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Severe fatigue after Hashimoto's thyroiditis
Posted by: Dima
Date: August 3, 2004 7:46 PM

I had Hashimoto thyroditis that started with hyperthyroidism and gradually turned into hypothyroidism. At first I couldn't take a lot of thyroid hormone due to the hypoadrenalism I developed from the stress of thyroid desease (the hypoadrenalism was confirmed by a 24hr urine cortisol test). I've been on Cortef, Armour, and some DHEA for a few months now. The Hashimoto's antibodies are long gone and the thryroid blood tests look normal. Yet, I feel I recovered only by 50%. My energy is very low. I can't sustain a job, I must lie down every few hours, and it's not uncommon for me to drop after walking on a treadmill for only 15 minutes. My wrist tendons are chronically inflamed and my CPK is high. My feeling is that I'm compensating for my hypometabolism with excessive thyroid and adrenal hormones. They're definitely helping but they didn't solve my problem 100%. As a result I don't believe I'm addressing the root of the problem. Thus, I'm wondering where to go next. I had a hair-based elemental analysis test (whatever it's worth) which showed excessive amounts of toxic metals (0.26 Uranium, 2.23 Mercury, 0.398 Bismuth). Since I have many mercury fillings I started to wonder whether their removal followed by a proper chelation therapy would help me. Questions: (1) Do you think amalgam removal and chelation therapy would improve my condition? (2) What else woud you recommend?

RE: Severe fatigue after Hashimoto's thyroiditis
Posted by: Ron Kennedy, M.D.
Date: August 3, 2004 10:17 PM

I can't tell you if any particular action will result in improvement in any particular case. What I can tell you is that when other possibilities for fatigue have been exhausted and a person is sporting a lot of dental amalgam, it very often is of great benefit to have the amalgam removed and to follow that with testing and treatment for the residual mercury burden (which is always rather large). A hair analysis is an rough indicator, but until the amalgam is removed and a DMPS Challenge Test has been done, you cannot know the degree of toxicity. An elevated CPK is curious. That indicates damage or stress to the heart, skeletal muscles, or brain. That should be accounted for. It can be as simple as doing a lot of exercise or as complicated as a brain tumor. I suggest you ask your doc to explain it or recommend further studies. Pyridoxine-5-phosphate is often of use for tendonitis as well as local heat and rest of the affected tendons. Usually in people with fatigue and heavy metal toxicity there is an element of digestive disruption which, until addressed after the metals are removed, continues to cause fatigue. Bloating is the most common symptom in this syndrome although constipation or diarrhea or chronically loose stool are also often present. That's it in a nutshell. Really, you need a good doc to help you sort this out. Not all docs are created equal ya' know. By the way, I am headed out for vacation in the morning, so if you have a reply be sure to post it today, 8/3/04. Otherwise, I will answer you about 8/15/04.

RE: Severe fatigue after Hashimoto's thyroiditis
Posted by: Dima
Date: August 4, 2004 4:16 AM

Can you recommend a good heavy metal detox doctor in my area, zip code 92130? As to the high CPK, my cardiologist was concerned about it too but once they measured troponin (the heart inflammation marker), they were sure it wasn't in the heart. I had a CAT scan of the brain, nothing abnormal there either. I don't have pain anywhere with an exception for wrists which alone may cause a high CPK. I went to the best rheumatologist in my area to check for lupus, arthritis, etc. - nothing came up in that department. Arden's book on thyroid disorders mentions tendonitis and high CPK as a part of hypothyroidism... Yet, even large doses of thyroid hormone didn't stop the pain. Therefore I no longer believe I'm hypothyroid, even though I show some symptomps of hypothyroidism (20 lbs. over, bloated, puffy eyes, fatigue, etc). I definitely have a metabolic problem but I don't know where exactly. Any means of boosting metabolism helps me to some extent yet none solves the problem completely. When I take too much thyroid and too much DHEA I get overstimulated, yet it doesn't produce additional energy! Large doses of Cortef didn't do it either. I think the problem is elsewhere. What else, besides heavy metal detoxification, would you recommend that I check? What about the deseases of mitochondria?

RE: Severe fatigue after Hashimoto's thyroiditis
Posted by: Ron Kennedy, M.D.
Date: August 4, 2004 4:35 AM

Click on Find A Doctor to track down a doc in your area. A lot of docs who practice advanced alternative medicine get it about heavy metals. As to what else might be going on, hidden chronic infection is the usual culprit in cases like yours. There are only a couple of places chronic infections can hide out: cavitations and gut wall infections. Use Search This Site above left to track down information on those items. If this is what you have, you really have to have the right doctor and I don't know any one person who has a full grasp of all of these subjects. Not to say they don't exist - I simply don't know any.

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