Levothyroxine prescribed- How long did it take for you to feel better and what did you notice first?

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Replies

  • lindsey1979
    lindsey1979 Posts: 2,395 Member
    Fuzzipeg wrote: »
    Hashi like Graves are autoimmune conditions. Some doctors test for antibodies others don't, because as far as they are concerned there is only one available course of treatent. Also, I think once you have antibodies you will always have antibodies unless your direct cause is found and addressed. Some do acheive a reduction in antibodies by medication.

    I'm not sure how medication is going to reduce antibodies unless you are taking imune suppressants, which you would have to take forever... and that is very high risk because exposure to other viruses and bacteria will be more likely to harm you.

    As far as the cause of Hashi's, it is 2 things (you must have both):
    -Problems with the HLA genes on chromosome 6
    -Trigger for the autoimmune response

    You cannot change your DNA... you are born with SNP's that your biological parents passed down to you. It sucks, but that's the hand you were dealt.

    You cannot go back in time and stop the trigger for an autoimmune response. Time travel is not available.

    Botom line: Once your immune system starts treating cells in your thyroid as a foreign substance that must be attacked, it will always see them that way. Our immune systems are not advanced enough to declare cease fires and stop attacking cells that it thinks need to be removed. The only way that outside substances have been able to get past our immune systems for a little while is by disguising themselves. This is why the influenza virus has mutated so many times.

    I don't remember the mechanism exactly, but I do remember there being some studies a while back showing that early treatment could reduce inflammation/autoimmune response and helping to retain as much of the natural thyroid function as possible. So, that's why some doctors were advocating treatment once a diagnosis was made rather than the conventional "wait and see" most were taking previously (i.e. wait until blood tests show up abnormal even if patient was experiencing hypo symptoms -- how many of us were told that we were 'within range' and just had to suffer).

    This is purely my supposition, but my guess would be that if you're supplementing with artificial hormones, your body doesn't need to attempt to create as much of your own. So whatever your body is attacking in that pathway in the autoimmune response is reduced because the pathway is reduced because more of the hormones are coming from an artificial source.

    TPO and Tg antibodies are the two most common (or at least the two we have a blood test for), but it's my understanding that they believe Hashi's can attack other parts of the process so produces other types of antibodies. That's one of the reasons that the ultrasound showing inflammation is one of the means of diagnosis as someone can have Hashi's (as shown by the inflamed thyroid in an ultrasound) but actually show up negative for TPO and Tg antibodies (leading to the conclusion that other inflammatory response is occurring).
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    Fuzzipeg wrote: »
    Hashi like Graves are autoimmune conditions. Some doctors test for antibodies others don't, because as far as they are concerned there is only one available course of treatent. Also, I think once you have antibodies you will always have antibodies unless your direct cause is found and addressed. Some do acheive a reduction in antibodies by medication.

    I'm not sure how medication is going to reduce antibodies unless you are taking imune suppressants, which you would have to take forever... and that is very high risk because exposure to other viruses and bacteria will be more likely to harm you.

    As far as the cause of Hashi's, it is 2 things (you must have both):
    -Problems with the HLA genes on chromosome 6
    -Trigger for the autoimmune response

    You cannot change your DNA... you are born with SNP's that your biological parents passed down to you. It sucks, but that's the hand you were dealt.

    You cannot go back in time and stop the trigger for an autoimmune response. Time travel is not available.

    Botom line: Once your immune system starts treating cells in your thyroid as a foreign substance that must be attacked, it will always see them that way. Our immune systems are not advanced enough to declare cease fires and stop attacking cells that it thinks need to be removed. The only way that outside substances have been able to get past our immune systems for a little while is by disguising themselves. This is why the influenza virus has mutated so many times.

    I don't remember the mechanism exactly, but I do remember there being some studies a while back showing that early treatment could reduce inflammation/autoimmune response and helping to retain as much of the natural thyroid function as possible. So, that's why some doctors were advocating treatment once a diagnosis was made rather than the conventional "wait and see" most were taking previously (i.e. wait until blood tests show up abnormal even if patient was experiencing hypo symptoms -- how many of us were told that we were 'within range' and just had to suffer).

    This is purely my supposition, but my guess would be that if you're supplementing with artificial hormones, your body doesn't need to attempt to create as much of your own. So whatever your body is attacking in that pathway in the autoimmune response is reduced because the pathway is reduced because more of the hormones are coming from an artificial source.

    TPO and Tg antibodies are the two most common (or at least the two we have a blood test for), but it's my understanding that they believe Hashi's can attack other parts of the process so produces other types of antibodies. That's one of the reasons that the ultrasound showing inflammation is one of the means of diagnosis as someone can have Hashi's (as shown by the inflamed thyroid in an ultrasound) but actually show up negative for TPO and Tg antibodies (leading to the conclusion that other inflammatory response is occurring).

    I'm not sure that the autoimmune response would be any slower to attack less active cells, but I haven't seen any research to study that hypothesis.
  • lindsey1979
    lindsey1979 Posts: 2,395 Member
    Fuzzipeg wrote: »
    Hashi like Graves are autoimmune conditions. Some doctors test for antibodies others don't, because as far as they are concerned there is only one available course of treatent. Also, I think once you have antibodies you will always have antibodies unless your direct cause is found and addressed. Some do acheive a reduction in antibodies by medication.

    I'm not sure how medication is going to reduce antibodies unless you are taking imune suppressants, which you would have to take forever... and that is very high risk because exposure to other viruses and bacteria will be more likely to harm you.

    As far as the cause of Hashi's, it is 2 things (you must have both):
    -Problems with the HLA genes on chromosome 6
    -Trigger for the autoimmune response

    You cannot change your DNA... you are born with SNP's that your biological parents passed down to you. It sucks, but that's the hand you were dealt.

    You cannot go back in time and stop the trigger for an autoimmune response. Time travel is not available.

    Botom line: Once your immune system starts treating cells in your thyroid as a foreign substance that must be attacked, it will always see them that way. Our immune systems are not advanced enough to declare cease fires and stop attacking cells that it thinks need to be removed. The only way that outside substances have been able to get past our immune systems for a little while is by disguising themselves. This is why the influenza virus has mutated so many times.

    I don't remember the mechanism exactly, but I do remember there being some studies a while back showing that early treatment could reduce inflammation/autoimmune response and helping to retain as much of the natural thyroid function as possible. So, that's why some doctors were advocating treatment once a diagnosis was made rather than the conventional "wait and see" most were taking previously (i.e. wait until blood tests show up abnormal even if patient was experiencing hypo symptoms -- how many of us were told that we were 'within range' and just had to suffer).

    This is purely my supposition, but my guess would be that if you're supplementing with artificial hormones, your body doesn't need to attempt to create as much of your own. So whatever your body is attacking in that pathway in the autoimmune response is reduced because the pathway is reduced because more of the hormones are coming from an artificial source.

    TPO and Tg antibodies are the two most common (or at least the two we have a blood test for), but it's my understanding that they believe Hashi's can attack other parts of the process so produces other types of antibodies. That's one of the reasons that the ultrasound showing inflammation is one of the means of diagnosis as someone can have Hashi's (as shown by the inflamed thyroid in an ultrasound) but actually show up negative for TPO and Tg antibodies (leading to the conclusion that other inflammatory response is occurring).

    I'm not sure that the autoimmune response would be any slower to attack less active cells, but I haven't seen any research to study that hypothesis.

    I'm thinking about it from a trigger response perspective. If you have 10 viruses, you'll get 100 antibodies (just using number for sake of argument). But if you have 20 viruses, you'll get 200 antibodies in a response. So if you reduce the number of the trigger (whether it's a virus or an autoimmune trigger substrate), then your antibody response is likewise reduced.

    If that trigger is not the end-hormone (T3 or T4) but a protein or other substrate in the pathway and you replace that end-hormone with an artificial replacement (NDT or synthetic T4 or T3), then you'll likewise produce less of that trigger protein because that pathway isn't be activated as often due to lack of need of the body to produce that end-hormone as much.

  • hbpslo
    hbpslo Posts: 6 Member
    edited July 2015
    Hi. I had Graves. Was finally diagnosed in 2001, but got sick in 1992 - undiagnosed for 9 years. After I had RAI treatment my thyroid is 100% dead so my endo has me on synthroid. For a while I was on generic, but developed a reaction to it that caused my hair to fall out. So I'm on synthroid proper now. Other than that rare reaction there was no difference between the two meds for me.

    I am also vitamin D deficient. I assumed its because I'm allergic to milk, and that can happen.

    Good luck. It might take a few weeks for you to start feeling the meds in your system, but it's might take a while to find the level that is right for your body.
  • LAT1963
    LAT1963 Posts: 1,375 Member
    I had low back pain from muscle spasms that were apparently part of my symptoms (though atypical as a hypothyroid symptom)--taking thyroxine was like taking a muscle relaxant without fogging my head, within an hour of taking it. I noticed general body ache improvement within 3 days, and that was with only 50 or 75 micrograms--my appropriate dose is 125 micrograms and that's what I've been on for a year and a half now.


    Hey! I have eyebrows!
  • bametels
    bametels Posts: 950 Member
    Thanks hbpslo and LAT1963 for sharing information. hbpslo - I haven't noticed my hair falling out so much as I seem to have some of it breaking. I read that this can be a temporary side effect. LAT1963 - I too have had the same reaction in terms of relaxed muscles. I have an unrelated genetic form of early onset arthritis (my dad, aunt, and two siblings also deal with it) and it has caused compressed discs, bone spurs and spinal stenosis in my lower back and neck. Within a day my muscles were noticeably relaxing, easing the tightness and related pain. I didn't expect this reaction. I am feeling hopeful that issues that were being attributed to the arthritis were being made worse by the thyroid issues and will improve with the thyroid meds.

    General update - After a week and half there is a noticeable difference in my skin and nails. Headaches have been reduced considerably. Less tired. Face and ankles less puffy.

    Thanks again to everyone for sharing your experiences and insights!
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