1. #31
    The article is well written and thought out...the only problem is the two lab variables she focuses on - TSH and FT4 - pale in comparison to FT3 which is the most important variable from a clinical perspective. TSH is *almost* inconsequential when on thyroid treatment (though it is the sole gauge used by many) and FT4 levels are evaluated in the context of timing of labs in relation to thyroid med administration.

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  3. #32
    Moderator Vince's Avatar
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    Free T3 levels are also affected by a recent dose of T3 containing medications. T3 levels increase after the dose is given, and hit a peak at four hours after the dose.This means that if you were to take your thyroid medication before getting your thyroid function tests done, your lab results might show that you are overdosed, even when you may be accurately dosed, or they may show your labs to be within normal limits when you may be truly under-dosed.Thus, it is usually best to postpone your combination medication until after you get your lab tests done. I recommend getting your thyroid function tests done first thing in the morning, bringing your medications with you, and taking them right after you have your thyroid function tests to ensure that you get accurate test results.

    https://thyroidpharmacist.com/articles/how-to-get-accurate-lab-tests-when-taking-thyroid-medications/
    I am not a medical practitioner. Any suggestions I provide are not medical recommendations and are just my opinions. Please consult with your physician on any matters concerning your health.

  4. #33
    Quote Originally Posted by lexer View Post
    Vince as well as others
    you guys mention thyroid frequently especially Vince.
    1) what symptom did you notice most regarding your hypothyroid? What led you to think you had an issue other than blood work?
    2) what did you notice most AFTER starting thyroid meds and how long did it take to see an actual positive effect?
    3) any side effects?
    4) can taking thyroid raise T levels at all?
    Im starting to wonder if i have thyroid issues.
    Do some research.
    I do like Tiredthyroid as a starting point.
    Easy to read sections.
    References at the bottom of each section (and NOT from people wearing "tin foil" hats)
    See below:
    Basic sources to research Thyroid issues and testing:
    ******************************************
    https://stopthethyroidmadness.com/
    Spend time here and get the 2 books, STTM: The Revised Book and STTM II:Authored by Doctors.
    *******************************************
    http://www.tiredthyroid.com/
    Great simple to understand articles.
    Get her book.... Tired Thyroid: From Hyper to Hypo to Healing—Breaking the TSHRule, https://read.amazon.com/kp/embed?asi...Channel=system

    A lot ofclear researched information that is easy to read and understand.
    ***************************
    https://hypothyroidmom.com/
    Good info here. Look around.
    *************************
    https://www.restartmed.com/?s=thyroid
    A LOT of good articles and a youtube page.
    Spend time here looking around and reading after getting labs back.
    ************************************

    Need informationon testing....
    Read here:
    http://www.tiredthyroid.com/what-labs.html

    And here:
    http://www.tiredthyroid.com/optimal-labs.html
    and here:
    https://stopthethyroidmadness.com/recommended-labwork/
    and here:
    https://www.restartmed.com/thyroid-tests/
    and here:
    https://www.restartmed.com/hormone-testing/

    And here:
    https://www.restartmed.com/normal-thyroid-levels/
    ********************************************

  5. #34
    We must not forget that thyroid meds are notorious for having finicky absorption - the adequacy of which can be gleaned from getting labs after taking. What it all boils down to, however, is having a clinician with enough knowledge AND experience to appropriately take the timing of administration, symptoms, and all other factors into consideration when evaluating the results.
    Lead Physician & Medical Director
    www.defymedical.com

    NOTE: Comments on this forum are NOT medical advice and are no substitute for individualized patient care. Comments on this forum do not constitute or establish a physician-patient relationship. Please consult your personal physician prior to initiating or changing ANY treatment regimen.

  6. #35
    Quote Originally Posted by Dr Justin Saya, MD View Post
    .....What it all boils down to, however, is having a clinician with enough knowledge AND experience to appropriately take the timing of administration, symptoms, and all other factors into consideration when evaluating the results.
    Concur whole heartedly.
    BUT one needs to have a good understanding of correct basic protocols and testing to gage if your PC has a clue.
    If no "Clue", then find one that does.
    You are an exception that clearly understands.
    There are a lot more out there that have no clue, and do more harm than good.
    My 2 cents....

  7. #36
    Quote Originally Posted by Orrin Israel View Post
    There are a lot more out there that have no clue, and do more harm than good.
    In direct violation of the Hippocratic Oath.

    Lead Physician & Medical Director
    www.defymedical.com

    NOTE: Comments on this forum are NOT medical advice and are no substitute for individualized patient care. Comments on this forum do not constitute or establish a physician-patient relationship. Please consult your personal physician prior to initiating or changing ANY treatment regimen.

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