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What Causes Hoarse Voice, Cold Hands And Weakness Inspite Of Having Hashimoto Thyroiditis?

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Posted on Mon, 9 Jun 2014
Question: I have Hashimoto Thyroiditis. My MD won`t give me any meds as my TSH is always normal. My brother is a neuropatholgist and said to look this up online and I should be on medication. So, I found a Dr. Brownstein on here and got 60 caps of Actalin. Been taking 2 weeks. Now, I am not so sure about this. I am a retired RN. My voice has gotten more harsh, cold hands, less energy. Could be old, too. I have been to endocrinologist for biopsy and ultrasound. This isn`t my concern. Do I take med on here or forget it. Like my MD says. My brother is in another state so cannot prescribe for me/
doctor
Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Thyroid

Detailed Answer:
I am sorry to hear about your symptoms.

The diagnosis of Hashimoto's thyroiditis has been traditionally and classically made by positive blood antibody levels such anti TPO (thyroid peroxidase) or anti thyroglobulin levels. However in recent years with advances in thyroid ultrasound, a characteristic ultrasound appearance has emerged to suggest the presence of Hashimoto's thyroiditis. I am referring to features such as heterogeneity and pseudonodularity, for example.

So may I please know how you were diagnosed.

Regardless, the autoimmune process typically causes sufficient destruction of the thyroid gland so as to elevate the TSH in response to lowered blood thyroid hormone levels. This constitutes a diagnosis of Primary overt or subclinical hypothyroidism, depending on certain biochemical criteria.

The point I am trying to make is that in some individuals it is a slow brewing condition that may never cause sufficient thyroid damage to lower its production of thyroid hormones. Hence blood work looks normal and the individual indeed has normal thyroid function.
In a small percentage of cases, there can be false positivity with antibodies.

So, if you fall in the last two categories, then your TSH is expected to be normal, and no medication is required as long as TSH and thyroid hormone levels are normal.

Finally, even if hypothyroidism is diagnosed correctly, then experts have repeatedly reinforced the fact that only levothyroxine suffices for the treatment of this condition.
Everything else being promoted worldwide, including actalin is not recommended by all respectable endocrine associations worldwide. Indeed, there are safety concerns over such products.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (16 hours later)
I believe I was diagnosed by my Ultrasounds. I just cancelled my Actalin order as I am thinking you know more about my condition from my description.
The one thing to take is Levothryroxin. This is not in Actalin.
You asked me how I was diagnosed. My mother had hypothyroid and took medication. I have all symptoms but loss of hair.Thick head of hair!
I will stop the Actalin. I haven`t taken anything all my like for this so guess I do not need med. Thank you for your answer.

XXXXXX YYYY@YYYY
doctor
Answered by Dr. Shehzad Topiwala (15 hours later)
Brief Answer:
Follow up

Detailed Answer:
I have noted the way you were diagnosed and your symptoms. Thank you for sharing. And you are welcome, I am happy to help
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Hoarse Voice, Cold Hands And Weakness Inspite Of Having Hashimoto Thyroiditis?

Brief Answer: Thyroid Detailed Answer: I am sorry to hear about your symptoms. The diagnosis of Hashimoto's thyroiditis has been traditionally and classically made by positive blood antibody levels such anti TPO (thyroid peroxidase) or anti thyroglobulin levels. However in recent years with advances in thyroid ultrasound, a characteristic ultrasound appearance has emerged to suggest the presence of Hashimoto's thyroiditis. I am referring to features such as heterogeneity and pseudonodularity, for example. So may I please know how you were diagnosed. Regardless, the autoimmune process typically causes sufficient destruction of the thyroid gland so as to elevate the TSH in response to lowered blood thyroid hormone levels. This constitutes a diagnosis of Primary overt or subclinical hypothyroidism, depending on certain biochemical criteria. The point I am trying to make is that in some individuals it is a slow brewing condition that may never cause sufficient thyroid damage to lower its production of thyroid hormones. Hence blood work looks normal and the individual indeed has normal thyroid function. In a small percentage of cases, there can be false positivity with antibodies. So, if you fall in the last two categories, then your TSH is expected to be normal, and no medication is required as long as TSH and thyroid hormone levels are normal. Finally, even if hypothyroidism is diagnosed correctly, then experts have repeatedly reinforced the fact that only levothyroxine suffices for the treatment of this condition. Everything else being promoted worldwide, including actalin is not recommended by all respectable endocrine associations worldwide. Indeed, there are safety concerns over such products.