Hypothyroidism :: Anion Gap Is Low (3)


Jan 26, 2016

I have hypothyroidism and take Synthroid daily. Recent blood work done in Dec. 2015, shows that my anion gap is low (3) - normal range is (5-15 mmol/L) My protein serum is 5.9 within the normal range of 5.6 - 7.9 g/dl and albumin is 3.7 with a range of 3.5 - 4.9 g/dl. These tests did show that I have iron deficiency anemia, and the CBC panel had lots of highs and lows. When I looked back over blood results that I had done a year ago, my anion gap was 7 and I now noticed my Vitamin D level was insufficient (22 ng/ml). Other than the iron deficiency, my doctor hasn't addressed any of these other results. Last years blood tests were done at my request because I had concerns about recurring sinus infections, and I had mentioned to the the doctor that my grandmother, her son and her brother all died of multiple myeloma.  The IgA test done last year was in the normal range (271 mg/dl)  Should I have additional blood work and if so what tests should be done?

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The doctors started me on 150 micrograms of Levothyroxine, which was then increased to 200. I went down to a size 10/12 and felt happy, healthy and fit. I had so much energy and found myself wanting to work out once, sometimes twice a day. The positivity came from nowhere, my skin felt great, my hair felt strong and the weight seemed to melt away.

I'm now 22 and I am feeling depressed, tired all of the time, I have no energy to work out and I find myself forgetting things all of the time. I find myself asking how I've ended up back where I started. I'm still on 200 micrograms of thyroxine - but I've now been diagnosed with Polycystic Ovaries.

I just feel like I'm getting nowhere, I'm back to a size 18, I don't feel confident, I just feel like this condition is destroying my life and there's nothing I can do about it. I try to push myself to exercise, but I just don't have the energy. I work full time and by the time I get home I am far too tired to move. I go straight to sleep, sometimes without eating. So how am I putting on weight?

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However having written that some bloods were taken but by a different speciality. I am awaiting the results. I am also awaiting an appt to see endo surgeon and endo physician. Today is a bad day due to subjective sensation of sob. Also have some neck and shoulder pain and slight irritating cough which comes and goes.

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Based on what I have read, it seems that a low T4 associated with a normal TSH may be linked to issues with the pituitary gland (and not the thyroid) or issues with binding agents.

Is hypothyroidism and the use of synthroid indicated in my case?

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my symptoms are

Fatigue

Muscle pain

sore lower back

stiff neck

sinus problems/ phlegm in throat/ blocked nose

dry throat and mouth

red nose/ rosacea

cold hands and feet

anxiety

depression

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mood swings

excess urination

excessive thirst

prickly/itchy/burning legs and feet when stood still for a few minutes.

clay coloured stool / diarrhea

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free t4 10.9 -----------?

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Gas anyone heard of any medications that can cause or worsen hypothyroidism?



Many thanks



Jean x

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