eltroxin tags

How many doc­tors can I stran­gle with my bare hands?? Grrrrrrrrrrr.

Today, I am once again appa­lled and sad­de­ned by the end­less body of thy­roid patients who con­ti­nue to plum­met into the abyss of adre­nal fati­gue, day after day after day. And it just never needs to hap­pen if doc­tors would simply pay atten­tion and be infor­med.

Belinda is the per­fect exam­ple. She didn’t par­ti­ci­pate in thy­roid patient groups any­more, living her life hap­pily, because she thought her post-RAI thy­roid treat­ment was under con­trol, being on 2 grains of Armour for a year. But sud­denly, she felt the need to return to her groups and seek feed­back. Because she has become more irri­ta­ble and moody, has a hard time falling asleep, and feels fre­quently anxie­tal. Labs are redone, and she finds her­self with a slightly over-range free T3 and a very sup­pres­sed TSH. Her doc­tor deci­des to lower her thy­roid meds, which in turn impro­ves her insom­nia and anxiety, but weight starts piling on. She’s con­fu­sed and won­ders how she can find her balance bet­ween being on too little with unwel­come weight gain and being on too much with uncom­for­ta­ble anxiety and insomnia.

What Belinda didn’t get, and what her doc­tor didn’t get, is that Belinda had now joi­ned the dubious cama­ra­de­rie of those with adre­nal fati­gue, a need­less con­di­tion of over-stressed and under-functioning adre­nals. As a result, T3 in Armour starts to pool in the blood, cau­sing anxiety, insom­nia, and all sorts of low cor­ti­sol symp­toms. Thy­roid patients just like Belinda have to first dis­co­ver what is going on, then face the com­pli­ca­ted balan­cing act of trea­ting adre­nal fati­gue AND hypothy­roi­dism. And it’s a path that never nee­ded to happen.

WHAT IS POTENTIALLY TAKING YOU DOWN THE DIRTY-YELLOW BRICK ROAD TO ADRENAL FATIGUE??

1) Being undiag­no­sed, or being dosed by, the faulty TSH lab test and its dubious “nor­mal” range, which will leave you with lin­ge­ring hypothy­roid symp­toms. (Belinda’s 2 grains tells me she was being dosed by the TSH)
2) Being trea­ted by T4-only medi­ca­tions like Synth­roid, Levoxyl, Eltro­xin, et al, which end up tea­sing your adre­nals to work har­der to take up the slack of an ina­de­quate treat­ment.
3) Lowe­ring your expec­ta­tions of what “nor­mal” is. No, it’s not nor­mal to have less sta­mina than others, to be on an anti-depressant to ban­daid your hypo depres­sion, to feel col­der than others, to require fre­quent naps, to feel the need to avoid peo­ple, to be bothe­red by lights or noi­ses, to be told by those you love that you are too defen­sive or over-reactive…and so on.

I hope anyone rea­ding this comes to an unders­tan­ding that you can­NOT enter your doctor’s office as if you are ente­ring the throne of a god. Your doc­tor, no mat­ter how edu­ca­ted or dedi­ca­ted, may not have a strong unders­tan­ding of the role of adre­nal func­tion in rela­tionship to bad treat­ment via T4-only meds or the TSH lab range. You may have to bring this know­ledge to your doc­tor, or find another one who is either lear­ned, or open-minded. Because your chan­ces of having adre­nal fati­gue are huge if you are on T4, if the TSH is worship­ped by your doc­tor whether on T4 or desic­ca­ted thy­roid, or if you keep wal­king into the doctor’s office and hang your own know­ledge on the hook outside his or her door.

(See Deborah’s story about cea­sing to smoke with adre­nal fatigue)

Who, as a smo­ker, hasn’t heard how dele­te­rious tobacco smo­king is for your health. Not only will you acquire health pro­blems directly rela­ted to smo­king, but your life is shor­te­ned by 10 – 15 years ave­rage accor­ding to sta­tis­tics. My own father died at age 63 directly rela­ted to his smoking.

But in spite of strong rea­sons to quit, most smo­kers will tell you it’s NOT easy. Why? Because the nico­tine in tobacco is the addic­tive bogey­man. Nico­tine sti­mu­la­tes those plea­sure cen­ters in your brain, besi­des being a subs­tance which “gets you going” by relea­sing both blood sugar and adre­na­line. The Ame­ri­can Heart Asso­cia­tion sta­tes that “Nico­tine addic­tion has his­to­ri­cally been one of the har­dest addic­tions to break.“

But for hypothy­roid patients, tobacco smo­king pre­sents another whammy. Namely, it stres­ses your adre­nals over and over. And with adre­nal fati­gue being a com­mon side effect of trea­ting hypo with T4 meds like Synth­roid, Levoxyl, Eltro­xin, et all, as well as being dosed by the lousy TSH, you’ve got a third rea­son to fall into adre­nal fati­gue if you are a smoker.

Addi­tio­nally, another fac­tor in the dif­fi­culty of quit­ting is that cor­ti­sol dec­rea­ses when you try to quit. A 2006 research report found that the lowe­red cor­ti­sol after quit­ting is asso­cia­ted with smo­king relapse and with reports of inc­rea­sed with­dra­wal seve­rity and dis­tress. So, when you already have adre­nal fati­gue, and you quit smo­king – a dou­ble whammy against being successful.

What’s the solu­tion? If you don’t have adre­nal fati­gue and want to quit, it may be wise to have a good adre­nal sup­port on hand, such as Iso­cort or any qua­lity OTC adre­nal pro­duct at your health food store. If you DO have adre­nal fati­gue, sta­ying away from cigs may require adding addi­tio­nal cor­ti­sol to your daily amount. Chap­ters 5 and 6 in the STTM book have good infor­ma­tion to help you with cor­ti­sol support.

Are you a smo­ker with hypo? Don’t hesi­tate to res­pond to this post with your expe­rience. (Please note that replies are not for questions.)

READ DEBORAH’S STORY ABOUT HER ATTEMPT to STOP SMOKING.

Hardly a per­son hasn’t heard Aesop’s fable of the tor­toise and the all-too-confident hare, run­ning their I’ll-prove-to-you-who’s-boss race. The hare was FAST and cer­tain to win the run. But the ever-so-committed tor­toise, even if slow, slo­wer and slo­west…was steady…and won the race.

Until recently, I thought our thrust and deter­mi­na­tion to change the Big Pharma, zombie-doctoring medi­cal sys­tem in the treat­ment of hypothy­roid would be like the hare. We’d get the atten­tion of the mass media through our great deter­mi­na­tion, shout the mes­sage of a FAR bet­ter thy­roid treat­ment, and create huge change.

But I think I was wrong. Change has occu­rred, but we have been doing it like the tortoise…slow and steady.

Slowly but stea­dily, we are seeing more and more doc­tors star­ting to “get it”, even if they still have a way to go. Slowly but stea­dily, folks are fin­ding out why they have less sta­mina than others, or depres­sion, or rising cho­les­te­rol, or fibrom­yal­gia, or thin­ning hair in the face of the dog­ged “nor­mal” diagnosis…all due to an ina­de­quate medi­ca­tion called T4, aka Synth­roid, Levoxyl, Eltro­xin, et. al. and a lousy lab called the TSH.

Slowly but stea­dily, folks are fin­ding out about desic­ca­ted thy­roid to treat their hypothy­roid, and cor­ti­sol to treat their adre­nal fatigue.

Even the STTM book has been like the tor­toise. Lite­rary agents didn’t get it, nor did huge publishing com­pa­nies. I finally stop­ped coun­ting, but I bet I had over 200 rejec­tions. They all thought it was simply “another” thy­roid book. So the frui­tion of the STTM book came out of true sweat and tears, and a lot of cuss words as I squir­med through my frus­tra­tions. Yet, the STTM book – a PATIENT-TO-PATIENT book of which I was only the mes­sen­ger, is not only a steady seller like the tor­toise was steady, but sales keep gro­wing every month, reviews are exce­llent, and lives ARE chan­ging. How can you cri­ti­cize a mes­sage, whether the STTM site or the book, that is based on the posi­tive and cri­ti­cal expe­rience of thou­sands of patients around the world!!

Change IS hap­pe­ning! Like the tor­toise, we’re win­ning the race and crea­ting change, bit by bit, whether it’s via STTM, various inter­net thy­roid groups, other good books, or just word of mouth. We’re all a part of it. But we can’t be com­pla­cent, because it’s truly obvious by blogs and web­si­tes I read that there’s still a huge body of hypothy­roid patients still suf­fe­ring on T4 who need to find out what WE have found out. But it will hap­pen, bit by bit.