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What Causes Stress And Mood Swings Despite Taking Nature-Throid?

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Posted on Fri, 22 Jan 2016
Question: I just started nature-throid 16mg and Im starting to feel a lil better .I still feel a lil edgy /tense when getting up in the morning some what low mood but evens out though out the day .What do I need to do to start feel good in the mornings again?
doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Thyroid

Detailed Answer:
If your thyroid is not regulated properly, then it is unlikely you will feel good in the mornings and in general.

Your TSH needs to be in the target range of 0.5 to 2, with Free T4 in the mid to high-normal side of the normal range.

Most thyroid experts worldwide achieve this by prescribing levo thyroxine alone, which comes in various brand names. Synthroid is the most popular example.

Nature throid is not recommended in current practice guidelines. It can be potentially harmful. It may not give the right amount of thyroid medication that your body needs. You could be getting more or less than necessary.
Blood tests will give a fair idea regarding this.

When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination:

CBC
Electrolytes
Calcium
HbA1c
Liver function tests
Kidney function tests
TSH
Free T4
anti TPO (Thyroid Peroxidase) antibodies
anti Thyroglobulin antibodies
25 hydroxy Vitamin D



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (39 hours later)
I did have labs taken see below.

TSH = 3.4
Total T3 = 95
Thyroxine (T4) = 6.2
Free T3 = 2.6
Free T4 = 0.91
TPO Ab = <28
PTH, Intact = 17.1
25 hydroxy Vitamin D = 17

I started on levo thyroxine not sure the amount but I took it for a week and started getting anxiety ,nervousness,edgy feeling.Dr told me to stop ,then it went away .

I then tried Amour thyroid 25mg , the same thing happened except I got headaches too after two weeks.Dr told me to stop ,then it went away .

Now I'm on 16mg of Nature-throid for two weeks I felt good then that weekend had some depression and when the week started I started to get anxiety again.
Tried to workout and it went away for a couple hours,then returned .

Whats causing me to go up and down??


XXXX

doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
1 Your anti TPO are negative

When I see a patient like you in my practice, I also check their anti Thyroglobulin antibodies. If these are negative too, then I stop their thyroid medication, if in my opinion based on further physical examination in-person suggests you do not have an under-active thyroid problem

2 Your low vitamin D levels need to be treated

I strongly encourage you to see an endocrinologist in-person at the soonest opportunity
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Stress And Mood Swings Despite Taking Nature-Throid?

Brief Answer: Thyroid Detailed Answer: If your thyroid is not regulated properly, then it is unlikely you will feel good in the mornings and in general. Your TSH needs to be in the target range of 0.5 to 2, with Free T4 in the mid to high-normal side of the normal range. Most thyroid experts worldwide achieve this by prescribing levo thyroxine alone, which comes in various brand names. Synthroid is the most popular example. Nature throid is not recommended in current practice guidelines. It can be potentially harmful. It may not give the right amount of thyroid medication that your body needs. You could be getting more or less than necessary. Blood tests will give a fair idea regarding this. When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination: CBC Electrolytes Calcium HbA1c Liver function tests Kidney function tests TSH Free T4 anti TPO (Thyroid Peroxidase) antibodies anti Thyroglobulin antibodies 25 hydroxy Vitamin D