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My mother has shown elevated Thyroid antibodies and is on a low dose of Armour. Her Free T4 levels are fine, but I wonder in the presence of Antibodies, what is the proper way to treat? Suppress TSH all the way down? or just test often enough to keep an eye on T4 and T3.
Separate but related topic… my mother is 75 years old and has suffered cognitive decline since her last surgery in spring of 08. I have read about some elderly suffering from this after use of anesthesia.. seems anesthesia can have quite an impact on the elderly.
Dr. M – any insights into this….she is very frustrated and I would love to help her and worry this may be the beginning of Alzheimers. It is pretty clear that she took a step back after her surgery so either coincidence or related….thanks again.
@wondering 618 wrote:
My mother has shown elevated Thyroid antibodies and is on a low dose of Armour. Her Free T4 levels are fine, but I wonder in the presence of Antibodies, what is the proper way to treat? Suppress TSH all the way down? or just test often enough to keep an eye on T4 and T3.
Separate but related topic… my mother is 75 years old and has suffered cognitive decline since her last surgery in spring of 08. I have read about some elderly suffering from this after use of anesthesia.. seems anesthesia can have quite an impact on the elderly.
Dr. M – any insights into this….she is very frustrated and I would love to help her and worry this may be the beginning of Alzheimers. It is pretty clear that she took a step back after her surgery so either coincidence or related….thanks again.
General anaesthesia can cause the loss of some brain cells. This is why some people end up with different personalities – not often a good change.
In elderly women, low estrogen can mimic symptoms and signs of Alzheimer’s disease.
When one removes people with Hashimoto’s Thyroitis from the population of people who go to laboratories, the average TSH becomes about 1.0. This TSH includes the people who have a non-Hashimoto’s Thyroidigis form of hypothyroidism.
I currently prefer optimizing Total T4 and Free T3 versus relying on TSH to determine treatment. Thyroid treatment also means improving nutrition since the increase in metabolism increases the need for nutrients.
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