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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1:  I was diagnosed with Hashimoto's disease in 2001. I take thyroid extract (pork derived). My levels of TSH, T3, T4 are all 'normal' according to blood tests but I still feel terrible. I have tinnitus (but no hearing problems), TMJ problems, I'm tired all the time, sensitive to loud noises, have a very low tolerance to any stressors etc. I have read a lot of interesting material on sites like yours that suggest there may be ways to help me but no doctors I have been to seem to be open to exploring these alternatives. Can you recommend any holistic doctors in Melbourne who really understand the complexities of autoimmune disease and things like adrenal fatigue?

Answer:  There is some evidence that armour thyroid which is the pork extract you describe can increase reverse T3.  This hormone undermines the activity of T3 and T 4 making these hormones less effective.  There are other ways to take T4 and T3, which are formulated by compounding pharmacies.  You can contact 95896088, which is the phone number of an organization that has a database of all the doctors in Melbourne who are aware of this type of treatment and utilise compounding pharmacies.


QUESTION 2: About 3 months ago I felt a hot flushing in my face which persisted on & off, at this time I took my temp (with a Braun ear thermometer) it was around the 37.8 mark, I continued to monitor it for around 3 weeks with temps ranging from 37.2 to 38.3 at all times, taking panadol would not bring it back to (what I know my normal temp range is) of around 36.5.  Other than fatigue no other symptoms appeared.  I went to my local GP who was very thorough and had me keep up the monitoring while having bloods & repeat bloods done (all OK apart from fe studies were a little low) as well as a chest X-ray, pelvis and abdo CT (all came back normal).  As these were all normal he referred me to a specialist who examined me and told me that until other symptoms appear there was nothing they would do.  He also told me to buy a mercury thermometer as he thought that was a more accurate reading and said that I could expect the mercury reading to be about 0.5 less than the ear reading.  Even now my temps still range between 37.2 and 38.3 with the ear reading and with the mercury reading they are about 36.8 to 37.3.   The issue that I have is as I said previously when I have taken my temp prior to this my normal range has always been around 36.5 but I feel as though I'm being dismissed and they think it's my reading that is incorrect.  In saying that my local GP uses the ear reading also and is getting the same result that I am at home.  Do you have any advice on where I should take this next?

  Answer:  37.8 would be the centigrade equivalent of close to 100 degrees Fahrenheit, which would definitely constitute a fever.  It could be that you have an abnormal germ lurking somewhere in your body.  Your GP could organise to do what is termed a blood culture collection, which is one way to identify abnormal germs. It is also possible that you have an overactive thyroid or adrenals that are working overtime and these possibilities can be evaluated by means of the appropriate medical investigations.


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