thyroiditis

Have been diagnosed with thyroiditis, and am just getting back into training after nearly 3 months off. Am not taking thyroxine and am struggling with low energy levels.Add to that, the stone in weight I have put on with not running, it's like running in someone elses body! Anyone else had this disease?All advice greatly received.
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  • What exactly have you been diagnosed with? I think there are varioud types of thyroiditis. I've had Graves for 9 years and know a fair amount about the thyroid so let me know your diagnosis and symptoms and i'll try to advise.
    J x
  • It's called Hashimoto's thyroiditis, with symptoms as for hypothyroidism.The specialist I saw said he didn't want to put me on thyroxine just yet as he was hoping my thyroid would start to increase hormone production as the inflammation eases. All very well, but the 3 months i've spent recuperating so far has just about driven me nuts. Things have improved with herbal stuff and acupuncture. I have started back doing little interval runs and hope to go out for a massive 20mins on Monday!? The swelling at the front of my neck presses on my wind pipe, but I'm just having to try ignore it.Don't know how that's going to affect the running though.
  • Hi Louise

    Keep an eye out on the forum Shirl. Her knowledge of the thyroid glad is huge. I had some problems with my thyroid last summer and she was a great help.

  • You poor thing, sounds as though you have suffered a lot with this.
    Graves Disease is also an autoimmune thyroid disease, but with the opposite symptoms to yours (overactive thyroid symptoms). I've been on medication for GD for a long time now and have to be monitered regularly. I often go slightly underactive so can totally appreciate your symptoms. If I were you I would get a second opinion. I've been to see a lot of different specialists and to be honest, don't trust them all. If you've been suffering for months and have a very enlarged goitre it sounds like you may need to start taking thyroxine. It's amazing how much better you feel when you start taking the medication and your body balances out again. As for the running - you're probably feeling very sluggish and lethargic which makes running difficult. The goitre shouldn't affect running though so keep at it if it is making you happy. Good luck x
  • Thanks Janey, for your thoughts. I have already had 2 opinions- the first guy said I was depressed!This chap seems to be on the right track- I have to have my bloods checked every 5 weeks. Have already decided to speak to him again when I get them done next week. My T4 levels have so far been just on the lower limit of normal, though I have a raised TSH with antibodies off the scale.What I'd give for a shot of thyroxine!!
  • Since no one has replied to my cartilage thread I might as well tell you my thyroid story. I have been having problems with my left knee for a couple of years now, when I 1st went to docs he thought it might be gought. So ran some blood tests which showed clear, but they did show my thyroid level as been low. Apparently the acceptable level is between 24 / 10, I have been having regular blood teats since & 2 weeks ago it dropped below the threshold & I am now on 50 m/grams of levothyroxine. I think this a low level to start of with & I have to have another blood test in 2 months to track my thyroid level so the dose my be increased. But I have noticed a difference already in energy levels & some weight loss. The main problem for me is that I don’t sleep much anyway but now only managing around 4 hrs a night. Not even 6am yet & I’ve been up an hour. :o(
  • Hi Louise
    Sorry you're feeling poorly. I have Hashi's too. The only definitive test for it is biopsy but its generally given as a diagnosis on the basis of symptoms and antibodies.

    Hashimoto's as you know is auto-immune and usually results in gradual destruction of the thyroid gland. The percentage of people who go into remisssion is tiny. So I don't understand why your doctor wants to keep you miserable. It is true that hormone levels can wax and wane with Hashis and periods of nyperactivity can occur. That isn't a reason for not treating though. It just means that treatment needs to be monitored.

    I have to go out now but will post again later when I get back.
  • Thanks for replies.Shirl, are you on thyroxine? Did it stop the goitre from growing?I had an ultrasound scan which they said confirmed the diagnosis.Not had a biopsy.Have had a miserable night, waking up coughing cos of the choking pressure on my windpipe.Having read all the above today,have decided to make another appt asap to go see my consultant. I am fed up feeling like death warmed up and despite eating very healthily,no snacking,alcohol etc etc my weight has not shifted at all. My neck is getting more & more swollen.Beerbelly, I've always been a crap sleeper- until now. (That has been the only up side to all this)One thing that did help with the insomnia before all this started was drinking enough water- 2 litres a day. If I don't drink that, I don't sleep.God knows why, but it works for me.Do you take your thyroxine early on in the day?
  • Hi Louise
    I'm on a combination of thyroxine (T4 275mcg) and liothyronine (T3 30mcg). I split my dose throughout the day, mainly because of the very short half-life of the T3. I'm lucky that I've never had a goitre.

    If your TSH is elevated out of range, and your T4 is borderline low, and you have antibodies and your have a goitre, what are they waiting for? There are some types of thyroiditis that are transient e.g. post-partum, viral infection. Hashi's isn't, so I just don't get it.

    In your place, I'd get assertive and demand (nicely) a trial of thyroxine. Explain clearly how carp you're feeling, how it's interfering with your ability to exercise and your day to day life. And ask why he wants to wait and what happens if/when the inflammation goes down - if he says you're cured, find another doctor PDQ. Stand your ground, take someone in with you if you feel it would help.

    Depression is one of the most common symptoms of hypothyroidism. It's caused by the biochemical imbalance. So your first chap might be right, but the way to fix it is to start hormone replacement.

    Do be careful with herbal/alternative remedies. For instance, supplementing with iodine isn't a good idea for people with Hashi's. It can cause an antibody flare.

    There are some things you can do to help in the meantime. Make sure you get sufficient selenium in your diet. Google for food sources if you aren't sure. Brazil nuts are selenium-rich. Cut as much soy out of your diet as possible, it's a potent anti-thyroid agent. If you should happen to eat copious quantities of raw brassica family veg, stop or cook them, they are goitrogenic.

    There is life after thyroid disease so try to stay positive and be kind to yourself. If you have questions ask away and let us know how you're getting on.
  • Wow Shirl, thanks.
    I have now made an appt to go back & see him tomorrow afternoon and have just been to get my bloods done. Fingers crossed he decides on action this time, instead of the wait and see approach..I have just been putting up with it all really, but feel so stongly that I shall go in all guns blazing tomorrow.
    I don't do soy and have found a decent multi vit/mineral to take which has selenium in it & not too much iodine.Will check out decent food sources though. I had been taking St Johns Wort but that definitely made my neck worse- the best antidepressant for me is to go for a run.Thanks again for all your support, I shall keep you posted as to tomorrow's events!
  • Shirl, saw consultant today.And eureka!I am to start on a low dose of thyroxine, increasing gradually every few weeks.(Took the 1st one right there in the hospital carpark!!)
    As for my goitre, he was surprised at how much it had grown & said that if the thyroxine didn't help it to shrink, then surgery was the other alternative.Hope the thyroxine works as that sounds a bit drastic.
    I feel at last I have a plan of attack & although I know it's still going to be a slow process getting my hormones sorted, at least something is finally being done. Thanks for your advice,& replying to this thread- I would
    not have gone today otherwise.
  • That's great news Louise. I'm really glad he listened to you. The usual protocol for T4 therapy is to allow 6-8 weeks between tests and dose increases - it takes that long to stabilise each dose change. It can be a long process - overnight improvement isn't to be expected! But stick with it, it will come.

    Did your consultant tell you that you are now entitled to free prescriptions - all prescriptions, not just thyroid meds. If not, get a Prescription Exemption form from your GP surgery, fill it in and hand it back and you won't have to pay for anything in future.

    Good luck and keep us posted on how you're doing.
  • Thats correct, got my NHS credit card style exemption form through on Friday. Been taken levothyroxine for two weeks now, only 50m/grams & my sleeping is crap. It was never the best but now lucky if i get 3 hrs a night. Apart from that i feel much better. More enery & lossing some weight to :0)
  • Have just started on 25mcg for 3 weeks then up to 50 for 6weeks when I have to go back for bloods & the next plan of campaign. Got to go slow as he doesnt want my thyroid to stop working altogether apparently. Have to say after just 4 days my head feels clearer & my neck does seem to have stopped growing.
    I went into the gym today & managed to do some spinning, albeit half my usual effort.Am leaving the run till later in the week.
    Thanks for the info re free prescriptions, I didn't know that!
    Hope that I don't go back to no sleep Beerbelly, have to say I am sleeping better than I have ever done at the moment.How much water do you drink a day? I really do swear it makes a difference.
    Can't wait to lose some weight, have got a stone to get rid of!!!
  • Good to hear you're on the up Louise. You need to take your thyroxine as far as possible away from anything containing iron or calcium, so best not to take with breakfast.
  • I was told to take mine 1st thing in the morning on empty stomach, with 1/2 glass of water. Try & wait an hour b4 eating anything.

    D.
  • Am taking it when I first get up,well before I have breakfast. Neck not right this afternoon, it's aching again.Got the runs too (makes a change from the constipation!?) Sorry to share! guess that's the thyroxine.
    Might have overdone it today actually.
    Been and got my prescription exemption form, my GP's on holiday so that will have to wait.
    Generally though I am feeling much more human.
    Thanks ladies for all your advice- where would I be without you?! Still on the sofa!
  • Hi Shirl

    Just looked through some of the forum letters on the subject and remember having a few words with you a couple of years ago. Was interested in your dosage of Thyroxine. With no good advice I have kept my dosage at 150 mcg, probably should up the dose but didnt know if there was a maximum one should take. Had a new blood test this morning so await my results

    NG
  • Hi NG
    I remember - Cyprus, right? :) How are you doing?

    There isn't a maximum dose as such. You need as much as relieves your symptoms without over-medicating and that varies from person to person. Some people retain some thyroid function and so need a 'top-up'. Others may have no remaining thyroid function and need a full replacement dose. It's not an exact science unfortunately. Do you have a recent test result with ranges?
  • Hi Louise and everyone
    i'm quite glad i saw this thread. my gp says i prob have thyroiditis - just waiting for blood results. Hardly been running at for a month just because i've been tired and really havent felt like it which has messed up my marathon training and then on monday got goitre and painful inflammation (you can see the shape of my thyroid in red!). I'm interested to know whether you think it's best to force yourself out the door or just take it easy for a while?
  • Tea leaf, I have been there!Over the last 3 months have been very ill with this.I think it's best not to overdo it, you will pay for it otherwise!
    Don't know what you're going to do about the marathon, but realistically I think you should just be happy to get round any way you can or even give up your place.It's a tough call.
    Up until last week, my last run was New Year's Eve, when I forced myself out there, ended up walking home and spent 4 days on the sofa getting over it!
    I have just had to make do with going for long brisk walks, which still got my heart rate up and got me outside. Also I did gentle spins on the bike in the gym.I couldn't do anymore than that.
    My neck is still swollen but slightly better than it was & I started thyroxine last week.If you have pain from your goitre, I have been taking nurofen and paracetamol in rotation. It takes the edge off the pain.
    I run with a friend who happens to be a personal trainer & together we have devised a plan . I have had to start back as you would if you were new to running,with intervals, 3mins running/1min walking building up the times, followed by free weights etc. To be honest that's been enough.I also need a day off between sessions, can't just run when I want to as before.
    Next week I'm hoping to run for 15mins at 1 go,(WOW!) but if my neck is still sore, we will just keep to intervals. Have discovered you need patience in all this- not my strongest trait!!!
  • Anyone trying to train with thyroid problems has my sympathy. I was diagnosed with Graves disease 12 years ago, and several rounds of radioiodine treatment have left me with an underactive thyroid, so I now take 150mcg of thyroxine a day (after breakfast, as it happens). In my opinion, the treatment for thryoid problems is very crude and the underlying science not at all well understood even by specialists. I gave up competitive rowing many years ago because I found it so difficult to prepare for an event without going either underactive (in which case, I put on loads of muscle but couldn't get my heart rate up) or overactive (in which case, I had loads of energy but my heart rate was going through the roof and I was losing lean body weight). As someone has already pointed out, getting the dose of thryoxine right is a slow process because it takes so long to have any effect. I have given up having blood tests, because whenever I thought I was feeling well, my level of T4 was "too high" and the doctor told me to reduce my dose. If it's really too high, you will know, and you will want to reduce your dose, because the symptoms of overactivity are very unpleasant. I wouldn't recommend serious training with an underactive thryoid - I did it for a couple of years and it made me very depressed in the end. Get the thryoid fixed, and start training again when you feel up to it - don't force yourself. After struggling with it for years, I suddenly started to feel a lot better last spring and I am now in training for the London Marathon. I'm afraid I don't know what the cure was! I am still taking the thyroxine, and I expected to have to increase the does with the higher mileage, but I seem to be doing alright without. All I can say is, listen to your body, trust your instincts and do what seems best to you. Good luck!
  • Thanks for that. I still havent got my results but you are making me think that i'm maybe just being lazy and that i havent got it nearly as bad as you! i'm still swollen but it doesnt hurt much now. i did a whole 3 miles last night! felt fine. i think i should be a bit cautious about doing a 20 mile race this weekend but i'll see what i feel like on the day. i did a 20 on sunday and i was wiped out after an hour but i managed to finish eventually even though i was barely moving! I don't know if it was just because i've not been running much becasue i've been tired or just becasue my thyroid was getting ready to burst out the next day. you lot make me think i wouldnt be able to do 20miles at all if my thyroid was underactive? i'll ring doctor today but i think results won't be ready yet.
  • Don't be hard on yourself, this is a slow onset thing. I think my thyroid was stuttering along for over a year before I finally got to a doctor to find out what was going on.By which time I was on my knees. You have probably caught yours early- which can only be a good thing.
    The bloods will tell you whats going on.
    Keep us posted.
  • I've just ben diagnosed with a low thyroid and have started taking 50mg levothyroxine today. i run 2/3 times a week, swim 100 lengths 3 x week and do a bodypump class 2 x week. I have been exercising alot for over a year and am desperate to lose a stone in weight. Do you think it will take a long time for my metabolism to speed up again so my exercise will have a noticeable effect on any weight loss that may eventually happen?(pray pray!!)
  • hi gizzilou- sorry i dont know but i'm sure someone else does.

    I got my blood results and they are normal - so it looks like i can't use rubbish thyroid as excuse for not running enough. but i do get to go for an ultrasound scan!
  • Hi Tea Leaf
    Have you had thyroid problems previously or has this just flared up out of the blue?

    Hi too gizzilou
    That's a lot of exercise for no weight loss even with a slower metabolism. How's your nutrition?

    FWIW I lost 4 stones of hypo weight in the first year after diagnosis and starting treatment. I didn't diet, just switched to healthy eating and exercise. I found weightlifting a better form of exercise for weight loss than cardio-vascular.
  • Hi Shirl the girl
    I've been doing Weight watchers to a degree as I don't think it's ideal for people who exercise alot. I think I probably need to eat more to fuel the exercise load.
    It's sooo disheartening when I've been giving it my all to shed a stone for the past year and nothing is happening.
    It's a catch 22 situation really, you don't want to eat more in case you put on a pound or ten and then you don't want to stop exercising as much either.
    At least having been diagnosed with low thyroid, this could help explain why I've been stuck for so long. Hopefully within the next few weeks I should see a change!!
  • hi shirl the girl.
    it just flared up this week but i've been feeling tired for a few weeks. maybe i was just a bit run down or something. i'm going to make more effort to get back to regular exercise once ive done this race tomorrow

    gizzilou- i once lost three stone by running a bit most days but i was eating loads less than normal. now i can theoretically stay the same weight by running loads and eating loads (apart from at the mo where i am still eating loads but just getting fatter by the second!)
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