It's been awhile since I've blogged/blabbed about this and wanted to update everyone on how things were progressing and what I've learned since. That, and perhaps while helping others it'll also serve as a journal of my symptoms, in a way.
May: I started on 25 mcg of Synthroid. Almost immediately I felt awesome, like I had a caffeine infusion all day long that everyone jokes about wishing they had. It was scary how awesome I felt. I noticed I had more energy all day long, even as I was getting ready for bed. My motivation to work on things increased, probably in combination with the good weather and having more time because husband and kids were not in school and we had fewer obligations to go places, etc. My overall mood seemed to improve, and aside from the usual PMS symptoms around my period, my irritation at things seemed to subside.
May 30: We traveled to visit family for a few days. I noticed how I was waking early in the mornings, not being able to fall back to sleep. I noticed overall how I needed less sleep and felt great in the morning, like I didn't even need coffee. Before Synthroid, I was sluggish in the morning, sometimes even after coffee, and felt like it was an impossible task just to wake up in the morning. Now it was like the crack high I'd never experienced.
June 20: Gradually I noticed being more tired in the evenings and definitely ready for bed, sleeping well and being near exhausted by the time bedtime rolled around. I figured I was so tired at night because I had done so much during the day, or felt like a ball of energy that finally gave way at the end of the day. We had gone to an area state park and hiked, and I felt like I could hike more easily without getting too tired or experiencing shortness of breath, something I'd felt (even while doing nothing) before the Synthroid was started.
Mid July: I am definitely noticing a tapering off of effectiveness with the medication. I won't say the meds have stopped working, but I definitely need to be re-evaluated. I still have energy, but am finding it harder to wake up in the mornings again. Earlier I had decreased my food intake and lost a few pounds, and while my diet isn't perfect, I've managed to gain some weight back as time has progressed, unfortunately, even while attempting to eat less. I'm wondering how much of that is fluid. One day I decided to take 1 1/2 pills instead and had enough energy to hike and do a more strenuous workout at the pool - it was like feeling like I could move a barge. However, I was exhausted that night but still had trouble 'coming down' from the medication to fall asleep.
July 18: I had bloodwork and visited the doctor. I explained my symptoms and how they were recurring; he thinks the shortness of breath is from 'anxiety.' I have no anxiety. All I know is that it disappeared after I started Synthroid in the beginning and is now returning. I am also extremely irritable about almost everything. He upped my dose - after telling me that my still-within-normal-range TSH levels are decreasing - and after four days on the meds, I feel no better. On Friday I requested that they order a Reverse T3 test - which determines if I have trouble converting the inactive hormone to the active, 'energy' hormone - and he said nothing about those results, so I'm going to have them faxed to me instead. I've still been exercising and eating less, but don't feel any different - although I know it's only been about 10 days I'm getting discouraged. It's miserably hot here and I wonder if the heat and humidity are making me feel so sluggish.
He also wrote a script for more bloodwork (to be done later) and an ultrasound of my neck, which should be interesting.
I'm not sure what my next course of action should be - if I need T3 in addition to T4, I do not want to be on two expensive meds; I'd rather take Armour, which is cheaper and has both in it. The next step would be finding someone willing to prescribe it, which will probably not be an easy task.
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