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Questions and Answers Segment
Your questions answered
every 2 weeks. If you have a question for Dr Elstein,
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QUESTION 1:
I have had ongoing fatigue extreme at
and exercise intolerance for the past 12 years since
having radioactive iodine treatment for graves disease.
Taking 150mcg of thyroxine per day, Inderal for
palpitations, Losec for reflux oesophagitis. The doctor
says my thyroid level is spot on and currently blames my
problems on anaemia. Have only become anaemic over the
last 2 years. I have a slight heart problem that is why
I was prescribed the Inderal and only take 20mg once a
day any more makes my blood pressure drop below 100. I
suffer a lot of muscle pain and spasms and have several
periods of myotonia over the years. I have been seeing a
neurosurgeon who says I have some sort of dystonia and
has been keeping an eye out for Parkinson’s disease
but doesn't think it is that. So I am a loss at present
at what or who to see next. I believe that thyroid
resistance can be a problem with some people using T4
replacement also read that using T3 could be dangerous
as it can increase the palpitation problem. I would be
grateful for any advice you would be kind enough to
offer.
Answer: It
would be a good idea to have a complete work-up, which
would include having your hormone levels, vitamin and
mineral status, food allergies/intolerance, bowel
function and liver capacity assessed.
Why have you become anaemic?
Are you not absorbing your nutrients effectively?
This needs to be explored as you may have an
imbalance of the normal flora of your bowel.
Is you thyroid function really spot on? You need
to establish whether your T4 and T3 levels are in
mid-range. Nutrients
such as selenium, magnesium, creatine, carnitine, the B
vitamins and coenzymeQ10, vitamin E and vitamin C might
help your condition.
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