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You'll recall that several issues back I wrote about Seasonal Affective Disorder, a problem I have dealt with for many years. This year, however, it seemed particularly vicious. I found myself having trouble dragging myself out of bed before noon. I caught two colds in six weeks time. I couldn't think clearly or concentrate. I was tired all time. The slightest exercise made me ache to the point of needing muscle relaxants. I gained weight - enough so my jeans were tight - even though I wasn't eating any more than usual. I had constant headaches that were unmoved by aspirin or ibuprofen. I was depressed to the point of weeping frequently, when anyone who knows me can tell you I'm not a weepy person. My sex drive dried up - this, when I'm married to a man I adore, and who inspires other women to sidle up to me at parties and murmur, "Your husband is cute!"
I began to wonder if there was something more wrong with me. I wondered about a systemic yeast infection, since I'd taken two rounds of antibiotics in the past year. I worried I might have fibromyalgia, or chronic fatigue, or even Epstein-Barr virus. Finally I saw my doctor. (I would have gone sooner, but she was on vacation.)
Bless her, she took me seriously. All too often, doctors look at a middle-aged woman with my symptoms and simply label her "neurotic." But Dr. Florini listened, agreed there was a genuine problem, and said, "Even though you may feel better when April rolls around, that's eight weeks. I don't like to leave you like this. We could try a low dose of an anti-depressant, or we could bump up your thyroid medication a little." When we discovered my body temperature was 97.1, it became clear that thyroid was the thing to try.
So she increased my dose of Armour Thyroid (natural desiccated thyroid,) and sure enough, I quickly started feeling more like myself.
As a result, I've been reading a lot about thyroid problems, and I thought it vital I give you a heads-up. After all, if your thyroid is low, all your attempts to lose weight and become healthy and energetic will be in vain. Here, from Mary Shomon's excellent site at About.com, is a list of hypothyroid symptoms:
____I am gaining weight inappropriately
____ I'm unable to lose weight with diet/exercise
____ I am constipated, sometimes severely
____ I have hypothermia/low body temperature (I feel cold when others feel hot, I need extra sweaters, etc.)
____ I feel fatigued, exhausted
____ Feeling run down, sluggish, lethargic
____ My hair is coarse and dry, breaking, brittle, falling out
____ My skin is coarse, dry, scaly, and thick
____ I have a hoarse or gravely voice
____ I have puffiness and swelling around the eyes and face
____ I have pains, aches in joints, hands and feet
____ I have developed carpal-tunnel syndrome, or it's getting worse
____ I am having irregular menstrual cycles (longer, or heavier, or more frequent)
____ I am having trouble conceiving a baby
____ I feel depressed
____ I feel restless
____ My moods change easily
____ I have feelings of worthlessness
____ I have difficulty concentrating
____ I have more feelings of sadness
____ I seem to be losing interest in normal daily activities
____ I'm more forgetful lately
Mary also lists the following additional symptoms, which have been reported more frequently in people with hypothyroidism:
____ My hair is falling out
____ I can't seem to remember things
____ I have no sex drive
____ I am getting more frequent infections, that last longer
____ I'm snoring more lately
____ I have/may have sleep apnea
____ I feel shortness of breath and tightness in the chest
____ I feel the need to yawn to get oxygen
____ My eyes feel gritty and dry
____ My eyes feel sensitive to light
____ My eyes get jumpy/tics in eyes, which makes me dizzy/vertigo and have headaches
____ I have strange feelings in neck or throat
____ I have tinnitus (ringing in ears)
____ I get recurrent sinus infections
____ I have vertigo
____ I feel some lightheadedness
____ I have severe menstrual cramps
Add to this one more symptom: Low body temperature. Mine sometimes ran as low as 96.4 during the day. Think about that: That's 2.4 degrees below normal. If my temperature were 2.4 degrees above normal, I'd have a fever of 101, and any doctor on the planet would take it seriously. I can tell you from unpleasant experience that a swing in the other direction can make you feel just as wretched, whether it alarms your doctor or not.
Be aware that it is estimated that millions of people in the US alone suffer from undiagnosed thyroid problems, and that possibly as much as 15% of those who have been diagnosed with depression are actually hypothyroid. Know, too, that thyroid tests are notoriously inaccurate, and that medical opinions on the meanings of those tests, and what constitutes a "normal" range, are changing. For example, just this year the "normal" value of the commonly used TSH test was changed from 0.5-5, to 0.3-3. Since higher values indicated hypothyroidism, that means that everyone who had a TSH between 3 and 5 and was told they were "normal" is now officially hypothyroid!
If you have a number of these symptoms, I urge you to visit Mary's websites and learn more:
http://thyroid.about.com/blthyroid.htm
In particular, if your doctor refuses to take the possibility of thyroid problems seriously, avail yourself of Mary's "Top Thyroid Doctors" list. It's the only list of its kind on the internet, and you can access it free. (Dr. Florini is on it, though I didn't know that till after she'd increased my dosage.)
I also highly recommend Mary Shomon's wonderful book Living Well With Hypothyroidism
Take a look, too, at The Thyroid Diet - Mary's hip to carb control, and agrees with me that there's no one dietary approach that's right for everyone - you have to try things and see what works for you.
Mary and I spent a good hour and a half on the phone recently. I liked her very much, and I hope to work with her on a joint project of some kind in the future. Please, take advantage of her knowledge and experience.
Posted by HoldTheToast at March 7, 2006 10:48 PM