Ask the Nurse

I was diagnosed with Hashimoto’s thyroid disorder. My labs show me ’in normal range.’ My endocrinologist did not recommend thyroid hormone replacement until necessary (she said it could be years), and my GP prescribed me the thyroid hormone and thought I’d start with half a pill and "see how I feel". Most of my symptoms are hyperthyroid, and my latest labs from one month ago show me ’slightly hyper.’ I am not taking hormones as of yet, as I’m worried they will make me MORE hyper. I am on propranolol to assist with high blood pressure that literally occurred overnight after years of no issues. Meanwhile, I feel my body is simply deteriorating. The last 4-5 months I’ve had cracking of bones, a feeling of my connective tissue being compromised, and most recently a pretty bad case of psoriasis that itches and nail-pitting. I feel like my body is deteriorating, quite frankly and I’m not sure if this is Hashimoto’s OR something else going on? If it is Hashimoto’s, would starting thyroid HELP with some of the tissue/bone sensations? Frankly, my endocrinologist even told me to just keep my management to my GP and check in with them once per year. My second question, my psoriasis has been under treatment for 2 weeks now with no improvement and my doctor says to just stay the course. It itches so much and feel/looks like hives - very itchy welts on my lower legs, buttocks, hips. thighs and elbow. Is there another ’rash’ that often accompanies hashimoto’s patients? If this is psoriasis, it sure is stubborn.

Hashimoto’s is an autoimmune problem common in women. Please download our free Thyroid Disorder Treatment Guide for more information and treatment options.

The goal TSH in women, on or off thyroid replacement, is 0.4-4.0. Taking too much thyroid with a ‘slightly hyperthryoid’ state is not good for your body.

If you are having bone pain and psoriasis you may want to have your 25-OH vitamin D level checked. Since you are not getting satisfaction with your symptoms and interaction with your physicians, you may want to get a second opinion from a thyroid expert as well as a dermatologist.

All My Best,
Speaking of Women’s Health nurse

November 25, 2015 at 2:14pm