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jlt18 - i'm in the same boat as you. Suffered with extremely low iron and took 2 years to raise it and that was when i found out that i had Hashi's.

A lot of thyroid sufferers have low iron problems. It is also very common for thyroid sufferers to have very low Vitamin D. Your doctor should check that also. Both iron and vitamin D malabsorbtion can be cause by gluten intolerance. Has anybody checked whether you are gluten intolerant? It's a simple blood test. Once again, us thyroid sufferers often have varying degrees of gluten intolerance.

With the vitamin D, when i was told to take it i began taking the basic 1000IU measurement (one gel capsule) as per instructions on the container. Next blood test i hadn't moved much and then my doctor issued me with some vitamin D drops which i drop 7 drops (4500IU) of onto my tongue each night after dinner. My vitamin D has moved up a little bit faster after taking a higher dosage. My doctor said taking vit D at night after dinner is more beneficial as its more likely i would have eaten meat and the vit D absorbs better. maybe this is due to the protein. He said vegetarians have a harder time absorbing vit D (and it has to be D3, not the other D).

I also have problems retaining iodine in my body. I lose more than i ought to and iodine is necessary for a healthy thyroid too.

I too have the adrenal issues. My doctor put me on Cortate tablets to help with my low morning cortisol levels and i'm so much better now. Are you only taking vitamin type supplements to help with your adrenals or are they actual medication what you are on?

If you were taking your iron along with the T4 you were on before that would make the T4 less effective and would also mean the T4 wouldn't be giving you the full benefit of making you feel better. You can take iron and other supplements alongside T3 med's but not T4. I believe i was told to not take iron or other vitamins 2 hours prior and 4 hours after taking your T4 meds. This is going to worry me next week as i've only been on a T3 med (triiodothyronine) and as of monday my doctor will be starting me on a little T4 (thyroxine). I'm juggling enough med's and supplements as it is and it frustrates me having to spread things out so that one thing doesnt inhibit another.

My medicinal listing and time frame is fast resembling a train time table :D It's ok if you are at home all day, but i work full time and remembering and taking time out to take this, eat food prior to taking certain things, take one thing and wait before you can take another is driving me nuts. The thing is, nobody at work understands. They simply think thyroid issues are like a headached, you pop one pill and hey presto problem solved. They don't realise how much stuff i actually take and how tired i sometimes get. maybe it's because i'm so good at hiding how i feel and just put on a happy face!!

Just incase you didn't know, zinc should not be taken until either 2 hours prior or after taking your iron, just like caffeinated beverages, red wine and dairy products inhibit iron absorbtion.

I'm not sure what Betaine is. I was taking a formula which my doctor's chemist especially made for him and its not a commercial brand, but there are a variety of commercial ones which people on these boards have a had decent success rates with. If your iron constipates you there are stool softeners you can buy. If it causes irritable bowel then you can take iron phosphate which calms the the stomach/bowel.

It's quite a long road and so many of us have been room mates here on the anemia board for quite some time (a number of us have thyroid issues too). So be prepared to bunk down for a while, but you are in good company :D
FLFLOWERGIRL - just like jlt18 said, most dose from TSH and my doctor doesn't believe in that as he said a while back that only looking at TSH does nothing as its basically just that TSH - thyroid stimulating hormone- and more to do with the pituitary gland as that is the hormone it produces (that's the best i can recall that conversation :) ) He prefers to look at the other thyroid figures as well as how your symptoms are going. He records ALL my symptoms on his computer.

I don't think docotrs are any better here in Australia, just that i lucked on the right Trichologist who happened to know this particular doctor and he in turn is good friends with another doctor/proffesor (not sure of his title) who works in a university and is writing a thesis on this very topic and so they help each other.

Having said that, my doctor is walking on 'new ground' compared to most of the other doctors out there and he has to be super careful he doesnt treat on someone's toes and they decide to put in a complaint about him. It's not that he is doing anything illegal, but he isn't following the route that "most" doctors out there are taking, which is strictly following "thyroid 101" and NOTHING else.

He said that prior to 1973 thyroids were looked at via symptoms as well as a few inadequate tests they had back then due to all these blood tests not being availabe. Then along came 1973 and all these new forms of blood tests became available and more or less looking at "symptoms" has fallen by the wayside. Instead, doctors look at a figure on a lab report and work solely on that figure, not how you feel or what you the patient is experiencing. Quite sad really. I told him about the healthboard and how we are all supporting each other and giving a few doctors out there a HARD time in our fight for our thyroid rights :D He laughed and told us to keep up the good work :)

ps: i started a thread on the thyroid board regarding Vitamin D. My doctor also told me that vitamin D (D3) is essential, not only for the obvious reasons, but vit D and T3 work together. having the right amount of vit D in your system, daily, helps out your T3.

My T4 has fallen and now he has given me a prescription for some Thyroxine to add to my T3 medication. I take the T3 daily, but for now he wants me to only take half of the thyroxine tablet on monday, wednesday and friday. He feels that there are benefits in always starting patients off on extremely low doses and work your way up (if need be) in very, very small steps as he feels that is the best way of gauging whether a patient is responding to it and whether the dosage is right. I found an article where Mary Shomon interviewed a Dr Stephen Langer and he also advocates the small dosage to start with and only upping it by the tiniest amounts after each blood test. It's quite a good article and you can find it on the net.

Off to work now. I so did not want to get out of bed!! Have a great night/day everybody :D

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