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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 25. This is the beginning of the thread.
Posted by joe f on December 15, 2017, at 20:01:33
true I suffer from mild bipolar to bad ocd...and my thyroid tested that I have overactive thyroid not real high ....yet she refused to treat it..the thyroid controls many emotions ...I believe it should be treated....she says thyroid meds have to many side effects
Posted by linkadge on December 16, 2017, at 6:44:05
In reply to hyperactive thoyroid, posted by joe f on December 15, 2017, at 20:01:33
I am not a thyroid expert, but I think high thyroid is harder to treat than low thyroid.
Also, there is some evidence that slightly elevated thyroid can be protective against bipolar depression (thyroid has antidepressant and possibly mood stabilization effects).
If the thyroid is only mildly elevated, there may be justification in just leaving it.
How is your heart rate / blood pressure?
Also, you may want to avoid noradrenergic meds (stimulants, wwellbutrin etc) as you may get noradrenergic overstimuation (depending on how high your thyroid is).
Linkadge
Posted by joe f on December 16, 2017, at 7:51:36
In reply to Re: hyperactive thoyroid, posted by linkadge on December 16, 2017, at 6:44:05
yes only mildly overactive meds luvox 200...abilify 5....klonopin 1.25....trazadone 150 (sleep)
Posted by Phillipa on December 16, 2017, at 8:57:29
In reply to Re: hyperactive thoyroid, posted by joe f on December 16, 2017, at 7:51:36
Do you see an endocrinologist? A good one will test all the hormones of the thyroid and most likely do a scan. Do you have thyroid nodules as a lot of time they cause hyperthyroidism. Google Mary Shoman thyroid disease. She has many doctors and topics on thyroid. I get her daily newsletter as I have hasimotos thyroiditis. I think you will find her articles and expert advise from thyroid doctors interesting and may answer some of your question. Good Luck. Phillipa
Posted by joe f on December 16, 2017, at 13:11:14
In reply to Re: hyperactive thoyroid » joe f, posted by Phillipa on December 16, 2017, at 8:57:29
thanks she is an endocrinologist and has done all the tests
Posted by Phillipa on December 16, 2017, at 18:05:30
In reply to Re: hyperactive thoyroid, posted by joe f on December 16, 2017, at 13:11:14
Second opinion? Phillipa
Posted by Phillipa on December 16, 2017, at 18:14:07
In reply to Re: hyperactive thoyroid » joe f, posted by Phillipa on December 16, 2017, at 18:05:30
Pretty long read decided to google and found this. Phillipa
http://psycheducation.org/treatment/thyroid-and-bipolar-disorder/
Posted by joe f on December 16, 2017, at 20:56:37
In reply to Re: hyperactive thoyroid » Phillipa, posted by Phillipa on December 16, 2017, at 18:14:07
thank you do you think because i'm stable she doesn't want to upset the apple cart........but the numbers are what they are
Posted by Phillipa on December 16, 2017, at 21:09:47
In reply to Re: hyperactive thoyroid, posted by joe f on December 16, 2017, at 20:56:37
Joe I don't know as don't have the knowledge. But it could be why from reading what I posted. Can you ask? Phillipa
Posted by joe f on December 16, 2017, at 21:31:11
In reply to Re: hyperactive thoyroid » joe f, posted by Phillipa on December 16, 2017, at 21:09:47
she wants to retest in 5 weeks.....all she says is that these -thyroid meds have a lotta side effects when asked her
Posted by Phillipa on December 16, 2017, at 22:35:36
In reply to Re: hyperactive thoyroid, posted by joe f on December 16, 2017, at 21:31:11
Good that retesting. Her answer depending on the results could change your dose. I was stable on synthroid til last winter and then was losing weight so mine was lowered the dose. Can't wait to see what it is in January. No more weight loss but always tire more easily. Phillipa
Posted by joe f on December 19, 2017, at 13:52:36
In reply to Re: hyperactive thoyroid » joe f, posted by Phillipa on December 16, 2017, at 22:35:36
so you think the dr. is just being cautious? or afraid of the psych condition being destabilized?
Posted by Phillipa on December 19, 2017, at 17:45:50
In reply to Re: hyperactive thoyroid, posted by joe f on December 19, 2017, at 13:52:36
I can't answer a question only your doctor can. I'd give her a call and ask. Do you have a patient portal that you can write here a message. I do and mine will write back the next day. Phillipa
Posted by joe f on December 19, 2017, at 17:56:29
In reply to Re: hyperactive thoyroid » joe f, posted by Phillipa on December 19, 2017, at 17:45:50
no I don't will wait to see her in a month
Posted by MightyKondrian on December 20, 2017, at 23:47:00
In reply to hyperactive thoyroid, posted by joe f on December 15, 2017, at 20:01:33
> true I suffer from mild bipolar to bad ocd...and my thyroid tested that I have overactive thyroid not real high ....yet she refused to treat it..the thyroid controls many emotions ...I believe it should be treated....she says thyroid meds have to many side effects
I remember my mother having an overactive thyroid. She was 'over active' with a strange stair on her face, as if taken a good dose of amphetamine. Her doc prescribed a beta blocker (propranalol I think) until symptoms subsided. Thats all the details I remember.
I know some Psychs (mine included) prescribe thyroid hormone for mood disorders, and that low thyroid can cause depression. Definitely a balancing act.
Posted by MightyKondrian on December 20, 2017, at 23:48:57
In reply to Re: hyperactive thoyroid » joe f, posted by MightyKondrian on December 20, 2017, at 23:47:00
Oh and he uses it as add-on therapy even if levels are clinically 'normal'
Posted by Phillipa on December 21, 2017, at 9:27:56
In reply to Re: hyperactive thoyroid » MightyKondrian, posted by MightyKondrian on December 20, 2017, at 23:48:57
Hi MK sounds like your Mother had Graves Disease of the thyroid as the eyes seem to buldge this is an autoimmune form of thyroid illness. In some cases a low thyroid when thyroid is added at the proper dose the depression can go away. I know my own hypothroidism is a pain as the levels do fluctuate. Right now they allowed the range to go to almost 5. The endocrinology society recommends that the best levels are 1-1.5 with 3 being top number. I don't feel psychiatrists should be treating thyroid illness. People should see an endocrinolist and then can be maintained by their internist. Phillipa
Posted by MightyKondrian on December 21, 2017, at 10:51:50
In reply to Re: hyperactive thoyroid » MightyKondrian, posted by Phillipa on December 21, 2017, at 9:27:56
Well thanks Phillipa. Makes sense. Graves disease eh? Maybe cause she looked like she had seen a ghost? lol
I think that when a psych doc uses it its in very small doses. Not because of a sub clinical measurement but because for some reason it occasionally helps to add it to a med regime, rather than fix any high or low levels as such. Off label of course. Like I take Galantamine, an anti Alzheimers/dementia/Parkinson drug. Not because I have these conditions but because my doc has experience, or at least backed up references that some times it helps. Why? I doubt even he knows. But its true. (He's a Neuro-Psychopharmacologist btw)
Posted by joe f on December 21, 2017, at 15:45:09
In reply to Re: hyperactive thoyroid » Phillipa, posted by MightyKondrian on December 21, 2017, at 10:51:50
I feel my dr who is an endocrinologist just does not to treat it
Posted by Phillipa on December 21, 2017, at 17:40:00
In reply to Re: hyperactive thoyroid, posted by joe f on December 21, 2017, at 15:45:09
Joe only way to know to to ask . Phillipa
Posted by Phillipa on December 21, 2017, at 17:51:56
In reply to Re: hyperactive thoyroid » Phillipa, posted by MightyKondrian on December 21, 2017, at 10:51:50
MK any look like your Mom? Phillipa
Posted by MightyKondrian on December 21, 2017, at 18:08:18
In reply to Re: hyperactive thoyroid » MightyKondrian, posted by Phillipa on December 21, 2017, at 17:51:56
lol I'm only going on what she told me. But she definitely said she had a constant stare! Still, wonder why she only needed a beta blocker and no op.
Posted by Phillipa on December 21, 2017, at 18:14:42
In reply to Re: hyperactive thoyroid » Phillipa, posted by MightyKondrian on December 21, 2017, at 18:08:18
To be honest this seems to be a surgeons site. I just went by images in google search. I think the buldging goes away when on proper dosing of thyroid med. Let me do another one. Phillipa
Posted by Phillipa on December 21, 2017, at 18:23:10
In reply to Re: hyperactive thoyroid » Phillipa, posted by MightyKondrian on December 21, 2017, at 18:08:18
Definitely worth another google eliminating images from the search. If you read the article you will read that beta blockers are used first. I just learned something also Phillipa
Posted by MightyKondrian on December 21, 2017, at 19:11:31
In reply to Re: hyperactive thoyroid » MightyKondrian, posted by Phillipa on December 21, 2017, at 18:23:10
This is the end of the thread.
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