current dose, I wouldn't even consider lowering your medications. I
hate it when doctor's want to strictly dose by TSH instead of by how
a person feels. Are you having any symptoms of hyperthyroidism?<<
-- Amy, This is true, strictly diagnosing via TSH alone is not good. You asked a good question about SYMPTOMS of hyperT. However, losing weight is not always good...even if you "need" to lose weight.
adrenal glands don't put out enough cortisol. From what I've
learned, low cortisol and hypo very frequently go hand in hand. <<
-- Amy, This is incorrect. Cushing's is when the body produces HUGE amounts of Cortisol. Addison's is the low/no cortisol production. Low/inconsistent cortisol or Addison's is often a precurser to hypO. It is also called adrenal burnout, adrenal fatigue, hypoadrenia, stressed adrenals and I am sure many more. There doesn't seem to be any *one* name for that, at least at this time.
thyroid hormones just float around in your bloodstream and cannot get
into the cells where they do their work on metabolism. The body
needs sufficient cortisol to get thyroid hormones into the cells.<<
-- This is basically correct. There are also other factors that can be present, or not even the cortisol, but something else, such as low Ferritin.
bloodstream, that might account for your high FT4. I wonder what
your FT3 level is and if your body can effectively convert T4 into
T3, which is the active form that the body uses for energy.<<
-- Again, this is correct. Many times tests don't reveal what is truly going on. However, even if these tests are a good way to determine how the body is using the replacement, they *do* still fluctuate...and symptoms also need to be looked at in conjunction with numbers.
a dose where you feel good. Unless you are having hyper symptoms.<<
-- Generally speaking, this is decent advice.
-- Generally agreed. Endo's *can* be good. Although most don't *listen* to the patient. They look at the numbers. VERY good thyroid care can be gotten via a PCP...usually DO's or someone more alternative.
-- Now, that concerns me. One should ALWAYS get information from LOTS of different places/sources and such. Don't most of us complain that doctor's only listen to what the pharmaceutical companies are telling them?! Don't put all your eggs in one basket so to speak...or don't get all your education from one source, as there is *always* a bias.
-- That all depends on the group! NTH is Armour promoting. Others are not. And still others are both.
-- I also take Armour. I took synthroid/equivalent for 13+ years. Did n't get better, not really. HOWEVER, like mentioned previously...my adrenals were shot. I was malnourished, due to leaky gut created by Celiac. I had low Ferritin and numerous OTHER issues going on. They sort of all work together, or don't work together, if that makes sense.
I have also found that Armour works best for ME. That is not the case for everyone. I agree though, I was undertreated for a very long time...not really *under* but inadequately, due to my doctor(s) lack of foresight to investigate related issues. I was just told it was in my head. That I was fine, other than being somewhat of a hypochondriac. I was told it was genetic and to get used to it...deal with the cards you have been dealt.
WELL, that is ultimately what caused me to move on to a new doc...and I finally got the help I needed.
Sherry, I hope this makes sense to you. Feel free to write to me personally, if you want to. I have Hashimoto's, so my situation is different than yours.
Have a great day,
Laura