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Fatal Fatigue
03-26-2013, 07:45 PM
Post: #1
Fatal Fatigue
Subject: Fatal Fatigue
Author: Tom

I have made significant progress over the last 20 years overcoming a serious systemic candida infection but still suffered from severe fatigue, complete exhaustion. I got to the point recently where it was difficult to even get out of bed in the morning and doing daily chores was out of the question and if I did do any kind of physical exertion it took days to recover. I have been to conventional doctors many times over the years and my major complaint was fatigue but the tests always came back normal but this time my TSH (Thyroid Stimulating Hormone) was high indicating low Thyroid function, all the other 46 blood tests were normal except slightly high Billirubin (Gilbert's Syndrome) on the liver test, this can also cause fatigue but it's a genetic condition and not much you can do about it but causes no serious problems in most people. I've been on Levothyroxin for 5 weeks now and it is helping, my sleep is much deeper and longer and my energy is slowly coming back but not before I eliminated all Caffeine, when I did this I really could tell a difference. I had suspected low Adrenal function more than Thyroid but my Cortisol came back in normal range but still think I have Adrenal fatigue.
The tests for Hypothyroidism and Adrenal fatigue are very arbitrary, normal range can vary greatly from lab to lab and doctor to doctor, you have to find a doctor who understands this and willing to work with you using symptoms as a guide.
I think I might finally be on the road to feeling better, all those years of feeling like I was dying could have been avoided if I could just have gotten a diagnosis sooner.
If you suspect you have low Thyroid function but the test comes back normal don't take this as a final answer, search out normal range for Thyroid and find a doctor who is willing to work with you.

Tom

* Response...

Subject: Re: Fatal Fatigue
Author: Polly

Thank you Tom for letting people know about your experience. I'm sorry that it took so long for you and your doctors to find the thyroid / adrenal problem.

Your slightly high bilirubin reading might not be due to a genetic problem. Bilirubin can be elevated due to hypothyroidism. Also bilirubin is eliminated in large part via glucuronidation. An overgrowth of bacteria in the small intestine may secrete an enzyme called beta-glucuronidase. Wikipedia says, "In the gut, brush border β-glucuronidase converts conjugated bilirubin to the unconjugated form for reabsorption." (You can take a supplement called calcium-d-glucarate to inhibit this B-glucuronidase enzyme.) In other words, a problem with your thyroid, your liver or with a bacterial overgrowth in your intestines may contribute to higher bilirubin levels.

Bilirubin also interferes with the thyroid hormone getting into your liver. Your liver is responsible for much of the conversion of thyroid into its active T3 form. Hence those higher than normal bilirubin levels are making you tired.

At some point in time, you may want to try Armour thyroid, which contains some T3 thyroid in it. Most people find that they do better on that than the levothyroxine (T4). Sometimes the improvement is dramatic. (See all the information about thyroid at the about.com website.)

One possible problem with the T3, is that people seem to be more likely to notice a rapid heart rate. This is because thyroid sensitizes the body to adrenaline. Taurine, glycine, and general support for your adrenals can help you control your adrenaline levels and thus may help reduce any untoward reaction to T3. Some people have to start with very low doses of T3 and slowly allow their body time to get used to having T3 again.

PS: You might want to get a urine test of your iodine level. Iodine is important for proper thyroid functioning. However, you don't want too much or too little iodine.
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