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Re: THYROID: Elevated Androgens & Thyroid antibodies
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Wed, 30 Apr 2008 20:05:46 -0500 (CDT)
At Tue, 29 Apr 2008, Kate wrote:
>
>Dr. Futterweit,
>
>Thanks kindly for your speedy response. I did a google search and see
>that this is definitely your area of expertise and feel honored to
>receive a response from you.
>
>In my own mind, I had been wondering that given how common PCOS and
>thyroid dysfunction is-that it's well within probability that a woman
>can have both and for no other reason than how common both of these
>conditions are.
>
>Living on an island in Alaska, with only 3 G.P.s -I've decided that I
>need to seek help out-of-town but first, wanted to get input from those
>who specialize in hormonal conditions. It is a blessing what you do.
>
>Thank you again.
>Sincerely,
>~Kate
Dr.Futterweit:
You are very welcome.
Good luck,
Dr.Futterweit
>
>At Mon, 28 Apr 2008, Walter Futterweit, MD, FACE,FACP wrote:
>>
>>At Sun, 27 Apr 2008, Kate wrote:
>>>
>>>I understand that there is an increased prevalence of thyroid
>>>auto-immunity amongst PCOS patients. In your findings, is this correct?
>>>
>>>In June of 07 my labs came back showing elevations in:
>>>Testosterone, serum: 79 ng/dl (14-76)
>>>Testosterone, Free: 1.12 ng/dl (.10-.85)
>>>dhea-s: 324 ug/dl (45-270)
>>>
>>>as well as elevated Cholesterols (but in range triglicerides)
>>>
>>>As well, I have shown elevations in:
>>>Throglublin Antibodies: 47, down to 43 and recently, down to 41 (upper
>>>reference being 40)
>>>and elevated TSI (thyroid stimulating immunoglobulins):134 (upper
>>>reference being 130)
>>>TSH within range but felt horribly when at it's highest (on paper,
>>>anyway) which was 3.70
>>>
>>>My doctor seems to think these are just my "normal" but I have a hard
>>>time accepting this, in light of symptoms (which I expressed, long
>>>before these labs were drawn) as being normal. As well, I have gained
>>>considerable weight, which outside of pregnancy, is unlike me.
>>>
>>>Is there anything my doctor should consider, that may help them make a
>>>diagnosis? Life's too short to feel this badly.
>>>
>>>The only medication I am taking is Lexapro. For a-while, I was taking
>>>BC Pills to regulate my menses but they didn't work for me. My doctor
>>>wanted to see what my own system would do, being off of them.
>>>
>>>Since the birth of my last child, 3 years ago, my hormones have never
>>>really gotten back on track.
>>>
>>>Thank you for your time,
>>>
>>>A 36 year old woman
>>
>>Dr.Futterweit:
>>PCOS does NOT have an increased incidence of thyroid autoantibodies in
>>the majority of papers written on this. I also studied this in 1988,
>>and found that PCOS women and normal women have the same prevalence. By
>>the way, in
>>a young woman, any woman, a TSH near 4.0 appears to be an indicatetion
>>for readjusting you thyroid status with positive thyroid autoantibodies
>>for subclinical hypothyroidism with a small dose of synthroid, about a
>>50 ug tab daily. Best wishes,
>>Dr.Futterweit
>>
>>--
>>Walter Futterweit, MD, FACP, FACE
>>Clinical Professor of Medicine, Division of Endocrinology
>>Mount Sinai School of Medicine, New York, NY 10029
>>http://www.aacehost.com/pages/page.php?r=716
>>
--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716
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