General Medicine

» Elaine Moore - Info on Graves and Bipolar

In response to Info on Graves and Bipolar posted by aviano:

Hi Avi,
The article was written in 2003. I went into health, archived articles, Graves' disease, and checked and my older articles (before 2004) are no longer available on the website. My computer crashed last week and I've gotten behind. But I need to write a new article in the next day or two so I'll write another on thyroid/bipolar disorders. Watch for it soon. Best, Elaine

» Elaine Moore - TRab/TBII/TSI

In response to TRab/TBII/TSI posted by nurseheatherone:

Hi Heather,
Thanks for sharing this info. Do you have a URL for the site in case anyone has trouble finding it? Thanks again, Elaine

» nurseheatherone - TRab/TBII/TSI

In response to TRab/TBII/TSI posted by daisyelaine:

Hi Elaine, Yes I will post the URL this evening, it has been a helpful site for me thinking about TTC in the near future. I have a question for you? Is there a direct relationship with thyroid disease and Premenstrual Dysphoric disorder? I went for one last Dr. appointment with my original endo today and told her all of my symptoms around the time of my menstrula cycle and now she wants me to start to take prozac after I ovulate each month. From what I have read this disorder is caused by the changes/imbalance in the endocrine system. I have never had these symptoms before until I was treated for my thyroid. I have technically been on a low dose of Tapazole for 6 months now and this will be the third month that these symptoms are starting around the time of my period. I have been off of Tapazole for 11 days now, and my endo said that she would like to see if I go into remission, but said that she recommends RAI if I relapse. She also said that I just was very responsive to Tapazole and she would have taken me off of the meds at a TSH of 2.69 but she did not think that it was that hypo and that I was overmedicated( in so many words). SHe rechecked my thyroid levels but also said that TSI was not worth rechecking until I was in my 3rd trimester of pregnancy! I have another apponitment with endo #2 next week for a second opinion. DO you think it is worth taking the prozac unitl my hormones get regulated? What about pregnancy, I still ovulate but I am wondering how long I am goign to have to wait with all of these fluctuations. Have a very happy New Year!
Thanks again,
Heather

-- posted by nurseheatherone

» nurseheatherone - TRab/TBII/TSI

In response to TRab/TBII/TSI posted by daisyelaine:
The URL for Baby center is http://boards.babycenter.com/n/pfx/forum...
Hope this helps!
Heather

-- posted by nurseheatherone

» aviano - Info on Graves and Bipolar

In response to Info on Graves and Bipolar posted by daisyelaine:

Elaine:
Gee, thanks! Way more than I could have asked for. You are the best. Happy Holidays and New Year.
Avi

-- posted by aviano

» u25000 - Update

first I want to thank Heather, Juicy, and of course Elaine for the recent info/interest in my journey from my last post. Your time is generous. I have been so depraved of such generosity these past 5 years, losing my gma has furthered my humility, due to my lack of medical/health knowledge (i feel) at her passing. This past year I picked myself up and began a full blown journey for self and health, primarily fertility and appreciate (w/good memory) all those who give of themselves.

I have been very busy since 12/13. 12/19 I began to worry as I had a beta of 3, and its always -3 if not preg. Well 12/26 confirmed another preg. This is thanks to injectible meds, now 2nd cycle in 4 mths after last m/c 2 years ago, and same before that (since the Graves onset). Now what I must ask Elaine (as I failed to ask her last time but don't worry I feel more empowered and in good hands) is this:

Nov 27 TSH .01 FT4 1.3 TT3 88
Began cd3 injectibles on 12/5 with trigger, then IUI 12/13

Dec 28 TSH 3.32 FT4 1.33 (Beta 429, 16dpiui)

My RE did not seem concerned when she gave me my Beta Friday. I went to the lab for Mon Beta and asked for my recent reports, thats when I discovered this concern. My TSH never goes up like this unless there is a problem (preg?). So I called RE to report this and she said she would like to increase from 88 to 115(112?). That was exactly what I was thinking. I had been out of 88 past several days, so I have been taking leftover 100s. I will pick up her scrip for 115 tomorrow. What do you think???

-- posted by u25000

» Elaine Moore - TRab/TBII/TSI

In response to TRab/TBII/TSI posted by nurseheatherone:

Hi,
I don't know that much about premenstrual dysphoric syndrome although searching through The Thyroid 8th edition textbook, most changes affecting the menstrual cycle are related to hypothyroidism. Here, the authors mention that hypothyroidism has been reported in association with cycle length, bleeding, ovarian hypertstimulation syndrome, menorrhagia, and anovulation.
TSH receptors have been found in human granulosa cells, and thyroid hormone receptors have been found in follicular fluid, indicating that thyroid hormone directly affects reproductive cells. It also mentions that recent studies show that untreated hypothyroidism is associated with gestational hypertension, miscarriages, stillbirths and prematurity.
While in someone without thyroid disease, a TSH of 2.7 wouldn't be exceptionally high, those of us who have TSI will have a falsely decreased TSH so your TSH level can't be used to adequately evaluate the degree of your hypothyroidism.

I'm not sure how Prozac fits in since it can take several weeks to kick in and reduce symptoms. I would think that treating the cause of the dysphoric syndrome would be a primary goal. Best, Elaine

» Elaine Moore - Update

In response to Update posted by u25000:

Hi,

Congratulations on your confirmed pregnancy. That's fantastic news. I agree that an increase of your thyroxine is warranted because of the importance in avoiding hypothyroidism.
Your past labs showed a borderline total T3 of 88 with a reference range of 80-180.
I'm very happy for you, and I'm sure I'm not the only one here anxious to hear your continued good news. I'm sending joyous thoughts your way. Best, Elaine

» Elaine Moore - Info on Graves and Bipolar

In response to Info on Graves and Bipolar posted by aviano:

Hi Avi,
You're welcome. Wishing you and all my readers a Happy, Healthy New Year and continued empowerment. Elaine

» nurseheatherone - TRab/TBII/TSI

In response to TRab/TBII/TSI posted by daisyelaine:

I agree with you Elaine, I took the prozac for 2 days and then stopped it because I realized I did nto want to be stuck on it. I saw the new endo today and he said that did not recommend RAI if I was going to TTC this year and said that he was going to recheck my labs and TSI and have me a prescription for 50 mg PTU for 1x a day if my labs come back hyper again. He was soo much better than my first endo! He also said that we should try to keep my thyroid intact for as long as possible. My only symtoms right now are nervousness and anxiety, it has been almost 3 week off the Tapazole and I had a axiety attack that came out of no where last night. The only meds I am on is 6.5 mg of atenolol. I am expecting my period any day now so that is probably why my anxiety is getting worse, but no physical symtoms yet this month:)I do have xanax and buspar on hand have you heard which one works better for anxiety? just incase this persists. Sometimes I wonder if it is the thyroid or just my head with this awful anxiety, I took half of a 0.25 mg xanax one night and it put me in a full blown attack so I have not taken it since, part of me wonders now if I was just nervous about taking it, I remember you saying that it can cause nervousness in early treatment too. ANyway, I am hopeful about this new endo, he seems like he may be easier to work with! hopefully this is a good start to the new year!
Thanks again, Heather

-- posted by nurseheatherone