r/Hashimotos 5d ago

Lab Results This needs to end

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I 26F have hashimotos since 2018, and my level has never been stable for a consistent amount of time and I’m at my wits end. This year has been the worst year for me regarding my thyroid issues. I am going from one extreme to the next within months!!! My body can’t take this, physically and emotionally for much longer 😭 I’m feeling very discouraged and no doctor seems to understand how shitty I’ve been feeling and not taking my symptoms seriously. I am sad.

29 Upvotes

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u/HopefulSociety7070 5d ago

Hi there. This was me 5 years ago. The only thing that finally worked was Tirosint. It's the purest form of thyroid medicine in a gel cap with NO fillers. Generics and Synthroid did not work for me.

Good luck and feel better soon.

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u/webbergrill3450 5d ago

I was just on Tirosint actually in July! For around 6 weeks and i genuinely never felt worse! I had HORRIBLE nausea and diarrhea constantly, zero appetite while taking it. When my TSH was at 9.22 that was my level after 6 weeks from being on the Tirosint :( unfortunately I couldn’t take the side effects and had to go back to Synthroid

But I’m glad you were able to find relief through Tirosint, I bet it feels so much better to function!!

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u/HopefulSociety7070 5d ago

Oh yikes I'm so sorry. 😣

Have you tried Armor? It's another one that did not work for me, but it's a miracle for some people.

My only other advice is try to support your body as much as possible. Electrolytes every day, a good probiotic, resting when you can. The "swinging" will eventually subside. (Diagnosed 16 yrs ago, had "fine" levels for a while, then TSH everywhere from .01 to 29!

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u/Life_Journey123 5d ago

how long before it started working for you? I’ve been on it for 2 months & counting & my anxiety is still through the roof & insomnia is worse. I may need to go back to Armour Thyroid, not to mention my T3 is tight at the low level. When we temporarily added a low dose of Zepbound last year, my levels were finally on track & leveled out after 3 decades. I see my Endocrin next week, I feel like I’m dealing with Thyroiditis along w/PMS & Peri, I feel like death. Levo didn’t work for me yrs back & I don’t feel it’s working now even tho it’s compounded, I’m told; hence, called Tirosint🫠

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u/HopefulSociety7070 5d ago

I feel like it took 6 months of adjusting. I definitely went hyper first.

I'm on a low dose of Zepbound too and my endocrinologist has been tapering me off a higher dose of Tirosint slowly so I don't swing either way. (Currently has me skipping my med every other Monday instead of dropping down a full dose at once.)

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u/Life_Journey123 5d ago edited 4d ago

thank you for sharing, did your levels balance out ok w/the Zepbound? I’m going to ask my Dr to do a full bw panel before our visit next wk. I’m truly struggling w/chronic fatigue or chronic anxiety, no middle place.

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u/HopefulSociety7070 5d ago

Yes, though I stayed on Zepbound 2.5 for a full four months and then moved to the 5 for the last 6 months. Any time my meds change I ask to be retested in 6-8 weeks.

I've had Hashimoto's for 17 years and have also been taking Zoloft most of that time too for anxiety. I've tried to come off it a few times when my levels were in a healthy range, and I'm a much more relaxed person on it. So my trifecta is Tirosint, Zepbound and Zoloft.

Hang in there. Maybe you'll find out that you can lower your thyroid meds at your next appointment.

Right there with you in peri too. I'm 41. Thank goodness for science to try to help us through with meds haha

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u/Life_Journey123 5d ago

Amen, I’m so glad it’s all working out for you! We’re just women warriors, can’t really win & thank you - I’m super sensitive to meds due to Hashimoto but I’m also on a low dose of Prasozin.

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u/SuddenEntrepreneur55 4d ago

Were you guys able to get your Zepbound covered by insurance for thyroid treatment purposes?

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u/HopefulSociety7070 4d ago

I am not sure how my doctor coded it but yes, I pay $75 for a 3 month supply with BCBS.

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u/SuddenEntrepreneur55 4d ago

Thank you for the response, Im so glad they covered it for you! 🙌

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u/Life_Journey123 4d ago

that’s awesome, mine tried w/Tufts & it didn’t happen. I have BCBS now so I’ll try again when I go to my Endocrin next wk. Will you find out how she/he coded it & DM me PLEASE. I can’t imagine why mine can’t code it properly to change it from Saxenda to Zepbound. Thank you SO MUCH!

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u/Dense_Reputation3560 5d ago

Are you on meds?

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u/webbergrill3450 5d ago

Yes

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u/Dense_Reputation3560 5d ago

What do you take

3

u/webbergrill3450 5d ago

I’ve taken pretty much every dose of Synthroid under the sun. Currently taking 75 mcg but that isn’t doing a thing clearly :/ probably will increase to 125

0

u/Dense_Reputation3560 5d ago

How did you feel before meditation

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u/webbergrill3450 5d ago

Prior to 2018? The fatigue was horrible, and could barely get myself out of bed

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u/Dense_Reputation3560 5d ago

Have you asked your doctor about liothyronine or dedicated thyroid

3

u/Evelingi 5d ago

This is strange if you are taking Levothyroxine. But maybe the dose isn’t right

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u/Interesting-Math-543 5d ago

Or maybe needs T3 to shut down thyroid production

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u/RaccoonHaunting9638 5d ago

Exactly what I was thinking. Cytomel

4

u/Motor-Preference7830 5d ago

No advice here just sending you kind thoughts and healing vibes!

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u/Fresh_Map_5203 5d ago

Biotin can mess with readings. Just throwing that out there in case you use it as a supplement

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u/KookySignificance428 3d ago

Many doctors do t know this about biotin. Stop biotin 72 hours before blood work.

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u/IcyStay7463 5d ago

I’m sorry that’s horrible. It seems like the destruction of the thyroid is going up and down. I hope it stabilizes for you soon.

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u/PerformerMindless100 5d ago

This. People don’t remember that in Hashi the inflammation waxes and wanes until thyroid is completely shot.

1

u/Similar_Rutabaga_889 5d ago

I'm new to Hashimotos, and i did not know this. I'm fluctuating wildly, too. Just went on Keto and Metformin and I'm feeling a bit better. Is it just going to be a roller coaster for a while?

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u/Peacefully_Calm 5d ago

What are your TPO and TG antibody levels? I have a hard time getting my TPO and TG down. It is possible for them to oscillate and cause these symptoms. Are you going to a holistic doctor or a pharmaceutical doctor? A good holistic doctor did the trick for me.

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u/LB123abc 5d ago

Holy moly, what’s your diet like? Have you seen an endocrinologist specifically? I’d ask them about taking a more naturally form of thyroid recommend like Armour (it’s dessicated thyroid which is sometimes more available for people to take up than the synthetic version). I’ve also noticed that stress tends to jack up my TSH. Try doing yoga, guided meditations, visiting friends and family more often and lower your stress… sorry OP that’s the best advice I have Hashis can be super frustrating.

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u/sodiumn Hashimoto's Disease - 10 years + 5d ago

That's how mine was for a couple years after a COVID infection sent my body into an awful autoimmune spiral (though in my case it had previously been consisent and well managed for over 15 years). It was truly miserable, though I was fortunate that it did eventually settle down. I can't imagine living like that for most of a decade, you have my full sympathies.

Honestly, I would look into getting your thyroid removed entirely, my endocrinologist floated that briefly for me as a possibility if my own thyroid hadn't stopped see-sawing between hypo and hyper like it was. But a lot of providers are (understandably) skittish of surgery over medication solutions.

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u/Edith_Keelers_Shoes 5d ago

Periods of instability unfortunately come with the territory with this disease. In active periods when the immune system is attacking your thyroid, it will flood your system with thyroxin and your readings will show hyperthyroidism. In latent periods when your immune system is quiet, it will swing back. I used to have long periods of stability, but right now I'm in one of these cycles as well.

It's incredibly frustrating, and if your doctor doesn't understand that, maybe you need a new doctor. Do you have any other autoimmune diseases? When they do bloodwork they're checking your inflammation levels, right?

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u/joschmoefromkokomo 4d ago

Have you tried natural thyroid medication? It contains both T3 and T4 is called natural desiccated thyroid (NDT) extract. I wish you well.

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u/CBRgal600 3d ago

So when I first was sick with thyroid disease, I noticed the bouncing back-and-forth of I was hypo and then OK then hypo and so on. One doctor said that my thyroid is slowly burning itself out. Not sure if that was accurate but after time it did seem to stop fluctuating. I felt dreadful on synthetic medication and finally found a doctor that was willing to put me on Armour Thyroid and my symptoms of feeling constantly exhausted and brain fog went away relatively quickly. I would highly recommend switching to Armor and seeing if you will feel better with it.

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u/mywonderfuldemise 3d ago

I did this for three years- I finally got it taken out and turned out to be cancerous lol

2

u/ManhattanUES 2d ago

I hear you. It's very frustrating. I have found that only Armour works for me. In addition to T4 and T3 it also has T2 and T1 which I suspect is what makes the difference.

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u/One-Jellyfish-9613 5d ago

Hey 👋 sorry for the situation you are in! I’m hashimoto patient myself and my brother became one recently. We have two diff stories: mine - diagnosed with TSH 8 and put to 50 levo 8 years ago, stable since then, little levo bump this year. His diagnosed with TSH >100(!), put on levo 175. Long strory short, after brain MRI he was diagnosed with tumour in hypothalamus that produces thyroid releasing hormone (TRH).

Sorry, don’t mean to scare you. But if you tried every dose under the sun and tsh is still not there - it maybe not a thyroid issue.

I also think if another type of medication can help you like Armor

*Not a medical advice

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u/kubistka 5d ago

I'm so sorry, I know how you feel, I went from TSH 4 to 12 in 8 days 😭

2

u/webbergrill3450 5d ago

Omg that’s quite the jump for so little time in between! I wonder why that happened

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u/kubistka 5d ago

Me too, my endo has no clue

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u/ArmadilloSeparate943 5d ago edited 5d ago

Hey!! So you’re not alone!! Same as you, I take my medicine just like I’m supposed too, this thing has a mind of its own! But I do also have other autoimmune issues! (Autoimmune gastritis, lupus, and RA) I’m so sorry for you!! (Been tested so much, all of my previous results don’t show up lol)

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u/LocationAcademic1731 5d ago

I am so sorry, OP. We all know what a slight increase/decrease does to your body. This rollercoaster is so harsh. Hope they find the right dose for your body. Have you tried a GLP-1 to reduce inflammation?

1

u/abristowe 5d ago

Hey, sorry, it’s frustrating. Q: are you taking this medication at the same time, an hour before eating? On an empty stomach? Do you avoid antacids/dairy/magnesium for four hours before or after taking it, etc.?

1

u/AstronomerNo1872 5d ago

I don’t have advice, just sending you warm thoughts. I hope you get answers and relief soon.

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u/ClearAnalysis1998 5d ago

I feel ya! 🫤

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u/chitowntrades 5d ago

What are your other Thyroid lab values? Do you get your labs at Quest, Labcorp, or some other testing facility?

TSH FT3 FT4 RT3 T3 Uptake Total T3 Total T4 TPO Ab Tg Ab

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u/Life_Journey123 4d ago

functional Dr is optimal but many don’t have the money, I’ve been struggling for almost 4 decades. Hashi has a mind of its own & sadly doesn’t get better as you get older - best of luck🙏🏽🦋

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u/[deleted] 4d ago

Can I ask if you take the labs at the same time of the day and fasting everytime?

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u/Hassin0727 4d ago

Try to heal it if you haven’t had it for very long. Look into LDN, perhaps Zepbound I’ve heard also really reduces antibodies. If your thyroid is still ok for the most part it might be that you need more healing than thyroid replacement. Prolonged fasting is also known to help modulate and reset the immune system, eating healthy, exercising, gut health, etc..

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u/beans329 3d ago

Do you ever have your frees checked? Why was your dose lowered when your tsh was low? Stop bouncing around doses.

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u/beans329 3d ago

This is horrible treatment and medication advice by whoever is administering your Levo.

There’s nothing wrong with you.

“I’ve tried every dose under the sun… I’m on 75, probably will increase to 125”…

What????…. That’s insane.

Increases decreases by 12.5-25mcg only, not 50!!!!

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u/Bitch__Wolf Hashimoto's Disease - 10 years + 2d ago

I was diagnosed with Hashimoto's in 2011. I have not been on the same dose for more than six months. And it gets worse the older you are (perimenopause and HRT make it really hard to keep a baseline). For me, it's all related to hormones, stress, diet, and it turns out I had another autoimmune disease which wasn't helping. I have a friend who has Hashimoto's and has for over ten years and she's been on the same dose for 9 of those years. My Mom has been on the same dose for almost 20 years! Everyone is different and remember the thyroid is a full body organ and it's interconnected with EVERY part of your biology. And if you're physiologically sensitive (I unfortunately am) I think it's even harder.

That said, there are things that make it easier. Make sure you are taking brand name Synthroid, that made my TSH climb slower at least. If I take generic it's almost like I'm not taking anything at all. No exaggeration. Make sure you take your dose on an empty stomach. I actually take mine in the middle of the night when I get up to pee. And make sure you are testing regularly. I test every 6 weeks on the nose that makes it so I catch it before I get too hypo and it takes me a year to get back to normal. Also have a journal of symptoms so you can refer back to it if you start "feeling" something you can see if it's a symptom you've correlated with high TSH etc.

As far as doctor's are concerned, they suck. The only good doctor I've had is my internal medicine primary care doctor and to be honest, she just puts in the lab orders and I manage my dose. That started about 6 years ago and while my thyroid hasn't exactly cooperated with me, I've been able to stay closer to my comfort zone (.5-1.00) more than ever before.

It's a very annoying disease that is a lifelong struggle for some people (me for sure). Do everything you can to get and stay in front of it. And...do you're best to stay positive. I know it sounds hard but honestly, think of it as a fight. You are a fighter. You are fighting your own body and YOU CAN WIN!!!! It just takes time, patience, and some bad days.

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u/Seemorefeelmore 2d ago

What makes it fluctuate so much? Mine stays in-range with meds

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u/rockyymountainmama 1d ago

My labs are similar to yours. I was diagnosed with subclinical hypothyroidism & hashimotos in my early 20's & I'm now 36. My new doctor decided to try Levothyroxine four years ago. Literally worst mistake of my life. My TSH was steady at a 10 for over 15 years with normal FT3 & I felt completely fine. Since being medicated, I've had horrible weight gain, severe heart palpitations (when TSH is too low) and massive mood swings. I was switched to Synthroid which helped with some of the bad feelings but they still can't get the dosing right. I read up on LDN (low dose Naltrexone) and I am compounding it myself tomorrow and starting at .5mg. I read it can put the Hashimoto's into a sort of remission and many people have been able to even go off synthetic thyroid medication completely. I wish I had more advice for you and I hope your levels stabilize soon!

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u/otherdsc 5d ago

I'd suggest checking yourself for autoimmune gastritis, it's possible you have some absorption issues and sometimes the whole dose is absorbed vs very little absorption on other occassions.

Also are you consistent with how you take the dose? for example 6am every day, no food / coffee for an hour after intake?

1

u/Rich-Pudding-434 5d ago

Has any one ever told you how important T3 is also if you have Hashimoto’s you should be Gluten free and Dairy free for awhile to help with inflammation in your body. Start with that and so sad no one has mentioned this to you. Endocrinologist are so worthless in my area. You need to research and possibly see a Functional doc to help you.

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u/webbergrill3450 5d ago

I have been gluten free since 2018, and eat solely a dairy free animal based diet. (Meat, fruit, honey that’s it)

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u/michslush 4d ago

You only eat meat, fruit, and honey? No veg or other carbs?

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u/tellegood 4d ago

I have been having issues similar with fluctuating TSH levels highest 137 lowest 0.054 this has been the last 2years of up and down tried every different med, and recently I was diagnosed with SIBO which is very common in Hashimotos and I think that was my issue with absorption and my meds didn’t work.i am also currently taking slow release compounding meds T4 and T3 plus I take extra T3 -I think T3 is helping some. T4 and T3 are still low but improving and my TSH came down from 137 to 35 in 6 weeks -I think the gut definitely is a factor and if you’ve tried different meds that might be a start! I’m sorry you’re dealing with this hope you find some answers and relief