Thyroiditis treatment with steroids

Treating the Elderly and Patients with Heart Disease. Thyroid dysfunction is common in elderly patients, with most having subclinical hypothyroidism. There is no evidence that this condition poses any great harm in this population, and most doctors recommend treating only high-risk patients. Elderly patients, particularly people with heart conditions, usually start with very low doses of thyroid replacement, since thyroid hormone may cause angina or even a heart attack. Patients who have heart disease must take lower-than-average maintenance doses. Doctors do not recommend treatment for subclinical hypothyroidism in most elderly patients with heart disease. Such patients should be closely monitored, however.

A thyroid ultrasound may be done but characteristic findings vary depending on the phase of AST during which the patient is observed. In the early inflammatory phase of AST, when obvious abscess formation is not evident, the ultrasound may show a localized hypoechoic process with an obscure border and effacement between the thyroid and surrounding perithyroidal tissues[ 98 ]. During the acute inflammatory stage of AST, clear cut abscess formation is noted in the affected thyroidal tissue[ 98 ]. Perithyroidal unifocal hypoechoic space and effacement of the plane between the thyroid and perithyroid tissues have been noted to be specific signs of AST[ 98 ]. Alternatively, the application of sonoelastography may reveal very stiff lesions corresponding to the areas of the thyroid which are especially painful[ 99 ] during acute phases of the AST episode which soften significantly as the patient responds to treatment[ 99 ]. As the AST resolves with appropriate treatment, ultrasound images may demonstrate deformity of the gland characterized by atrophy of the affected lobe, air pockets in the thyroidal tissue and scarring of the perithyroidal tissues[ 98 ].

Patients with modest elevations in TSH who also have high cholesterol levels and increased risk of heart disease may also experience some benefit from correction of the hypothyroid state, principally a modest but significant reduction in the levels of LDL cholesterol. See Lipoprotein profile in subclinical hypothyroidism: response to levothyroxine replacement, a randomized placebo-controlled study. J Clin Endocrinol Metab. 2002 Apr;87(4):1533-8 . Similarly, female patients with a slight TSH elevation with no other symptoms, often referred to as subclinical hypothyroidism, appear to have a modest excess of cardiac risk factors, including increased blood pressure and cholesterol as shown in a small study Risk factors for cardiovascular disease in women with subclinical hypothyroidism. Thyroid. 2002 May;12(5):421-5.

I’m a 40 year old healthy woman that has hashimoto’s for 9 years. I have been struggling with weight, depression, anxiety and body exhaustion. I’m taking my medication for the last months I felt something was wrong. I was lazy to go do blood tests (I just did a week ago) but I took a decision: I wanted to change my diet forever. My family has a history of autoimmune disseses like lupus, fibromaglia, and others.
I’m in paleo (only fish cause I was a vegan and it’s hard to get back to red meat and poultry. I have been doing paleo for 3 weeks now. The results: I feel wonderful, I wake up full of energy, I lost 8 pounds and today I’m getting my blood test results. The point here is that avoiding dairy, legumes, pressed sugar and gluten has affected me in a positive way. I still need to loose another 25 pounds at least but the feeling of freshness and energy that this diet gave me is unbelievable. I still haven’t tell my endocrinologist about the food changes, but I’m almost sure he will agree with my decision.

Thyroiditis treatment with steroids

thyroiditis treatment with steroids

I’m a 40 year old healthy woman that has hashimoto’s for 9 years. I have been struggling with weight, depression, anxiety and body exhaustion. I’m taking my medication for the last months I felt something was wrong. I was lazy to go do blood tests (I just did a week ago) but I took a decision: I wanted to change my diet forever. My family has a history of autoimmune disseses like lupus, fibromaglia, and others.
I’m in paleo (only fish cause I was a vegan and it’s hard to get back to red meat and poultry. I have been doing paleo for 3 weeks now. The results: I feel wonderful, I wake up full of energy, I lost 8 pounds and today I’m getting my blood test results. The point here is that avoiding dairy, legumes, pressed sugar and gluten has affected me in a positive way. I still need to loose another 25 pounds at least but the feeling of freshness and energy that this diet gave me is unbelievable. I still haven’t tell my endocrinologist about the food changes, but I’m almost sure he will agree with my decision.

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