart disease in a short period of time. I can't help  
but believe that they are all related. <<<<<
 
  I am on synthroid; perhaps I should  increase the dosage?  >>>>>>
 
In spite of the relative safety of thyroid replacement  (David Derry once 
said to me, "Don, you know how many people have died from  thyroid overdoses? 
...Zero!!) I cannot urge you strongly enough to find a good  doc to work with 
because:
 
1. On the off chance you have some coronary artery disease,  too abrupt an 
increase in thyroid replacement could precipitate problems. (Or so  I've been 
told.)
 
2. T4 is tricky because it takes about 6 weeks at a given  dose to feel all 
the effects; and if you are making a lot of reverse T3, it may  work well at 
first only to let you down in a short time. There is a real risk of  continuing 
to increase the dose beyond what is optimal unless you take a lot of  time. 
 
3. You may well have other things going on that the change  in T4 will not be 
relevant to. If things get better (or worse) with the change  in T4, it may 
be chance alone.
 
4. The LAST (not even then) thing you want is to end up  in someone else's 
emergency room, be treated like a bad kid, and endure all the  hazards and 
humiliations that go with being in the hospital.  <<<<<<


Thanks in advance -- dave  <<<
 
I hope this helped.
 
Doc Don






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