One step forward, two steps back

2020-07-20

Or at least, that’s how it seems with my labs. Back in January, my thyroid levels were as follows:

TSH: 0.431 (just below the normal range); T3: 123 (normal); T4: not measured

The labs from July 10 were:

TSH: < 0.005 (very low); T3: 164 (normal); T4: 2.39 (very high)

My vitals remain great with a weight of 181.4 (w/ clothes, down from 192); bp of 122/77, pulse of 54, and oxygen saturation of 98% (with a mask).

I remain asymptomatic but the doctor is, of course, concerned with regards to my TSH falling back to a super low level. He prefers I either go through one of the procedures to remove my thyroid but I again declined since I remain asymptomatic. Absent that, he wanted me to increase my dosage of methimazole but I didn’t agree to that either as taking that med is one of the reasons it was difficult for me to drop any weight.

I showed him my stats from my bike rides as he was also concerned about heart palpitations and I assured him that rapid heart rate hasn’t ever been a problem (from my last ride, I did reach a heart rate of 183 on a sprint) and how many people at my age can claim a resting pulse of 54?

I am distinctly aware of the warning signs for my particular set of symptoms from Graves. The most specific signs are muscle tremors and extreme weight loss, neither of which have expressed themselves since the initial diagnosis.

But due to his concern, and me being resistant to more aggressive treatment, he wants to check on my bone mass as bone loss is a possible symptom that is hard to observe physically so I will have a x-ray scan performed early next month and see whether that is the case. More to follow….

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