Increased Level

[Tibbi]

I apologize if this posted twice.  Just sent a question but I was told my internet connection was down....

My question is:  I was diagnoised with sub-clinical hyperthyroid in January by my Endo.  He found several *hot* nodules, but my thyroid was not enlarged and perscribed Tapazole, 5 mg. twice a day.  I felt I saw  benefits fairly soon after - hair loss was not as great and I am a little more settled.  My TSH levels the year before ranged from 0.07 to 0.03 prior to my appt. with the specialist.  I had blood work done last week and apparently my TSH is now around 1.26.  I have found tho, that I get quite tired, especially in the afternoons...in fact have to drag myself around and I am concerned that if this is because of the increase in my level this will only get worse.  I do not see the Endo for 2 more months.  I also take 20 mg of proprananol twice daily for rapid heart rate.  I was thinking about changing the time I took tapazole from morning and night - to early afternoon and before bed...
Thanks for your opnion.

[Mark Lupo, M.D.]

The TSH is now normal - which is the goal.  Would ask your endo about changing the dose or timing.
Would consider asking about decreasing propanolol if the high heart rate was due to hyperthyroidism.  This medication can cause fatigue.

[Tibbi]

I just rec'd my last labs..incl. T3/T4

March: TSH ..1.63 .... T3..3.7...T4..12.3 (PTH - not tested for but was 3.2 in Sept.)

Prior to meds. Dec labs were: TSH .0.03 .. T3.. 5.2.. T4..17.2 (PTH 5.5)

There seems to be quite a change in the T4 and am wondering if this is normal?

Thank you again.

[Tibbi]

Thank you Dr. Lupo:

I will call his office today and ask about the dosage of the tapazole.
I'm not sure if the propanaolol is due to the thyroid or anxiety.  I do  feel symptons when I have missed a dose but I will check with my GP on that.

This is a wonderful site and will pass it on to my "Thyroid Buddies" and to anyone with health questions.
Thank you.