Uvitenhet og uforstand spesielt om hypotyreose type 2

[Anisa]

Jeg opplever stadig så mye uvitenhet og uforstand spesielt om hypotyreose type 2, at jeg i går sendte dette innlegget til lokalavisa Nordlys:

Mange kan ha hypotyreose uten å vite det selv. Selv ikke legen eller endokrinologen finner det ut gjennom blodprøver! Hypotyreose type2 kan ikke diagnostiseres gjennom laboratorietester. Legen må ”se pasienten” med alle sine sammensatte symptom!

Hypotyreose/lavt stoffskifte - dvs unormal lav funksjon i skjoldkjertelen, kan ha innvirkning på kroniske smerter, diabetes, hjertesykdom, menstruasjonsproblemer og søvnapné. I boka ”Hypothyroidism Type 2: The Epidemic”, forklarer dr. Mark Starr hvordan helt ulike forstyrrelser opptrer.

Tilgiv dette off topic, Elbeth, men siden du har nærmest fået denne bog på ryggraden, mens min egen har været udlånt ret længe nu, vil jeg gerne spørge om det kan passe, at Mark Starr anbefaler at starte behandlingen med så lidt som 15 mg Thyroid? Jeg mener ikke, at jeg læste noget i den retning, da jeg læste bogen. Mit spørgsmål gælder indlægget til bibzi80:

Jeg har hypotyrose type 2 som ikke kan sees på blodprøver. Legen på Balder mente vi skulle følge doseringen fra Lege Mark Starr - han som skrev boka hypotyreose type 2.

https://www.stofskifteforum.dk/newre...reply&p=125223

[Elbeth]

Tilgiv dette off topic, Elbeth, men siden du har nærmest fået denne bog på ryggraden, mens min egen har været udlånt ret længe nu, vil jeg gerne spørge om det kan passe, at Mark Starr anbefaler at starte behandlingen med så lidt som 15 mg Thyroid? Jeg mener ikke, at jeg læste noget i den retning, da jeg læste bogen. Mit spørgsmål gælder indlægget til bibzi80:



https://www.stofskifteforum.dk/newre...reply&p=125223

Hei Anisa

Jeg har skrevet en side fra kapittelet Treatment Guidelines i boken « Hypothyroidism Type 2: The Epidemic » av dr. Mark Starr, som jeg mener besvarer ditt spørsmål:

side 178/179:

My Recommendations

Adult patients no longer tolerate the one-grain starting dose of desiccated thyroid that Dr. Barnes recommended. A growing percentage of patients may require therapy for the environmental toxins they harbor prior to beginning thyroid. Toxic chemicals or heavy metals like mercury may block the entire cascade of chemical reactions involved in thyroid metabolism as well as other hormones. The resultant compromised endocrine, nervous, and immune system contribute to and exacerbate Type 2 hypothyroidism.

Most adult patients tolerate one-quarter to one-half of a grain. For safety’s sake I recommend beginning with one-quarter grain. It is often difficult to ascertain who will be intolerant of the medication. In general, the healthier the patient is, the more likely they will tolerate thyroid. Patients with severe allergies, chemical sensitivities, and chronic pain tend to be less tolerant of desiccated thyroid.

These guidelines also apply to Type 1 hypothyroid patients already taking T4 (Levoxyl, Synthroid). I treat Type 1 patients on T4 by slowly adding desiccated thyroid, and do not stop the T4 until they are tolerating desiccated thyroid and improving. The stopping og T4 is also gradual. The patients who are intolerant of desiccated thyroid may tolerate T4 . Their symptoms often improve by slowly increasing the dosage to tolerance.

For the majority who do tolerate one-quarter grain, I increase the dosage one-quarter grain every 7 to 14 days up to one grain, depending upon the constellation of symptoms, age, and condition on the patient’s heart. Gradual increases continue at about one-half grain per month depending on the patient’s response. When patients remain symptomatic and show no evidence of side effects, their dosage is increased to four grains before waiting several months in advance of further increase.

My patients require an average dose age of three to three and one-half grains, the same dosage the Belgian study required. Some adult patients may only need two grains while others need five. Dr. Sonkin stated in his literature that patients may require as much as 6 to 12 months before responding to thyroid replacement.

There is no no substitute for clinical experience combined with common sense.

-lig hilsen Elbeth

[Luuna]

Mange tak Elbeth
Det her passer som fod i hose på mig, og jeg har netop en kviksølvforgiftning og døjer med andre former for toxiner.

Mary Shomon citerer på sin hjemmeside Dr. Langer for at sige følgende:

Solutions for People Who Can't Tolerate Thyroid Medications

According to Dr. Langer, another subset of people with profound thyroiditis and hypothyroidism find that taking any amount of thyroid hormone creates problems. These people will have palpitations, and extreme hyperthyroid-like symptoms after taking even the smallest standard dosage of thyroid hormone replacement medicine.

Not taking medicine is not a solution, because hypothyroidism ultimately requires treatment, but many of these patients are in a catch-22 -- treat the hypothyroidism and prevent long-term illness -- but suffer debilitating symptoms and side effects due to their over-sensitivity to thyroid medications.

Dr. Langer's answer? He works with a reputable compounding pharmacist to produce an aqueous solution of the thyroid medicine. Then, he has patients start with a daily dose as small as one drop, which is 1/10th of a quarter of a grain. He then has them go up in dosage one drop at a time. According to Dr. Langer, "with most of these patients, it takes a much longer period of time, but they can get to the right quantity of thyroid using the aqueous thyroid and can eventually be transferred over to the tablets."

Jeg havde meget stærke hyper-reaktioner med hjertebanken, angst m.v., og det, jeg gjorde, var at dele en 60 mg. tablet i 8 dele (7,5 mg.) og oven i købet skære noget af den, som jeg tog efter nogle timer.

Den første tid tog jeg desuden medicinen med lidt mad og adskillige beroligende og cortisoldæmpende urter, vitamin B1 og magnesium.
Jeg oplevede imidlertid hurtigt at få hyposymptomer kort efter hver doseøgning, og jeg kom på min nuværende dosis på 105 - 120 mg. i løbet af 8 uger.

I øvrigt er jeg stadig i behandling for min kviksølvforgiftning, der også ifølge Kent Holthof kan bidrag til hypothyreose på celleniveau.

Jeg tænker, at det er meget vigtigt med et individuelt program, så dette tilpasses kroppens reaktioner.

[Mod]

Hej Anisa
Jeg har skrevet en side fra kapittelet Treatment Guidelines i boken « Hypothyroidism Type 2: The Epidemic » av dr. Mark Starr, som jeg mener besvarer ditt spørsmål:

Hypotyreose type 2 - en oversett lidelse av Dag Viljen Poleszynski