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I'm putting 2 questions together because it is related.

1. I have problem here: my Primary doctor says that my Thyroid panel indicates that there might be something wrong with my pituitary gland or/and hypothalamus. (but how wrong? he doesn't know he said.)

-TSH is low, 3 different tests show that 0.22, 0.36, 0.50. (normal 0.55-4.78)
-T4(thyroxine) is also low, 4.3, 5.7 (normal 5.7-11.4)
-T3(total) is also low, 67 (nomad 80-200)
-Antibodies-TPO Ab is elevated, 41, another time 65 (normal <35)
-Free T3 also low, 2.2 (normal 2.5-4.3)

2. I started measuring my temperature. morning, mid day and night. My morning is 94.9 the lowest, 96.2 the highest. My day or night temperature is not much better at all. this evening after meal it was 96.1.

The doc says that TSH, T4, T3 all low along with elevated ANTIBODIES-TPO is uncommon.
What is wrong with me? What does this indicate??

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You might have hasimotos. Do you take iodine supplement?? If you are you should stop. – cliff Jan 13 2012 at 14:25
i have both hyper and hypo symptoms. – Hanne Jan 13 2012 at 22:41
i don't take any iodine. – Hanne Jan 13 2012 at 22:53
did your doctor refer you to a specialist? he should – daz Jan 14 2012 at 23:04
@cliff-I'm still on RP diet. How long does it take to see the effect? nothing helpful happened to me so far. @daz-long story short, I had seen 3 different specialists who all were Uninterested in my condition. they said yes these are "off" "abnormal" but not "a lot" They all looked at the blood tests and thought indifferent. I'm still searching for my 4th specialist. That's why now my primary is working on this. (until the 4th specialist appointment) – Hanne Jan 15 2012 at 2:22

2 Answers

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Both Chris Kesser and Ray Peat are great sources of information. Also check out the website http://www.stopthethyroidmadness.com/ for even more info and links.

I recently switched from Eltroxin (man-made) to Desiccated Thyroid (porcine) for my hypothyroidism and much prefer it. My temp came up and I sleep and feel far better.

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Check out Lita Lee too, she has a lot of info on thyroid. She is a friend to Ray Peat I think and uses his methodology, thus has been able to break down Peat talk into more understandable terms. A pro-thyroid diet all listed out nicely is available on her site. – Senneth Jan 13 2012 at 17:17
Thanks Senneth, I will look her up. – henny Jan 13 2012 at 17:40
I must concur that Stop The Thyroid Madness is an excellent resource--I usually don't start there with people new to self-learning about thyroid because for some, their spirited advocacy can be off-putting. But they are definitely on the right track, and I used their resources HEAVILY when I first switched from levothyroxine to Armour Thyroid (dessicated porcine thyroid). STTM is definitely worth a serious look. – Christopher Gagnon Jan 13 2012 at 17:50
It's surprising how many people are hypothyroid and are not medicated properly. I had to fight for mine- switched doctors, etc. – henny Jan 14 2012 at 1:16
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Your labs and body temps sure sound like a classic presentation of "Low T3 syndrome." It's too bad your doctor didn't take the time to explain this to you, but luckily, Chris Kresser has a pretty good, easy to understand article about this:

http://chriskresser.com/low-t3-syndrome-i-its-not-about-the-thyroid

I cannot stress enough how important it is for you to take your thyroid seriously--if you fail to address this, you health WILL deteriorate slowly but surely, and you will be miserable. And this need not happen. Causes and the best treatment may take a little time to figure out, but treatment is not particularly burdensome or difficult, nor even expensive. Depending on the cause of your troubles, you may be dealing with your thyroid for the rest of your life, but as chronic conditions go, thyroid isn't too bad--provided it's well managed.

After reading the above article, I suggest you browse ALL of Kresser's thyroid articles for a deeper understanding, and some perspectives that will likely be somewhat different than you doctor's. Start here:

http://chriskresser.com/thyroid

As a lifelong thyroid disease patient--first hyperthyroid, then (and now) hypothyroid, with a mother, two grandmothers, and a sister with the condition, learning about thyroid disease has been something of a lifelong persuit for me. So I've done considerable research. I have to say that I have been pretty impressed with Kresser's work and perspective on this topic. But just be aware that he is not an MD. On the other hand, I have been failed by so many MDs over the years that I hardly consider that a credential that automatically confers legitimacy on a healthcare professional. Use your best judgement, but be very critical and follow up everything with more of your own research. And that research should obviously NOT be limited to advice you get on Palehacks.

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Chris kesser definetly has some useful info but I think reading ray peats articles and listening to his podcast are the best source for thyroid info. The man has dedicated his life to the subject and he has many anecdotes and experiences. The problem is that it takes a while to put all his work into context but it is well worth it. – cliff Jan 13 2012 at 14:45

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