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Re: THYROID: Elevated Androgens & Thyroid antibodies
From: Kate (anonymous@obgyn.net)
Tue, 29 Apr 2008 15:58:50 -0500 (CDT)
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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
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
>
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