Hello doctor,I am a 35-year-old female and I have a history of Grave's disease, treated with radioactive iodine 15 years ago and have been on Levothyroxine ever since. I have symptoms of hyperthyroidism and hypothyroidism and my medication has been increased several times in the past due to high TSH. I am having headaches in my temples, Raynaud's, chin acne and chin hair growth. I have elevated BUN, creatinine ratio of 23 and a history of slightly elevated AST. There are joint pains and Raynaud's with swelling ankles, red joints at rest, some finger swelling and dizziness on standing, possibly hypertensive and speeding sensation.I have burning pressure behind my eyes and sensitivity to daylight. My last TSH was elevated with low free T3 and borderline high free T4. What could possibly be the cause that I should talk to my doctor about?
Hello. One of the most common complications of radioactive iodine therapy is hypothyroidism. I suggest that you increase the dose to 150 mcg. Some patients may require up to 300 mcg so do not worry about the dose. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Also from what you have mentioned there is a high possibility that you have other autoimmune diseases like lupus or rheumatoid arthritis. So I suggest that you perform a full immune lab test profile like ANA (antinuclear antibody), anti-double-stranded DNA (deoxyribonucleic acid), RF (rheumatoid factor), anti-CCP (cyclic citrullinated peptides), Anti Ro, LA, anti-Jo, C-ANCA (cytoplasmic antineutrophil cytoplasmic antibody), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein). For more information consult an internal medicine physician online -->