In a message dated 8/22/2007 9:33:24 PM Eastern Daylight Time,  
[log in to unmask] writes:


I  have an appointment with an endo (a new doctor) on Tuesday, who I'm sure  
will order additional bloodwork.   Any thoughts??    I've been doing some 
reading 
about Hashimoto's (my aunt and grandmother  both had this).   Can a person 
have Graves and then progress to  Hashimoto's?? >>>>>>
Actually, both Graves and Hashimoto's are both Autoimmune Diseases; and the  
overlap is probably more common than the isolation.   <<<<<<

The thing about Hashimoto that 
got me thinking along this line was a  description that said in early stages, 
the thyroid function can swing back  and forth from hyper to hypo before 
settling 
into a hypothyroid  state.   That almost seems what my body is doing (it 
certainly  feels that way!) >>>>>>
While anything is possible, my bet would be that you are Hypothyroid. In  all 
likelihood, your thyroid was largely destroyed, and the remainder of  the 
gland is failing. 
 
 
(Also, it seems that, too often, the Standard of Practice care  for Graves, 
in the USA, is to give radio iodine; and let the person languor in  
Hypothyroidism forever.)

 
 When the T3 in your blood gets too low, Deiodinase Enzymes (the  proteins 
that convert T4 into T3) in the brain and heart get activated inside  those 
cells. 
 
So, you can get HIGH T3 inside the brain, because you are LOW on T3 in the  
blood. So, you really might feel like you were "Hyper" again.   Insomnia which 
is seen in Hyperthyroidism, is also seen in Hypothyroidism, and  even frank 
Manic symptoms have been reported. 
 
That is probably how Hypothyroidism can cause Atrial Fibrillation in the  
heart, and this is normally associated with High Thyroid function.  <<<<

Does that make any sense??   Are there definitive 
tests to  diagnose this?? >>>>>
More than more blood tests, you need someone who will take a good history  of 
your signs and symptoms and examine you. If blood test were a good substitute 
 for brains, you Pentium could do better Medicine than any doc alive.
 
A prayer that you get what you need to get well.
 
Doc Don
 
(AKA D. Michael, MD, PC)








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