<<Disclaimer: Verify this information before applying it to your situation.>> Ten days ago, I asked the list for help on discussing a possible diagnosis of subclinical hypothyroidism with my doctor. I posted an extensive summary (5 parts!!) to the list a day or two later. I took the advice summarized in the post. -- Testing: I already had a TSH level of 3.9, I called my doc and requested additional bloodwork for thyroid autoantibodies. In particular for Thyroperoxidase Ab which is assoicated with Hashimoto's Hypothyroidism. -- I brought documentation with me, 2 about new guidelines for the treatment of hypothyroidism when the TSH level is over 2.5 or 3. I also brought a summary of research concluding that treatment of hypothyroidism might benefit patients with high-normal levels of TSH, high levels of Thyroperoxidase Ab, and elevated cholesterol levels. Links for these three were: www.aace.com/pub/tam2003/press.php www.thyroidpower.com/newguidelinesfr.html http://www.eje.org/eje/138/eje1380141.htm -- I spoke to her about my history of fatigue associated with CD, my most recent bout of extreme fatigue, and the importance of relieving the fatigue so that I had the opportunity to succeed at my new job. -- As we spoke, the results of the Thyroperoxidase Ab test arrived at her office. The normal range for that test is below 40. My levels are 276! In addition, my cholesterol levels have increased. She had heard of the new guidelines, although we did discuss that the guidelines weren't based on research. She thought I probably did have Hashimoto's Hypothyroidism and prescribed 50 mg of Synthroid, which I will begin taking tomorrow. We discussed side effects that are indicative of hyperthyroidism so that I can watch out for those (heart palpitations, anxiety, diarrhea, and weight loss). I will have my TSH and cholesterol levels retested in 8 weeks. She also said that if treatment didn't relieve my fatigue, that she had a "few other tricks up her sleeve." I want to thank all of you for your help on this issue and I am very hopeful that this treatment will have a big positive impact on my life. Dawn _________________________________________________________________ Express yourself instantly with MSN Messenger! Download today - it's FREE! http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/ *Support summarization of posts, reply to the SENDER not the Celiac List *