"Your symptoms cannot be all thyroid related. It is possible that the tingling and neuropathy symptoms are related to thyroid hormone excess which has resulted from the thyroid hormone suppressive therapy that you need for the treatment of your thyroid cancer. As you were probably told, it is important to keep the TSH low with thyroid hormone therapy to minimize the possibility of recurrence of thyroid cancer.
What your Endocrinologist needs to do is to find that fine line of very minute excess of thyroid hormone that will keep the TSH slightly low without unnecessary surplus of thyroid hormone. I have also found that a combination of T4 and T3 instead of just T4 is helpful to alleviate residual symptoms following complete removal of the thyroid. I'm not sure that I would be concerned about the PTH level since your calcium level seems to be fine. You also need to have your Vitamin D level re-checked to make sure that you no longer have the vitamin D deficiency. I cannot comment too much on your weight gain, although I have seen many patients who have too much thyroid hormone in their system, gain weight instead of losing it.
An autoimmune disorder is not excluded in your situation and that should be looked at quite thoroughly."
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"Your symptoms cannot be all thyroid related. It is possible that the tingling and neuropathy symptoms are related to thyroid hormone excess which has resulted from the thyroid hormone suppressive therapy that you need for the treatment of your thyroid cancer. As you were probably told, it is important to keep the TSH low with thyroid hormone therapy to minimize the possibility of recurrence of thyroid cancer.
What your Endocrinologist needs to do is to find that fine line of very minute excess of thyroid hormone that will keep the TSH slightly low without unnecessary surplus of thyroid hormone. I have also found that a combination of T4 and T3 instead of just T4 is helpful to alleviate residual symptoms following complete removal of the thyroid. I'm not sure that I would be concerned about the PTH level since your calcium level seems to be fine. You also need to have your Vitamin D level re-checked to make sure that you no longer have the vitamin D deficiency. I cannot comment too much on your weight gain, although I have seen many patients who have too much thyroid hormone in their system, gain weight instead of losing it.
An autoimmune disorder is not excluded in your situation and that should be looked at quite thoroughly."
Dr. Ridha Arem
Dr. Arem is a world-renown thyroid expert, Board –certified in Endocrinology and Metabolism, Dr. Arem is a former teacher, researcher, and patient care provider and has done extensive research on thyroid disorders. He is a pioneer of proactive and futuristc views for how to diagnose and treat thyoid disorders. Dr. Arem is also the author of "The Thyroid Solution: A Revolutionary Mind-Body Program That Will Help You". For more information, click here.
August 20, 2008 - 9:08amThis Comment
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