Linda asks…

Lithium and thyroid problem?

Hello.
I´m diagnosed with BP2 and GAD. I take Literarex 6 tablets a day, the bottle says”Litarex 6mmol +” and “42 mg Li+(6mmolLi+) I think this is quite a lot but still I only get to 0.5 of the stuff in the blood and as I understand it 0.7-1.1 are the therapeutic level.
I also use 20 mg cipralex, 4 mg rivotril and 90 mg mianserin.
To the point. My thyroid was 7.5 in the last blood test and my doctor told me that 2.5 was normal.
He prescribed me with thyroid hormone called “Levaxin” 100 micro gram per day.
I am not content with taking medicine for side effects.
Q1 Can Lithium permanently damage my thyroid gland?
Q2 Is the slow thyroid the reason I am fat even though I eat healthy?
Q3 What can I do, is for example lamictal as effective as lithium?
Q4 Is 7.5 high in thyroid gland
I hope some one has something to say about this I am most concern about Q1.

With kind regards GPI

Helen answers:

From what I have studied, Lithium is definitely one of the many things that can trigger thyroid disease.

You need testing for thyroid ANTIBODIES as well as TSH. TSH ‘norm’ should be .3 – 3 (w/ most feeling best at < 2) but, for diagnosis, may not mean much if ANTIBODIES are present which is indicative of Hashimoto’s Autoimmune Thyroiditis (cycles between HYPER & HYPO at start)…it is the main cause of eventual HypOthyroidism but worse (…OR Graves Disease – HypERthyroid from beginning).

You will have to INSIST they test for the antibodies. They can code so that ins will pay.

WARNING: Doctors seem not to want to find/treat thyroid disease. You may have to go to more than one doctor before you get the right tests, interpretation, and treatment. Best wishes.

Ck these:
http://thyroid.about.com/bio/Mary-Shomon-350.htm
http://www.stopthethyroidmadness.com/
http://www.thyrophoenix.com/index.html
http://thyroid.about.com/cs/newsinfo/l/blguidelines.htm

ALWAYS GET COPIES OF YOUR LABS.

God bless you

Carol asks…

Will taking Carbimazole medicine will cause sore throat?

I was dianogsed that i have Graves Disease. My doc said that mine was serious but till then i do not need a surgery. He quickly prescribe Carbimazole and Propanol(IF IM NOT MISTAKEN.. IS RED IN COLOUR) i was ask 2 take Carbimazole for 30mg per day n the red tablet is divided into 2 and take it 4 twice a day. I remember my doc told me that Carbimazole has side effects. They were that my hair will drop n my bone density decrease. He told me that if i have had sore throat for a week then i probably not suitable for the medicine and this is what im having now. It is not a very painful sore throat. But im wondering if it the Carbimazole that is affecting my body in the body. Should i consult my doc again?

Helen answers:

I started out with 10 mg of methimazole, then 5 mg, then 2.5 once a day. Maybe he needs to reduce your meds. Good luck

Neutropaenia:
About 1 patient in 1,000 will develop neutropaenia in the early weeks of treatment. This presents as a severe sore throat and severe malaise. You must warn the patient prospectively about this possibility, and advise them to stop the carbimazole at once if the symptom develops. The patient should also get a blood test the same day, and if the diagnosis is confirmed would need to be admitted to hospital.

Daniel asks…

WHY DID I MISS MY PERIOD?

okay, so this isn’t anything new, Im 14 and well always late with my period..about 2-3 weeks, i believe because im still developing and PUBERTY!! hhaahhaa.
but i 10 kgs overweight, started a diet 2 months ago..i have been so stressed, i can’t stop thinking if im going to lose the weight or not and we have loads of projects and work at school,chores at home with me having to take care of my granny… and i havn’t had my period for a month now..so am i missing my period becaus of stress? if so how can i reduce it..??
THANKS

Helen answers:

Yes, stress can definitely cause irregularities in your period. But it also sounds like you’re irregular a lot. You might also just have an atypically long cycle -the 28-days thing is an average, for some women it’s shorter, for some it’s longer. It’s normal for things to be weird when you’re 14, it can take a long time for your period to reach a settled cycle.

As for reducing your stress -stop worrying about your weight! More than likely your diet is doing more harm than good -dietary changes, particularly not getting enough food or a nutritional/vitamin deficiency, can cause missed or late periods. If you want to get healthy, you need to do permanent lifestyle changes, not a temporary diet; if it’s temporary, the weight will come right back as soon as you stop the diet. My advice would be to just eat healthy (not to follow a strict calorie-counting regime, just hold back from that second helping of dessert, kind of thing; try to make half your diet fruits and veggies, one quarter carbs, one quarter protein), and most importantly exercise more -not only can this help with your weight, it’s one of the best stress-reduction methods. Exercise releases endorphins (feel-good brain chemicals). Worry less about school -stay on top of things by all means, but don’t be so hard on yourself, you’re a teenager, you don’t have to be perfect.

If you go three months without your period, and/or if your period doesn’t settle into a more regular cycle within a year or so, you should talk to a doctor about possible underlying causes. PCOS, endometriosis, fibroid cysts, and other reproductive ailments, can all cause irregularities and missed periods; so, too, can a host of illnesses not directly related to reproductive ailments, like thyroid problems and Graves Disease. This is HIGHLY unlikely however, but is something to keep in mind if this keeps happening.
Either way you should think about getting on the pill -it is the best possible treatment for several of the afore-mentioned reproductive illnesses. Even if you’re perfectly healthy, it also regulates and lightens your period, reduces cramping, can help clear skin, and lowers your risk of cervical & ovarian cancer. (Even if you’re not planning on becoming sexually active any time soon -which I would NOT advise -it’s good to be protected, and the beneficial side effects are remarkable.)

Robert asks…

Feels like waaay early onset dementia?

I am 28 and have been diagnosed and unsuccessfully treated for what seems like a lot of things and wonder if maybe they point to a different problem with a different treatment. Any thoughts?

I am desperate for answers, relief, and a life. I have been on different combinations of somewhere around 25 medications for these diagnoses and still find no relief. I was seeing an improvement about a year ago and actually picked up a hobby, but about 6 months ago everything started going downhill again and I am back to where I started. Medications either do nothing, keep me overly sedated or numb, start out great and then peter out, or cause side effects. Dr’s just keep throwing more medications at me and I’m getting sick of being a toxic dump site.

Some of these diagnoses clash with each other, but every time they change my Dr the new person changes what they think I have. I have been diagnosed with: major depression, bipolar I, bipolar II, inattentive adhd, social anxiety, sensory processing disorder, generalized anxiety, insomnia, excessive daytime sleepiness, and seasonal affective disorder.

I am currently on Ambien, Remeron (which seems to counter act the Ambien but is supposed to help with sleep), Cymbalta, Depakote, and Ritalin (which isn’t being very helpful either).

I’m depressed, irritable (some times more than others), anxious, can’t sleep a normal schedule, tired all the time even if I do end up getting adequate sleep. I’m also scared of things I know I shouldn’t be afraid of (like aliens, monsters in woods, home invasions), have gruesome and pervasive thoughts of bad things happening to me or those I love, when I’m not on meds I have a short and explosive temper that usually ends with me hitting or throwing something. I have random, traveling pains that can feel like shooting nerve pain or aching muscles or joints. I have OCD like tendencies as well, I do this thing with my toes where I flick the big toe with the one next to it and can get stuck on it and do it so much that I get a blister or bleed, lately I have a problem with my thumbs with locking the joints and I don’t know how to describe the rest of the thumb problem but the joints and muscles are getting really sore but I can’t stop. I startle very easily and take a very long time to recover, sometimes my fingers will go numb from being startled by something dumb in a safe situation.

Here are some newer things that are troubling me because they seem to be getting worse. I can’t keep my attention lately. I’ll skip from one thing to another if my eye gets caught by something else, like news stories or websites. I can’t keep my place while reading, I end up skipping ahead to read a sentence or two, then go back and find where I was reading before. My reading comprehension has gone way down, I sometimes have to read a sentence very, very slowly and deliberately a few times before I can move on. Sometimes I’ll finish reading a paragraph and have no idea what I just read. I’ve started to put words into sentences that aren’t there or changing the words that are. I’ve read headlines on a news site and will go back some time later and see if anythings changed and be surprised when the headline I read earlier about cats now says cars. Its hard for me to speak or even type because I will be trying to get my thoughts out and blank on a word, lose my train of thought, or just plain can’t get the thought to my mouth or fingers. I feel dumb because I can’t seem to learn as quickly as I have always been able to. Jokes tend to go over my head and I take things very literal. I’m also having serious problems with losing track of time, I’ll be doing something and look up what feels like 10 minutes later and its been an hour.

Any ideas? Thanks so much.

Helen answers:

You should get your thyroid checked. Have them do a full thyroid panel, which includes your TSH levels, FT4 levels and FT3 levels. You should also be tested for TPO anti bodies as well as the ones that cause Grave’s Disease. Untreated thyroid problems can frequently manifest as psychiatric problems or dementia. They can even cause full blown psychosis. Unfortunately, too many doctors don’t think to check for thyroid problems even though it’s just a simple blood test and the treatment is simple too.

Jenny asks…

Celexa (Citalopram) Issues?

Okay so I recently started taking celexa for seasonal depression. I have had a number of sideeffects that I think can be associated with the medicine.
Physical sideeffects: heartburn, stomach-ache when i eat (symptoms of acid reflux?), fainting because of lack of food.
Emotional sideeffects: numbness, worsening depression.
Should I switch? According to my family I am noticeably nicer, however I feel much more miserable and my grades have gone down in school. I hate school now due to depression and I feel no reason to wake up.
Also will the stomach-ache and heartburn symptoms go away after switching from celexa to another antidepressant (probably another ssri?
If you can answer any of these PLEASE help.

Helen answers:

With all this, you need your thyroid checked!

You need testing for thyroid ANTIBODIES as well as TSH. TSH ‘norm’ should be .3 – 3 (w/ most feeling best at < 2, like maybe ONE) but, for diagnosis, may not mean much if ANTIBODIES are present which is indicative of Hashimoto’s Autoimmune Thyroiditis (cycles between HYPER & HYPO at start)…it is the main cause of eventual HypOthyroidism but worse (…OR Graves Disease – HypERthyroid from beginning).

You will have to INSIST they test for the antibodies. [anti-TPO and TgAb] They can code so that ins will pay.

WARNING: Doctors seem not to want to find/treat thyroid disease. You may have to go to more than one doctor before you get the right tests, interpretation, and treatment. Best wishes.

ALWAYS GET COPIES OF YOUR LABS.

Ck these:
http://thyroid.about.com/bio/Mary-Shomon-350.htm
http://www.stopthethyroidmadness.com/
http://www.thyrophoenix.com/index.html
http://thyroid.about.com/cs/newsinfo/l/blguidelines.htm

God bless you

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