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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment Offered For Hashimoto's Disease Besides Treating Mood Swings And Hormonal Imbalance?

Why is there no MD out there who deals specifically with hashimotos disease? I can only find chiropractors who will even deal with mood swings, hormonal imbalance, and the autoimmune disease its self. I am 65 years old and have lived with this disease for over 40 years. I have been gluten free for 3 years now, but I see very little difference in my highs and lows. My heart aches when I read all of these symptoms that others are suffering yet there seems to be no one in the medical community to go to. I have been treated with depression drugs, bi-polar disorder drugs, and realize that this really is a serious disease, people feel helpless and hopeless. Every endo tells me that my t4 t3 levels are fine and that I should feel fine, trust me that is not true and it is time for the medical community to help those who suffer with this disease, thank you for your consideration and if you can get me a doc that can help it would be much appreciated. I live in Utah in the Cache Valley area
Tue, 4 Mar 2014
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Endocrinologist 's  Response
Hi Dear,
Good day.
Endocrinologists deal with HAshimotos's disease and other Thyroid disorders.
I do agree with you that, some of these symptoms could be due to hypothyroidism itself.
I do also agree that often people continue to complain about hypothyroid symptoms despite having a normal T3/T4 level whilst on levothyroxine. THIS IS A CONCERN. As an Endocrinologsit, i have seen many patients complaining the same.

Every tissue in the body require thyroid hormones and there are thyroid hormone receptors sitting in many tissues. Levothyroxine need to be converted to T3 at the tissue level for utilization. If that mechanism is defective, then you may continue to have symptoms of hypothyroidism despite your blood T3/T4 levels being normal. This is called TISSUE LEVEL HYPOTHYROIDISM" which is a recently recognized entity.

Unfortunatly, at the current time, we can not offer anything other than Levothyroxine tablets. ( which you may be taking allready and i noted that your T3/T4 levels are normal)

Having said this, there could be other reasons apart from Hashimoto's disease behind your mood swings /depression etc. Please find a GP/Endocrinologist who spend enough time with you and can listen to you carefully. And beleive me, breathing/relaxation exercises and Yoga etc are really useful when you deal with above symptoms. Treat yourself with a good massage once a while. That helps too.

HAve a great day

Regards
Binu
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What Is The Treatment Offered For Hashimoto's Disease Besides Treating Mood Swings And Hormonal Imbalance?

Hi Dear, Good day. Endocrinologists deal with HAshimotos s disease and other Thyroid disorders. I do agree with you that, some of these symptoms could be due to hypothyroidism itself. I do also agree that often people continue to complain about hypothyroid symptoms despite having a normal T3/T4 level whilst on levothyroxine. THIS IS A CONCERN. As an Endocrinologsit, i have seen many patients complaining the same. Every tissue in the body require thyroid hormones and there are thyroid hormone receptors sitting in many tissues. Levothyroxine need to be converted to T3 at the tissue level for utilization. If that mechanism is defective, then you may continue to have symptoms of hypothyroidism despite your blood T3/T4 levels being normal. This is called TISSUE LEVEL HYPOTHYROIDISM which is a recently recognized entity. Unfortunatly, at the current time, we can not offer anything other than Levothyroxine tablets. ( which you may be taking allready and i noted that your T3/T4 levels are normal) Having said this, there could be other reasons apart from Hashimoto s disease behind your mood swings /depression etc. Please find a GP/Endocrinologist who spend enough time with you and can listen to you carefully. And beleive me, breathing/relaxation exercises and Yoga etc are really useful when you deal with above symptoms. Treat yourself with a good massage once a while. That helps too. HAve a great day Regards Binu