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Coming from a family with a long history of thyroid issues my recommendation is to find the best doctor, normally done through referral. Sorry I do not have any here but it can take years to get everything right and is not something to play around with.
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Small world. My mom was an NP there before moving elsewhere.Originally posted by lowfast View PostComment
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Hyper or hypo?Comment
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HypoComment
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Not a fan of Darren Lakhans office...their staff sucks. The fiance saw him for her diabetes management and I was not pleased how they handled her insulin management. Also, her thyroid management took a while to get under control. The guy likes name brand only levothyroxine and its expensive. He says that you get better results. Well after 2 years of titration it didnt seem like name brand did anything but cost $50 more a month.Originally posted by lowfast View Post
And to the OP...why does she think the doctors are wrong?Comment
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Because she has all of the same basic symptoms as she did without their care. They basically lower or raise her dosage or Synthroid and tell her to retest. This has been going on for years.
Just like the TRT thread. The range says 'normal' is a scale of 200-800 and you come back with a 208 and they say you're good regardless of your hair still falling out, sensitivity to cold, constant exhaustion, irritable, etc., etc..Comment
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Can't really comment on her practice but I've been around this endo doctor a lot on a social level since my wife is Bulgarian like she is. Very nice and seems knowledgeable. maybe somebody to talk to.
Hope yall get sorted out.2017 Infinity Q50s Red Sport
2002 NSXComment
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Dr Karen Asbury in Richardson. My diabetes was out of control and my Doc was not helping. I am now off insulin and almost off Metfornin. Warning .. she does require a lot of tests to check your progress AND she does not accept insurance. She will give you all the neccessary paper work, but you must file your own.Comment
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thanks for the suggestions
forwarding all this info to the wifeComment
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Has she tried using Cytomel/Liothyronine? It's the more active form of thyroid hormone (T3). Levothyroxine (T4) requires deiodination in the liver to T3 which then exerts its effects in the cells of the body. Levothyroxine is very highly protein bound and has a long half life so it can take several weeks to get any clinical effect. Some people just don't respond well to T4 single therapy.
Most physicians solely prescribe Synthroid/Levothyroxine since it's been labeled the drug of choice by the medical community. There are studies that show that adding/substituting T3 is superior to just using T4.
Good luck getting your doctor to prescribe both since there are studies that show no benefit and most doctors are just pill pushers that only know what drug is supposed to treat a certain condition. I prefer treating the patient and not the number.Comment
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Post pics of the wife. And of her boobs.WHComment
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No sir. Just about every doctor she's seen to this point just adjusts her dose of Synthroid or says Synthroid sucks and to go to Amour, or vise versa. She also has super high anxiety, so I'm not real sure how all of that plays int oit, but I'm fairly certain the only other meds she has been prescribed was Xanex and one other one, but I'll have to get back with you on what it was, but I have never heard of the one you linked to, so I'm sure that's not what it was.Originally posted by davbrucas View PostHas she tried using Cytomel/Liothyronine? It's the more active form of thyroid hormone (T3). Levothyroxine (T4) requires deiodination in the liver to T3 which then exerts its effects in the cells of the body. Levothyroxine is very highly protein bound and has a long half life so it can take several weeks to get any clinical effect. Some people just don't respond well to T4 single therapy.
Most physicians solely prescribe Synthroid/Levothyroxine since it's been labeled the drug of choice by the medical community. There are studies that show that adding/substituting T3 is superior to just using T4.
Good luck getting your doctor to prescribe both since there are studies that show no benefit and most doctors are just pill pushers that only know what drug is supposed to treat a certain condition. I prefer treating the patient and not the number.
Thanks for the help doc. It's so damn frustrating to wait weeks to get into the 'right' doctor just for them to say "everything is in range" or "let's double your dose and see how that goes, come back in 2 months".Comment
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If she's willing to try dosing T3 on her own, it can be had "legally" as a research chemical. If perhaps for no other reason than for the doc to see positive results, and get her on a script.Originally posted by CWO View PostComment
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She's far from you, but Dr. Laura Rice got my Hypothyroid under control after they nuked my hyperthyroid (literally).
She got it 100% under control with compound thyroid medicine that normally would have been an arm and a leg, but because my mom was a Pharmacist and a compound pharmacist at that, I was able to get it cheaper.
Unfortunately she retired, I moved from Arlington to Keller and naturethroid seems to do OK for me, my T3/T4 is pretty stable.
She knows her stuff, but she forces you to come in and sit on a table just to talk to you instead of over the phone. Frisco to Arlington is probably not worth it.
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