Hashimoto-Diary Part 2: The setting with L-thyroxine begins

The Hormone Adjustment Begins

Well, now we started with the hormone setting. My doctor advised me to start with 50μg of L-thyroxine from Henning. When she had examined me more closely and had asked about my weight, she corrected her recommendation to 100μg, since I was a strong boy and weighed 90 kilos at the time.

Since I’ve read a lot about the topic in the Hashimoto forum and other sources so far, it became more and more clear to me, that this doctor could not be as competent as I thought first. In the field of endocrinology, it is well known that one should start low and then gently increase every few weeks. If I had begun with 100μg, I would probably have landed in the next closed psychiatric institution because of hyperfunction symptoms.

Thus, the therapy started with 25μg L-thyroxine. In the first days I felt, despite clear flooding in the morning, a significant improvement in my condition. However, after a few days, this improvement seamlessly merged into the well-known initial deterioration.

I kept this dose for almost three weeks and then increased to 50μq. However, I was getting worse and worse, so at the end of March I went up to 75μg. But even that had brought no improvement. Quite the contrary. I became increasingly pale, had circulatory problems, dizziness, suffered from severe fatigue and other symptoms.

My condition fluctuated every day. Every day I felt differently. Again and again new symptoms came on top, others disappeared. It did not seem that easy, as the doctor had described it at the beginning. Thus, I continued to make some sort of sense of it and read many books that helped me a lot and drew my attention to another problem.

Adrenal insufficiency. This condition was reported to be common in hashimoto patients and brings all of the symptoms with it,  that plagued me permanently. So let’s go to the doctor …

Is it adrenal fatigue?

Although my doctor considered that this hardly can be the case, since there is no adrenal fatigue. There would only be Addison’s disease (total adrenal gland failure), but since she realized in how bad condition I was, she agreed to do a cortisol saliva test. Said and done. It took a long time to get the results of the test back, but finally… Here are the results:

  1. Corts1 0.185 – 1.457 μg / dl >>> 0.41 – 17.69%
  2. Corts2 0.076 – 0.569 μg / dl >>> 0.10 – 4.87%
  3. Corts3 0.065 – 0.438 μg / dl >>> 0.09 – 6, 7%
  4. Corts4 0.033 – 0.333 μg / dl >>> 0.02 – 4.33%

At the same time, the blood was examined and a markedly increased ACTH level was recorded. Unfortunately, all of this was no reason for my doctor to initiate a proper treatment. In her opinion everything was fine. Since I did not know better at the time, I relied on her words and another straw to which I had clung was broken.

If I had informed myself better then I would have realized that there was already an adrenal fatigue and thus a therapy with L-thyroxine was even absolutely counterproductive. But I was not a doctor and listened to what was said to me. A big mistake!

Thus, my problems still must to be related to the thyroid gland of Hashimoto’s thyroiditis, so for the remainder of the year I kept trying to somehow adjust to L-thyroxine, but this was impossible.

Image source:

  • my-story-part2: © Ghazi-Michael Ayed