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Three and a half years ago my symptoms started with an intense tightness in my back, along with weird swelling  and sweating symptoms, inflammation (ESR, CRP), and vitamin deficiencies, severe b12 and ferrtin anemia, and low albumin. I have since been able to tie the symptoms to eating, but could never narrow it down as to what food bothered me.

After 1.5 months of elimination diet, it seems that any carb causes instant bloating in my stomach and fingers, up to my upper arms and the right side of my face.  I have anti-TPO antibodies and have issues with my thyroid. My TSH is normal (1.o) but the free T4 was at the very bottom of the normal scale 9.7 pmol/L or 0.77 ng/L.

I’d like to think that all my issues are thyroid related. I know that wikipedia says:”The thyroid hormones are essential to proper development and differentiation of all cells of the human body. These hormones also regulate protein, fat, and carbohydrate metabolism, affecting how human cells use energetic compounds. They also stimulate vitamin metabolism. ”

The question is, is it central hypothyroidism, meaning my pituitary, given that my TSH is normal? My doctor tells me I’m stressed or have fibromyalgia. I’m at the point where I’ve almost stopped eating, but am not losing much weight. The carb reduction has definitely made me less swollen and my pants are baggy. My face is red all the time and I’m used to being ghost white.  My hair is disgustingly dry and frizzled and turning grey super fast (embarrassing, I’m mid 30s).

Just looking to see if anyone else has had similar problems…any hypothyroid people with this issue?

 

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About two months ago, a blogger identified my symptoms as adrenal fatigue (thank you Bethanie).  After an extensive amount of research on my end (thank you Dr. Lam: www.drlam.com/articles/adrenal_fatigue.asp), I agree this fits my situation to a “T”. However, what it’s hard to glean from all of the literature is what does this really feel like in real life.

Update: interesting relationship between thyroid and adrenaline: Note: http://tiredthyroid.com/feeling-hyper-when-hypo.html Thyroid and adrenaline (epinephrine) have an inverse relationship. [1- 4]

My symptoms started with sudden sleep issues (up every night from 1-3 am). I had ringing in my ear at night. I had sudden urges to pee, out of no where!  When the thigh numbness started I worried, but when the face twitching/numbness started I outright panicked.  This was not good for me! If I had known what was happening, I probably would have spared myself a whole lot of damage. However, for the next 6 months I panicked about what was causing my weird numbness and tingling, watery diarrhea, and complete inability to nap or sleep.

You can read the whole saga under the blog “numbness & tingling on the right side”.  Over a year later I am still suffering the same symptoms, however, to a lesser extent. Knowing (or at least thinking I know) what is going on with me makes it much more manageable and much less stressful.

Main symptoms

  • starts with my right thigh – goes tingly, then both thighs, then my upper arms go tight and sore.
  • My skin is often cold (even to the touch).
  • Alternating sweet cravings and salt cravings
  • sudden urges to pee
  • right eye twitching
  • mild edema all over (worse at times), noticeable in my legs, face (chin), upper arms and stomach. It almost looks like I suddenly get cellulite in my stomach and legs but it’s just water and goes away.  My upper arms get water-logged and a little jiggly, but goes away.
  • wrinkly hands and fingers, like they’ve been soaked in water for hours
  • some days I have really bad fatigue (the swollen days), but on the tingly days my energy is fine.
  • I get lots of muscle cramps and aches
  • photo-sensitivity comes and goes
  • I believe a lot of my symptoms are due to macro-mineral issues: calcium/magnesium balance, sodium/potassium balance. However, my willy-nilly taking of vitamins doesn’t get the balance right.
  • Cycles used to take months, but it now takes about 1 month to cycle through these symptoms.
  • I’ve gained weight, in my stomach and face, despite typically gaining it in my lower body. Ugh.

The biggest lessons I’ve learned:

  • I try to stay calm and take hot baths before bedtime, read my book and fall asleep with no lights and no TV on in the room.
  • I do take B vitamins (b12 helps with energy), iron (Euro-Fer/Palifer), magnesium, vitamin C and vitamin D. I’m not religious about it like I used to be. I took a bottle of Milk Thistle until I finished it. I am feeling better, though not cured.
  • When my muscles are really crampy I do take calcium and it does help. I’ve been told that it shouldn’t, but it really does help when all of my muscles are tight.
  • I used to live on cereal and now I try to eat more protein. In fact, I’ve read that limiting carbs is the fastest way to recovery. I hadn’t tried it (because I love carbs), but I am starting to ween.
  • When I’m tingly and cold beta-blockers help! I get weird muscle cramps in my upper arms and cold spots all over the body, and I suspect it’s caused by vasoconstriction (epinephrine?) because beta-blockers make this better. However, if I take too much beta-blocker I get light-headed and sweaty.
  • I tried playing competitive volleyball again, but it was at night and my muscles cramped up afterwards and I was easily rattled (embarrassing – I got emotional on the court and that is soooo not like me!). It’s recommended to exercise in the morning and not too intense.
  • Stuffy nose when I lay down only. As a result, I wake up with a sore throat. Not sure if it’s reflux or post-nasal drip.

Here’s hoping normal is not too far away!

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Symptoms of Fatigue. Numbness & Tingling. Muscle Aches. Sweating. Chills. Heart Palpitations. Nausea. Low Blood Pressure. Diarrhea. Excessive Hunger and/or Thirst. All at once?

Diagnoses of Anxiety, Fibromyalgia, Celiacs or MS?!

Thanks to a comment from a reader, I have started investigating adrenal insufficiency.Finally, a diagnosis that makes sense given the fact that I had a year with 5 major life-changing and stressful events preceding my symptoms. (

For my symptoms, check out “Numbness & Tingling on the Right side“).
For my latest theory on what’s happening, check out “Numbness, Tingling & Cold Spots = Stress + Vasoconstriction

Update: interesting relationship between thyroid and adrenaline: Note: http://tiredthyroid.com/feeling-hyper-when-hypo.html Thyroid and adrenaline (epinephrine) have an inverse relationship. [1- 4]

I finally got my doctor to agree (after I did all the research and pieced together a diagnosis), that the likely cause of all of my strange symptoms was “from stress wreaking havoc on my adrenal glands”.  The medical community had already ruled out MS, Lupus, Rheumatoid Arthritis, Celiacs, Ankylosing Spondylitis and more! Plus, there is a correlation between thyroid and adrenal dysfunction! It probably wouldn’t have been so bad if it had ben diagnosed right away. Instead, thinking I had one of those other diseases made me even more stressed. For six months I thought I was dying, and “impending sense of doom” is actually a symptom of adrenal fatigue.

When my cortisol and aldosterone were spiking, I had period numbness, tingling and “silent migraines” throughout my body. I think this may have been from norepinephrine – as they usually happened after something mildly stressful. This is a powerful natural vasoconstrictor. A vasoconstrictor causes the veins in the body to become more narrow. This increases the workload on the heart to pump your blood through your body. It also results in the high blood pressure often seen in people going through stressful situations. While NE can cause hypertension, local vasoconstriction, and tissue hypoxia in any patient, those with hyperthyroidism or who are also taking certain medications are particularly at risk. The drug can produce profound hypertension, local vasoconstriction, and tissue hypoxia. NE-induced hypertension typically presents as headache, photophobia, stabbing chest pain, pallor, intense sweating, and/or vomiting. Typical nervous system responses are anxiety and fear, headache and increased sensitivity to light sources.

Other infrequent side effects may include muscle pain or weakness, numbness or coldness in the arms or legs, trouble breathing or heart rate irregularities.

After several months (3ish) of numbness and tingling, adrenal fatigue set in, which is when my symptoms changed and my doctor thought I was a hypochondriac.  I was tired all the time, super dry hair and mouth, really achy hips and arms, heart palpitations (often at rest or in bed), dizzy spells, nausea, and oh, did I mention super, super tired! I also went through a period of snoring and would wake up feelingl like I was suffocating – never snored before or since. If I got out of the house, I could usually push myself through a day, however, when I stopped moving it was like I was hit by a truck and the whole next day I would be completely useless – seriously, couldn’t get off a couch.

By the end of June (6 months of symptoms), I had:

  • elevated inflammation markers (ESR = 34; CRP = 5)
  • Vitamin B12 deficiency (I wasn’t deficient at the onset (b12 = 270) but after 6 months of symptoms it was 115)
  • Magnesium deficient
  • Anemic
  • Low Ferritin (as low as 10)
  • Hypocalcemic
  • TSH was normal (I’m on PTU for my Graves Disease, although it was higher than normal for me – as high as 3.0 preceding my symptoms)
  • NOTE: these might have been exacerbated by my pregnancy, which happened shortly after the onset of the symptoms. A happy miracle!)

The longest lasting troublesome symptom has been that both my upper arms feel sore all the time, (tight, swollen and achy sensation with mild swelling). Haven’t been able to figure this out except that aldosterone can mess with your electrolytes, which can cause muscle spasms, etc… if calcium, magnesium, potassium and sodium are out of balance. (February 2012, and I still have sore arms, although they aren’t as bad, and it comes and goes now. Waiting to find an equilibrium! Read my latest blog on my vasoconstriction theory here: Numbness & Tingling, Cold spots on skin = stress & vasoconstriction )

Stop the Thyroid Madness explains:

Your adrenals, two small glands that sit on top of your kidneys. The outer cortex of your Adrenals produces the hormones cortisol, aldosterone, testosterone, DHEA, DHEAS, androstenedione and estrogens. And both cortisol (a glucocorticoid) and aldosterone (a mineralcorticoid) are vital and important players in your health and well-being.

When your adrenals become fatigued, they don’t make enough cortisol. And though low cortisol does not always equal low aldosterone, there may be a significant body of thyroid patients who with their low cortisol have low aldosterone!

WHAT IS ALDOSTERONE? Aldosterone is the principal of a group of mineralocorticoids. It helps regulate levels of sodium and potassium in your body–i.e. it helps you retain needed salt, which in turn helps control your blood pressure, the distribution of fluids in the body, and the balance of electrolytes in your blood.

WHAT HAPPENS IF ALDOSTERONE GETS TOO HIGH OR LOW?

When aldosterone gets too high, your blood pressure also gets too high and your potassium levels become too low. You can have muscle cramps, muscle weakness, and numbness or tingling in your extremities.

But when it gets too low, which can be common in some patients with cortisol deficiency, your kidneys will excrete too much salt, and it leads to low blood pressure; low blood volume; a high pulse and/or palpitations, dizziness and or lightheadedness when you stand; fatigue; and a craving for salt. Other symptoms of low aldosterone can also include frequent urination, sweating, a slightly higher body temperature, and a feeling of thirst, besides the craving of salt. Potassium can fall, as well, resulting in muscle cramps and aches.

This is the best article I’ve read on the adrenals: http://www.drlam.com/articles/adrenalexhaustion.asp?page=1

Here’s an explanation for some of my symptoms (in relation to cortisol levels).

Numbness & Tingling: Theory 1

  • Numbness and tingling is caused by a shift in the nerve electrolyte balance. ie water, K, Na, Ca, Mg, etc. Nerves are basically ion pipes that propagate an electric charge.
  • When aldosterone gets too high, your blood pressure also gets too high and your potassium levels become too low. You can have muscle cramps, muscle weakness, and numbness or tingling in your extremities.

Theory 2:

  • Cortisol increases blood pressure by increasing the sensitivity of the vasculature to epinephrine and norepinephrine = vasoconstriction = numbness:
  • Cortisol’s enhancement of epinephrine’s vasoconstrictive effect = reduced blood flow to muscles

Vaso-constriction. Cortisol contracts mid-size arteries.

 Diarrhea
  • Cortisol acts as a diuretic hormone, controlling one-half of intestinal dieresis,
  • Cortisol stimulates gastric-acid secretion.Cortisol’s only direct effect on the hydrogen ion excretion of the kidneys is to stimulate the excretion of ammonium ions by deactivating the renal glutaminase enzyme.

 Insomnia
/ Energy

  • Cortisol increases blood pressure by increasing the sensitivity of the vasculature to epinephrine and norepinephrine.
  • Cortisol production follows a curve from highest levels around 8am, dropping throughout the day until the lowest levels are reached about 11pm. In early stages of adrenal fatigue the body compensates with high night time cortisol. In this case the person finds it difficult to relax from the stress of the day and has trouble going to sleep. High night-time cortisol results in reduced REM sleep which is neither restful nor restorative. This can lead to depression and reduced energy levels the next day. In later stages of adrenal fatigue, the body may produce adrenaline (“fight or flight” hormone) in an attempt to compensate for low cortisol. This too will result in insomnia.
  • Stimulates hepatic detoxification by inducing tryptophan oxygenase (reducing serotonin levels in the brain), glutamine synthase (reducing glutamate and ammonia levels in the brain), cytochrome P-450 hemoprotein (mobilizing arachidonic acid), and metallothionein (reducing heavy metals in the body)[
 Weight / Hunger  Normalizing blood sugar level. Cortisol increases the blood sugar level in the body, thus providing the energy needed for the body to physically escape threat of injury in order to survive. Cortisol works in tandem with insulin from the pancreas to provide adequate glucose to the cells for energy. More energy is required when the body is under stress, from any source, and cortisol is the hormone that makes this happen.As adrenal fatigue progresses, blood glucose levels will tend to fall too low. The body responds to hypoglycemia by causing the person to crave anything that will rapidly raise blood sugar levels, such as a soda, candy bar, a cup of coffee or even cigarettes. Often adrenal fatigue leads to the abuse of alcohol, marijuana, and hard drugs because of the need to “fix” recurrent hypoglycemia. Unfortunately, the rapid rise in blood glucose provided by the “fix” only serves to start the whole cycle over.

I’m hungry, I need sugar NOW!
The adrenal glands, which rest on top of your kidneys play a vital role in controlling blood sugar. If the adrenals are exhausted from stress and sugar is the only food that’s fueling your system, you’re going to see a lot of irritability when hunger arises. The solution, besides eating balanced meals: Getting enough Vitamin C, licorice (Opt for the root, which helps slow down cortisol production), Vitamin B5 and adrenal gland supplements.
 Blood pressure, fluid retention, vitamin deficiencies   Stress increases the release of aldosterone, causing sodium retention (leading to water retention and high blood pressure) and the loss of potassium and magnesium in the early stages of Adrenal Fatigue.

  • Swelling & Veins: in the absence of cortisol, widespread vasodilation occurs.

Magnesium is involved in over 300 enzymatic reactions in the body. When the body lacks magnesium, it will suffer from a variety of pathological conditions such as cardiac arrhythmias.

 Elevated ESR or CRP (inflammation)  Cortisol has anti-inflammatory properties, reducing histamine secretion and stabilizing lysosomal membranes. Stabilization of lysosomal membranes prevents their rupture, preventing damage to healthy tissues. Absence of cortisol = increase inflammation
 Dehydration Your adrenals, two small glands that sit on top of your kidneys, secrete aldosterone, a hormone that regulates water levels and the concentration of minerals, like sodium, in your body, helping you stay hydrated. When your body is stressed, more aldosterone and sodium circulate in your system. Once the stress is over, aldosterone levels fall and sodium must leave your bloodstream. The sodium passes through your kidneys and exits your body as urine, taking water with it. If you experience high stress levels on a regular basis, you will weaken your adrenals and dehydrate your body. And even if you drink a lot of water, you may not be getting the hydration you need!
Muscle cramps When aldosterone gets too high, your blood pressure also gets too high and your potassium levels become too low. You can have muscle cramps, muscle weakness, and numbness or tingling in your extremities.
Heart Palpitations
Night Sweats
Fatigue,
Light-headedness
When aldosterone gets too low, your kidneys will excrete too much salt, and it leads to low blood pressure; low blood volume; a high pulse and/or palpitations, dizziness and or lightheadedness when you stand; fatigue; and a craving for salt. Symptoms of low aldosterone can also include frequent urination, sweating, a slightly higher body temperature, and a feeling of thirst, besides the craving of salt. Potassium can fall, as well.
Nausea Abnormally low amounts of cortisol in the body disrupts metabolism, resulting in low blood sugar levels and reduced glycogen in the liver, which is used for providing quick energy. Much like the effects of diabetes, low levels of cortisol can initially cause brain-fog and lethargy, and progress to gastrointestinal symptoms, such as nausea, vomiting and diarrhea. Loss of appetite, weight loss and an inability to tolerate colder temperatures are also common symptoms.
Acne/Dry Skin/Dry Hair
Cortisol increases the production of sebum, a natural oil that lubricates your skin. When too much is produced, however, it can lead to blockages that cause acne. Too little cortisol = reduced sebum = dry skin.Also, low aldosterone can cause excess sweating/urination = dehydration!
Swelling/ Edema As the body tries to keep the ratio of electrolytes and fluid balanced, fluid may pour into the tissues and cause swelling. Most doctors will only see the symptom and not the cause and prescribe a diuretic which further compounds the dehydration and electrolyte imbalance and making the patient worse.
Hemorrhoids / Big Veins Hemorrhoids are basically varicose veins of the rectum and are caused by blood pooling in the abdomen and pelvis. When a person presents with hemorrhoids, it is usually do to adrenal fatigue, but can be caused by liver congestion. Once again, listening to the heart can help determine the cause. If the loud second sound is over the pulmonic valve, it is indicative of adrenal problems, while a loud 2nd sound over the tricuspid valve is indicative of liver congestion.Varicose veins of the lower extremities result from the same pooling of blood in the abdomen and pelvis that causes hemorrhoids.
Excessive Thirst, Frequent Urination, & Salt Cravings The adrenal glands produce many more hormones than just glucocorticoids. One very important hormone is aldosterone, a mineralocorticoid. Aldosterone regulates fluid and electrolytes (sodium, chloride, potassium and magnesium) in the blood, between and in the cells of the body. As adrenal fatigue progresses, the production of aldosterone lessens. This causes “salt-wasting”. As the salt is excreted by the kidneys, water follows leading to electrolyte imbalance and dehydration. Those with adrenal fatigue should always add salt (preferably sea salt with its trace minerals) to their water. Soft drinks and electrolyte drinks like Gatorade are high in potassium and low in sodium, the opposite of what someone with low cortisol needs. Commercial electrolyte drinks are designed for those who produce high cortisol when exercising, not for someone who produces little or no extra cortisol during exercise. You need to add ¼ to 1 teaspoon of salt to a glass of water or eat something salty to maintain fluid/electrolyte balance.A person with low aldosterone may also urinate 15 to 20 times a day and drink excessive quantities of water. Unless salt is added to the water, the fluid/electrolyte balance in the body is further disrupted.
Sensitivity to Light / Dependence on Sunglasses Are you one of those people who can’t stand to be out in the bright, midday sun without your shades? Oversensitivity of the eyes to bright sunlight is a sign of adrenal problems from a chronic sodium-potassium imbalance which prevents the pupils from properly constricting in response to bright light.The good news is that being out in the midday sun with no sunglasses is a way to strengthen the adrenals. When I do errands, I try to leave my sunglasses in the car and walk to and from the stores so that my eyes get a good dose of unobstructed sunlight.I’ve noticed that my eyes have become significantly less sensitive to sunlight over the years as my diet has improved with the general banishment of refined sugars and carbohydrates in my home. While I still wear sunnies for safety reasons to reduce the glare while driving, I frequently find myself forgetting to put them on at all on very sunny days.
Photo Sensitivity Dependence on SunglassesAre you one of those people who can’t stand to be out in the bright, midday sun without your shades? Oversensitivity of the eyes to bright sunlight is a sign of adrenal problems from a chronic sodium-potassium imbalance which prevents the pupils from properly constricting in response to bright light.The good news is that being out in the midday sun with no sunglasses is a way to strengthen the adrenals. When I do errands, I try to leave my sunglasses in the car and walk to and from the stores so that my eyes get a good dose of unobstructed sunlight.I’ve noticed that my eyes have become significantly less sensitive to sunlight over the years as my diet has improved with the general banishment of refined sugars and carbohydrates in my home. While I still wear sunnies for safety reasons to reduce the glare while driving, I frequently find myself forgetting to put them on at all on very sunny days.
Really dry hands / Lines in your fingers and hands Turn your hand over and examine the skin of the fingertips. Do you see nice, plump fingertips or is the skin covered with vertical lines? If they are nice and plump, that is a good sign for your adrenals. Lots of vertical lines in your fingertips indicate adrenal stress.My own fingertips used to be quite lined years ago, but getting off refined sugar plumped them out nicely within a few months.
Balding Lower Legs Do you have bald patcheson your lower arms and legs or sparser hair in those areas than you used to (particularly men)? This could be a sign of adrenal fatigue.Boys entering puberty with sparser beards and leg/arm hair than their peers are frequently those with low adrenal function and an overall lower drive to achieve.
Unexplained Hip or Knee Pain Muscle weakness is a frequent sign of adrenal insufficiency. Unexplained back or knee pain with no accompanying structural defect may indicate weakness of the muscles supporting the pelvis and/or knees.In the case of lower back pain, chronic adrenal stress leads to weakness in the muscles which support the pelvis causing the pelvis to subluxate in a posterior direction. In other words, the lower back pain has nothing to do with the lower back and everything to do with muscular instability in the pelvis

I guess my next step is to reduce stress and maybe try Milk Thistle. Please let me know if you’ve had success with this!

For some additional insight, check out this thread on the topic: Symptoms of Adrenal Insufficiency.

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What a ride pregnancy is – top it off with Graves disease and it’s a bloody roller coaster.  So, I went to the doctor yesterday and got the results back from my latest blood test.  For some reason they have stopped looking at free  T3 and T4 levels and just ticked off “TSH”. However, the result of my TSH level was over 1.0!  Since my diagnosis with Graves disease in October 2009 (although my symptoms started in August), my TSH level has always been under 0.05. 

Here’s the interesting part. I had upped my medication on several evenings over the past 4 weeks due to extreme heart palpitations between 4:00 p.m. and bedtime.  So, I don’t know what’s going on there yet, but I am comforted to know that my thyroid levels are in the normal range for now – which explains the 6 lb weight gain in the last 4 weeks. Up until 4 weeks ago I hadn’t gained any weight. Well, I’m all caught up now. I’ll have to be extra careful what I eat from now on.  

My hair is still falling out, but not as badly as it was a little while ago.  It’s thinner but not embarrassingly so, yet.

My eyes are the same as always – a little puffy underneath.  I’m still upset about losing my beloved dog unexpectedly and cry from time to time, which doesn’t help. It was just such a shock and he was only 6. He slept in my bed every night and followed me around so I miss him constantly. Have decided to wait until after the baby to get another one, even though I desperately crave a doggy’s love in my home. 

Well, that’s all the news I have for now. I have a requisition for an ultrasound for 19 weeks, so maybe my next post will include my baby’s sex!  Or, I may keep it a secret until the birth. I haven’t decided yet…so exciting!

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I am trying to capture everything that I learned about life on PTU.

I opted to take an ATD, (” anti-thyroid drug”), as my first course of action. Like any disease, you must first learn the lingo.  The ATD I’m taking is called PTU – Propylthiouracil.  When I was prescribed it, all I was told was “If you get a fever or sore throat, go to the doctor”.  I have already blogged about taking PTU, so you can read how the sore throat thing worked out here , however, I did leave out some details.

The first time I took PTU, I was overwhelmed by the strong metallic taste. Worst yet, it lasted a while. I was drinking a flavoured drink at the time of my first dosage (Greens to Go – it’s supposed be healthy and high in antioxidants. It’s expensive, but tastes good.  Is it a cure? No.).  Anyway, I couldn’t get over how different my drink tasted after taking the pill. It changed the taste, making it bitter. While I was on a relatively small dosage – 50 mg, twice a day – it didn’t taste like a small dosage.  For a while, I tried to take my pills after my morning coffee and after my dinner, so I could still enjoy them. However, after 1-2 months of being on the pills, I hardly notice the taste at all any more and don’t worry about it at all!

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A couple of things have happened since my last blog. I finished this intense program that I was taking that was really stressing me out. I’ve been off for a week now and things are feeling better.  I was told to wait about 2 more months to try to conceive, but it’s been 5 months since my miscarriage and I’m getting antsy. With the stress gone and the PTU starting to “kick in” I’m pondering trying this month.

My greatest concern, as always, is my eyes.  They are still puffy every day and it’s hard to look at myself every morning, but I haven’t let it slow me down yet. Life’s too short. I stopped using eye drops for a while because they weren’t sore anymore, but I find it helps with the puffiness, especially at night time. 

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I apparently do not have Graves eye disease, or Graves ophthamology. My eyes do not bulge, but they are constantly sore, photosensitive, and extremely dry. The lids, top and bottom get swollen, which drains throughout the day, but then I get very dark circles underneath my eyes.

I am going to get my thyroid removed and I hope this helps because my eyes feel this way all day, every day. It seems worse when my thyroid levels are high.

My doctor is completely lackadaisical in treating me and I’ve been given no drugs to help me in the 8 months I’ve had the disease, simply because my last blood test was “not that high”, even though my symptoms fluctuate from day to day, week to week. Currently, I feel my levels are extremely high.  Even the pharmacist reacted with disdain when I came in to try another brand of beta-blocker instead of fulfilling a prescription for PTU.  

He’s like, “Have you schedule RAI or thyroidectomy yet?”

I said, “No. I’m still waiting for drugs first.”

His look said it all. I’m not getting the kind of treatment I deserve. I actually think that drugs might be perfect for me because my levels aren’t too high. I think that makes me a good candidate to go into remission. I need to do more research, so if you know anything, please comment below!

Sigh

Updates on this issue see:

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