Archive for the ‘hypothyroid’ Category

Wind in My Sails

IMG_1917 (2)I have just arrived home after a whirlwind trip to northern Minnesota. It was one of those last-minute decisions that worked out perfectly, something that often doesn’t happen with those bees up-the-rear-end- type of events.

It was not a happy occasion but a necessary one. Our aunt died in October and left no children just nephews and nieces (by marriage) who loved her and cared what happened to her. My SU was ultimately responsible for her estate, so he and I spent all day Saturday emptying a house of Janet. We had moments when we laughed and moments when we cried. We had some difficult moments when something precious just had to go in the dumpster but others when we could think of a place for something else that will always remind us of her life.

In the end, I have to question the acquisition of things.  I keep thinking if someone came to my house today to empty it of “me” where would all of “me” go? Unfortunately, I know all too well after this weekend. I am trying to find solace in knowing that our life’s accumulation might help someone, somewhere, furnish a home. I know Janet would, but still, I think I will be more careful about adding things to my life in the future.

Updates galore

Or perhaps just, updates, would be more accurate. I have had a rough month now. It started as a rough week when Janet died, and then other things fell apart but it just keeps coming at me, so now I will call it a rough month. This on top of a trip abroad in September, which I love, but it always takes its toll. Have you noticed that you don’t recover as well from time change holidays? I sure do. First it takes me a week to get back on my time. Secondly, my adrenals get shaky and that’s not a good thing for someone whose endocrine system is already challenged.

By the end of October, I was feeling pretty good but there were blips. One blip was my irregular heartbeat. Everything was pretty stable in the morning but by afternoon and my second dose of T3 at noon my heart races at the slightest provocation and then it blips every so often. I hate that, I really do and it was happening frequently by the third week of October. My sleep was pretty good but the daylight hours from 1-3 p.m. were often marred by an occasional bur-blip, bur-blip and a cough. It varies by the day and by the stress in my day.

Here is what I noticed, warm hands and feet, something that is abnormal for me, so I randomly checked my temperatures. They were running really normal and slightly above. Hurrah! Perhaps I was slightly hyper but in any case things were better than average. My sleep was fair to good, also a good measure of thyroid output. My aches and pains were lessening.

What to do when it seems your world is falling apart

In general, I think things were/are pretty good despite the heart blips (sometimes called arrhythmia). Then just when you think things are going right with your world again something comes along to shake your foundation. Within the last week a family member informed me that I was difficult to be around and we needed a “break”. This is beyond upsetting to me and I wouldn’t normally share such goings on with the world but I think it is important for thyroid folks to know that family arguments, like deaths of loved ones, are very destructive and you need time to recover. The recovery will not happen overnight.

For two days my limbs visibly shook if I faced any tense moments (getting behind schedule at work for instance). I heard from this person via email and just reading the email caused me to shake and feel weak all over. As I read through the email I found that some of what was said was very true (I do comment on thyroid health a lot. I do try to be sympathetic to this person’s family situation.) Some statements were patently untrue and the untruths undid me even more. By the time the day ended I had that “wired but tired” feeling that I had when I had taken myself off all my thyroid medication (By the way, not something I ever recommend. I have been recovering for about 8 years now).

My nights were and are restless. I am waking early in the morning (around 3:30). As soon as my brain is awake it is recalling all the things I might have said and/or done and I get up and start my day. There is always a positive side to our ups and downs and my early morning schedule worked really well this weekend as we started both Saturday and Sunday around 4 a.m. We accomplished in one and a half days what would have taken much longer had things been normal.

What the……..?

So I would say my world kind of went topsy-turvy, wouldn’t you? You want to know something interesting? My heart has quit acting up, The breathless feeling I was getting walking upstairs or chasing dogs has gone. The heartbeat that wanted to race at the least amount of exertion has all but gone.


In summary, it is obvious my adrenal health is not perfect. I think my adrenals are still a problem and that causes this roller coaster when presented with day-to-day stresses or worse, family issues. I know I need a cortisol test so that I can adjust my CT3M dose of T3 and heal them completely but I am still trying to catch up from my September holiday and subsequent unexpected days off due to the death in our family. In other words, it will be awhile.

I have not scheduled any other blood tests but I did schedule an appointment with my Homeopath/MD. My energy feels more positive after a few days of mulling over my course of action and getting back in charge of my emotions but I feel Dr. Lane will help me right now more than a blood test. She can help me work through my emotions and connect with the deeply buried hurt that now exists and is draining my endocrine system.

I also have not been taking my slow release potassium regularly. I forgot to take it at all last week. I was feeling an acute need this weekend, so I did eat bananas (something I normally don’t do) because I had forgotten to bring my potassium tabs along for the trip. In addition to my adrenal short comings I am sure my electrolytes are off and that always affects my heartbeat

Over the course of the past month my aches and pains have decreased.  I rode all morning today in a Ford F-250 and when I got out of the vehicle for a rest stop I could walk without stalling while my joints got in gear. Up until now I have had to stand for a few minutes to get my body to work properly and propel myself forward. This would also point to a more optimally treated thyroid. If you are hypothyroid everything gets stiff with inflammation and aches. That is one reason there is a general feeling that many fibromyalgia cases have their roots in under-treated thyroid disease.

The facts stated, now comes my latest experiment and my insight. The decrease in pain and the feeling of being optimal started when I started taking two capsules of Vital Choice Curcumin every day approximately two weeks ago. It is known that curcumin reduces inflammation but finding the right formula to optimize the effects of the turmeric is difficult. I looked at various formulas and decided this one was right for me as it’s base is Alaskan salmon oil. In subsequent blog entries I will try to update you on how the old aches and pains are doing.

The current turbulence in my life continues.  Just when I think I am in calm winds a gust of wind speeds me along my way and then the wind changes  and knocks the wind out of my sails. Believe me the wind will fill my sails again and things will be on an even keel again very soon but this only happens when you take charge of your life.  One thing this disease has proven to me is I am the captain of my ship and what happens is ultimately up to me.

See you the first Monday of December.



P.S. I have edited this because I felt it was necessary. This gives me the opportunity to tell my readers that I had a really good night’s sleep last night. I went to bed at 8:30 and basically slept until 5:30, my normal time to get up. My mind did not race nor did it seem troubled BUT I did have an Epsom salts (3 pounds because we have a big Jacuzzi style tub) soak last night with 2 cups of baking soda and I wore some detox foot pads to bed. Did that make the difference? I don’t know but it sure felt great.


Food Sensitivities

IMG_1917 (2)This has been a week dominated by fire watching from afar. We have watched fire consume acres of land around our private bit of Idaho ravishing livestock and wildlife as it raged through. For the last few days we have watched as hungry flames quite literally eat the landscape around Hailey, Ketchum, and Sun Valley but for now our cabin and land remain untouched.

We, my SU and I, watch our computer monitors with mouths agape as fire fighting helicopters wrestle with what they are calling “Fire-nadoes”. These are virtual whirlwinds made entirely of fire fueled by summer dried trees and sagebrush. Fire fighters on the ground are filthy with soot but keep doing their job of saving lives and structures.

They have done their job very well indeed, as few structures have been lost and no humans have perished thus far. Even the animal shelter near Hailey, Idaho was protected so well you can see the burn came right down to the structures but nothing was touched, it wasn’t even licked by flame and that, my friends, is fire fighting at its best. Just so you know, all the animals (including some bomb sniffing dogs) were safely removed and re-housed in other locations until the fire danger passed.

Meanwhile, here in Minnesota it is dry and warm. It is mostly stereotypically August although we often are much warmer than we have been. I don’t hear anyone complaining (with possible exception of those who own boats who shall remain nameless). Today, smoke from the western fires will waft over us but mostly it will be a Sunday like many others, me writing my blog for publication tomorrow morning bright and early and John catching up with unfinished business from Friday.

Food sensitivities


I have talked about food sensitivities on this site many times and it is still a subject of some curiosity for me. You all know about my burning mouth syndrome and irregular heartbeat issues. I explored numerous food issues from MSG (excitotoxins) to gluten in the past. Through very unscientific research I concluded that MSG wasn’t causing my irregular heartbeat but excitotoxins (as described by Dr. Russ Blaylock) are not good for us whether or not we have obvious reactions and I avoid them if at all possible.

Bioactive Amines, Salicylates,Nightshades and others

I found this great article titled “Natural Food Toxins” in my research this week. Chloe, research assistant and friend, and I were talking this week about aches and pains and causes of said A&Ps. She brought up nightshade vegetables and the fact that eating potatoes makes her feel quite upset. Nightshades are notorious for reacting this way on people and sure enough they are included in the article “Natural Food Toxins”.

You all know about my Burning Mouth Syndrome and I remain perplexed by the causes but I am starting to narrow down some of the culprits. I am not sure of their connection, if any to each other, but coffee is a definite culprit. Ground peppercorns on my eggs this morning caught my mouth on fire. I believe that supplements with rosemary extract ignite the issue as well. Any kind of mint be it peppermint, spearmint or wintergreen will make my mouth burn for days. What do all of these things have in common? Yup, you guessed it, they are all natural food toxins.

This is a broad category of foods including some dairy, meats, fruits, vegetables, nuts and herbs. The article at is well worth reading and the link is there if you click on the first mention of “Natural Food Toxins”.


Gluten free has become the new buzzword for food sensitivities and allergies. For some, the mere hint of gluten in their food can cause their throats to tighten and swallowing impossible.  Others are more intolerant than allergic. For me it is a culprit behind many negative health issues including ensuing malaise and seemingly irregular heartbeat. I cannot tell you, the reader, how or why gluten affects my heart but I think and have had it confirmed by others in the thyroid groups that being “glutened” can and does cause autoimmune attacks and since my heart is prone to irregularity an autoimmune attack seems to be a trigger.


Lactose intolerance is the number one food people have trouble with. Whether it is a true allergy or an intolerance doesn’t really matter to the person who is having issues with a food. My friend Chloe totally eliminated dairy from her diet to see if it was a culprit in her fibromyalgia and found, perhaps to her delight, it really didn’t seem to make any difference. Nothing changed and she was true to no dairy for months. I can’t see that dairy affects me negatively. I never ache after consuming dairy products. My heart never bothers me (no change in pulse even). I cannot see that dairy is a negative for me in any way other than calorie content. That is not true for others and for them lactose causes too much distress to make consuming it worthwhile.


Consuming gluten causes me to ache all over, have autoimmune issues within weeks of consumption and my heart reacts negatively within hours of consumption. The odd thing (at least it seems odd to me) is for most Celiac patients coffee has a similarly negative effect. They cannot tolerate coffee and this week after two episodes of achy joints I connected the dots.  I don’t have coffee very often but I do have it as a treat once in a while particularly on weekends and at my daughter’s house.

Last Saturday, we had coffee and that night I had a ruined night’s sleep as I tossed and turned with aches and pains in my knees like you wouldn’t believe. Sunday night was okay and I slept well but then I didn’t have coffee on Sunday. Monday I had coffee at my daughters and unbelievably I hurt all night long again. My knees ached and my hip ached. I got up during the night and I could barely walk my ankles were so stiff (I thought this was from running barefoot on my driveway at the time). I was starting to feel very old for 59. Then Tuesday, Wednesday and the rest of the nights this week were full of good sleep with no achiness. Of course, I have avoided coffee ever since Monday.

I mentioned that my ankles were stiff and they were and I did blame the running but it suddenly went away with no residual soreness or stiffness once I had the coffee at least 48 hours out of my system. I have since run barefoot all over my driveway and yard with no issues. Yesterday, I even did lunges across our backyard in addition to jogging. This did affect my left hip-joint last night but nothing else ached, so I conclude coffee is as bad for me as gluten.

I don’t know about you but I keep wondering what will be next and why. Do people with autoimmune issues just have more aches and pains? Or, as I tend to think, do we know that this is not normal? Do we just not accept? I know that aches and pains are not a normal part of aging, that they represent a problem. The problem is inflammation. That inflammation is a result of some thing that your body is missing, is reacting to and/or to which your body just wants you to pay attention.

I think it is important to pay attention to these aches and pains before you need a hip replacement, before your fingers are crooked with arthritis. Pay attention before your cells go crazy and multiply and some doctor tells you that in order to live you need chemotherapy and radiation. Hello Kristin!!!! Are you paying attention now? I sure hope I am. I am going to try really hard to do as I say and stop doing as I have been doing and get rid of these aches and pains.





Myxedema Coma

IMG_1917 (2)Another week has come and gone and as with all weeks there were ups and downs. I had the joy of meeting up with friends on not just one day but two with lots of healthy laughter and some moments of poignancy. My birds entertained me royally from my kitchen window and my garden produced a plethora of multicolored beans.

On the downside our own private Idaho seems to be surrounded by forest fires that are spreading precipitously every day thanks to high winds and no precipitation. Our cabin is small and on the side of a mountain, so we watch and worry about seeing it every morning when we check our webcams. My prayers go out to all those who live and work in the area of the fires as these fires threaten not just their mountain cabins; the mere lick of a wind-swept flame could put their families in harm’s way.

While not really a downside the more serious issue of my health was discussed with my homeopathic/MD doctor and we are now trying to decide what all my food sensitivities are. There is a blood test I could do for $750 (“Should you win the lottery, or somehow find yourself with some spare cash.”) or I can keep a food diary and see if I can figure out what causes my burning mouth syndrome. Suspects include rosemary (for the moment) but who knows I haven’t kept a food diary in a long time and while this issue has plagued me for several years I can never connect it to anything in particular.

Anyway I wonder how your week was, did you have any health revelations? Did you see friends and spend lots of time laughing and enjoying just a touch of civil disobedience? Whatever your week presented you with I hope it was a week not wasted with something learned every day and every moment experienced even if not always enjoyed. After all even the bad things in life are to be appreciated. When you conquer the “bad things” you feel such a sense of relief and contentment.

I forgot my T3

One of my “Oh No” moments this week was being contacted on Krisinsight by a group member/friend. Her note stated that she was flying out-of-town for the weekend and she forgot her T3. Would she be okay? At first I panicked for her because there is a good chance she wouldn’t be okay.

After I gathered my wits, which can often be scattered under stress, I had some suggestions. What I didn’t want to tell her was the possible consequences of not taking your T3, especially if your thyroid no longer makes its own hormones, so I avoided the bad stuff and just tried to think of possible solutions.

Myxedema Coma

One consequence of not taking your T3, in case you didn’t know by now, is a condition called myxedema coma (a decompensated thyroid). If your body isn’t getting T3 (whether from taking T3 or taking a natural desiccated thyroid product or Syncrap)  you suffer loss of brain function due to low levels, over an extended period of time, of thyroid hormone.

Symptoms are severe mental changes, hallucinations, edema, difficulty breathing, abnormally low body temperature (80 degrees is possible) pleural effusion, etc. Myxedema coma is more likely caused by the failure of the pituitary gland or hypothalamus to make the thyroid hormone it is capable of making or you are not supplying the hormone in the case of someone who is already being treated for hypothyroidism.

There are various triggers for myxedema coma. Triggers might include various drugs (especially narcotics, anesthesia), stroke, trauma, heart failure, internal bleeding and last but not least forgetting to take your thyroid hormones. Ultimately a person who suffers myxedema coma may die if not treated promptly and correctly. This was the news I did not want to relay to my friend.

What can you do?

Instead I told her the first thing that popped in to my head. Perhaps she could try to find someone in her host city that would have T3 she could use until she got home. This would necessitate contacting the RT3 group and crying out for help which may or may not be very productive but it was the first thing I thought of and relayed to her.

Another idea would be to look up a health food store (even Wholefoods) that carries thyroid gland supplements. Taking that will supply you with T1, T2, T3 and T4, so once you are home you might have to go through a clearance process but at least you would prevent an issue of myxedema coma.

As I thought about this more I realized the best thing to do is contact your doctor or pharmacist and see what they can do to help you. In her case, she contacted her compounding pharmacy on Saturday morning. She was able to find a compounding pharmacy that was open  near her hotel and they were able to fill her prescription. That is where she left me as I am sure she got busy with the business of a class reunion and hopefully attended all the functions with no repercussions nor lack of thyroid medication.


Thankfully most of us reading this will never suffer from myxedema coma but I thought it was something everyone should be aware of in case, just in case. I always travel with medication in several different places (but never in checked baggage) just to be sure I don’t leave home without my T3. It is a worry because to forget your T3 at home can have serious ramifications especially for those of us on T3-only.

I wonder if another good practice would be to investigate possible sources of thyroid meds wherever you are going. Google health food stores in the area and perhaps even call or email them and ask if they carry thyroid gland supplements. Talking to your doctor before you leave might serve the purpose of letting them know, if they get a call from out-of-state, you might have to call in case of emergency. I know I could do this with my homeopathic/ MD because she is a one person practice and sooner or later she would respond. Can you think of any other possible solutions to what could be a deadly omission to your holiday plans?

Summer’s Bounty Recipe

IMG_2211 (2)

My garden continues to produce but it is being very parsimonious this year. To use the word “bounty” is generous but it sounds good to my ears. Any other word would just  sound pathetic. For instance this year I planted an entire long row (at least 6 feet long) of little round French carrots and got perhaps as many as 12 carrots. Each one being precious I have only tasted one or two but yesterday I pulled six of them, washed and polished them like precious gems, and roasted them for supper.

When I was done I had these gorgeous carrot tops resting on my kitchen counter and I couldn’t throw them away, so I got this great idea of making pesto with them and found a recipe to provide amounts and possible ingredients. Did you know that carrot greens are high in potassium? We thyroid types always need potassium, so what better way than eating carrot green basil pesto?

Carrot Green-Basil Pesto

  • 1 large handful of carrot leaves without stems
  • 1 large handful of basil leaves
  • 2 large cloves of garlic
  • 1/4 cup sunflower seeds
  • 1/4 cup pumpkin seeds
  • 0r instead of seeds 1/2 cup toasted walnut pieces
  • 3/4 cup oil of your choice (I used 1/4 flax-seed oil and 1/2 cup olive oil)
  • 1/2 teaspoon Celtic sea salt
  • generous grinding of pepper

I put this all in my processor in the order as written and processed it until I had a smooth paste. It was pretty thick, so I added more oil but you could add the lemon juice the original recipe called for. Despite the fact that the article said carrot leaves can be bitter, the pesto is quite sweet and pleasant and I will use it as I would any pesto on gluten-free pasta, on sandwiches made with gluten-free bread or as a dip for fresh vegetables. Bon Appetito!



Summer and Other Things

IMG_1917 (2)Last week I was sitting on my canopied deck sipping my milky Keemun Congou tea when my ears were suddenly assailed with the chattering of birds. Not just any birds, no, not these birds, these are MY orioles, the Eastern and Orchard orioles. When they arrive in April and May they tell me their winter stories of joy and sorrow. Stories about their long flight north and who made it and who didn’t. They tell stories of their hunger and show their appreciation by gobbling bowl upon bowl of the purple goo that I lovingly put on my deck railing. After all they need the energy to start their nests and raise their broods and their time with me is brief. Within weeks of first hearing their songs they will nest and their visits will wane.

Then around this time of the summer (August) they return in profusion. Only this time they are accompanied by their young, their very demanding, very hungry offspring who have gone from infants to teenagers in a matter of weeks. They yell at their parents and flap their wings demanding more and more jelly be put in their mouths. At times I will look out at the crab tree they sit in and it will be aflutter with a dozen or more orioles and I just smile. These orange and black lovelies make my summer days complete (so I guess you could say they complete me).

Sometimes I am left heartbroken by their stories and it seems every year there is one heartbreaking tale to be told. One year it was a female oriole with a tumor on her beak. Every day she returned for more jelly and would often sit right by me and eat what she could get in her mouth and stare me in the eye. She struggled and I cried but every day she returned and every day we “talked”. One day she came and I could tell she was suffering; really just asking me for relief but coward that I am I knew Mother Nature would offer her solace soon enough and let her be but kept her fed as best I could. Then one day she didn’t come anymore and I knew her suffering was over. I still cry over her (I cry now telling her story).

My orioles will soon be migrating south to escape our brutal winter winds. They will bulk up for the next month on cheap, Target grape jelly because that is the jelly they have requested (believe me I have tried organic this and that and the bowls sit there and are emptied in to the trash) and as soon as Mother Nature alerts them they will leave for Florida and Mexico. I will miss their discussions and their bossy attitude about my deck but I know, as sure as I know winter will come in Minnesota, they will return and I will joyously welcome them home.

Little things can be important

For some my orioles are little unimportant things but to me they are a huge part of my summer joy, so it is with other things in life. Take a night of sleep for instance. For some people sleep is never a problem. For others, like my daughter, sleep is a precious commodity as her nights are still interrupted by the demands of a hungry, growing baby boy. For me, sleep continues to be one of those perplexing issues. I have nights when I sleep the sleep of kittens and then other nights I am fitful and restless all night long and morning simply cannot come soon enough.

This past week I finally took the bull by the horns because I had regularly been waking up all night long with horrible dreams and aches and pains. I decided I had to experiment a bit and suffer the consequences if need be. I have been doing the CT3M dosing for T3 for about two months I think (time does fly so it may be longer than that).

My normal dosing for some weeks has been to take 25 mcg of T3 sometime between 1 and 2 in the morning. My next dose of 12.5 mcg would be between 8-10 a.m. and my final dose around 5-6 in the evening. Almost every night I was waking at midnight in a real huff as the result of some horrible dreams (nightmares). I would settle back down but my sleep wouldn’t be good until I took that 1-2 a.m. dose of T3. After that dose I would sleep like a kitten again.

Think Kristin, think

This got me to thinking, if I am waking at midnight and only sleeping well after I take 25 mcg of T3 at 1 or 2 in the morning, I am not providing enough T3 at the midnight dump. When my demand for T3 is at its greatest (typically midnight) my T3 was mostly used up having not taken any since 5 p.m. Perhaps if I went back to taking T3 at bedtime, lights out, my sleep would improve and there wouldn’t be the shocking nightmares.

In the past week I started dosing my T3 more like this:

  • Bedtime (8:30-9:00 p.m.)- 12.5 mcg
  • 3 a.m. -25 mcg
  • 12 noon-12.5 mcg


Here is what I think was happening. I am not saying I am right but it is what I think. At midnight I was running low on T3 after not taking any for 7 hours. If you don’t take enough T3 to feed your thyroid your adrenals will kick in some adrenaline to compensate. That mass-produced adrenaline startles you awake and even can produce nightmares. You heart will beat rapidly, your breathing will be elevated and you are  in a sweat, like a hot flash.

By taking a bedtime dose of T3 when my demands are their greatest I have T3 to offer my body and it uses every bit but I don’t wake up with a jolt, nor in a sweat. I have pleasant dreams as I did last night that I can’t quite remember. I was recalling with vividity my disturbing dreams during those weeks of taking my last dose at 5 p.m..

I knew my body was getting enough total T3 because of my recent blood test and that was really perplexing for me. I would go over and over all the possibilities and sometimes even feel somewhat hopeless. I mean, would I ever sleep normally again? Was it time to do a diurnal cortisol test (well, yes it is but money, money, money) and see how the old adrenals were faring?

I don’t know everything and every day I learn something new or I consider it a wasted day. That said, I know one thing for sure, there will be further tweaking. I know, as almost all thyroid resistance folks know, this thyroid stuff is a continual journey and I will not be put off by the need to make a change to improve my quality of life. That is my solemn promise to self.

Like my orioles come back every spring I will return next week. Until then have a great week and if you need help please feel free to ask. Ask me, ask your friends, ask your medical provider because by dealing with the crisis you will find an answer.



Blood Testing and the Results

IMG_1917 (2)As I stand at my computer the sun is shining on my back. I cannot tell you how good it feels to just see the sunshine after three days of low hanging clouds and on and off rain. I guess you could say I am solar-powered because I know my SU loves those low hanging cloudy days. He says they relax him and often he gets more done.

Speaking of getting things done, I had a little nudge this week from my homeopathic doctor to get a blood test done to check the status of my thyroid, so I finally went in and had a blood draw at LabCorp in Edina, MN.

If you haven’t heard me say it before I will say it again, I am a huge fan of LabCorp in Minnesota for several reasons. I find the staff are all consummate professionals. The facility is always clean and orderly. I have never been hurt by a blood draw nor ever left with a bruise or even so much as a sore spot. This doesn’t mean that you might not run in to a LabCorp that is not as good but if you are in the area, the office in Edina, MN has got to be one of the best.

The results are in

This year, as in years past, I ordered my thyroid panel from Life Extension when they had their blood panel sale in the spring. You do have to pay to have a membership at Life Extension but the blood panel sale alone makes it worthwhile. They also offer free consults with their medical staff and I have made use of that as well and it was professional and very helpful. If you aren’t a member the panels are still some of the most comprehensive blood tests offered, they will just cost you more. Also I will add if you follow (Like) them on Facebook they do offer free 6 month memberships once in a while and I have taken advantage of at least two of those offers as well.

I had my blood draw on Monday morning at 8 a.m. my results were in my e-box within two days. I think this is fantastic given how long it takes a doctor’s office to get results and then to let you know. The thyroid panel I chose cost me $56 and included TSH, FT3, FT4 and Thyroxine ( T4). My results were as follows:

  1. TSH- 0.084 range .450-4.5
  2. FT3-3.8 range 2.0-4.4
  3. FT4-0.06 range .82-1.77
  4. Thyroxine-0.5 range 4.5-12.0

How do you read these results?

Given conventional wisdom and the information your health providers have handed you, what do you think of my results? With a suppressed TSH can I sleep at night? Can a body survive with basically no T4? Is my FT3 too low? Were any of my results flagged as out of the normal range?

The answer

The answer to all the above questions is “yes”. First, I am sleeping quite well although my nights have been interspersed with nightmares of a sort. The sort that wake me up with a rapidly beating heart because I was either doing something physical or something upsetting in my dream. They don’t keep me awake for long and I can settle my heartbeat immediately. I know from experience that this means I am on a slightly too high dose of T3 but by slightly I mean only a fraction of a 25 mcg tablet and I think my body will adjust over time.

Current CT3M dose

I am currently taking a 25 mcg dose of T3 around 2 in the morning according to the CT3M method as described by Paul Robinson. Many of my dreams occur before 2 a.m. and once I take that 25 mcg dose my sleep improves and I sleep long and hard until 5-5:30. I am not absolutely certain what that means but I intend to find out with further research. My general feeling is I really need to take more T3 but I don’t think my adrenals are up to it yet and I need to obtain a diurnal cortisol test the next time I feel like spending $109 on tests.

Second answer; same as the first

Second, if you are on T3 only your FT4 and Thyroxine should be almost null. Your thyroid needs T3 to run smoothly and any T4 is actually converted to T3 before your thyroid can use it. For someone like me, with thyroid resistance, the T4 was actually blocking my cell receptors and interfering with my thyroid’s ability to get enough T3. The fact that I have basically no T4 is a little scary (to me) because it means my thyroid is dependent on the T3 I take and there is no T4 to convert to T3 but it is a good thing to see when you take T3-only and have a RT3 issue. Also bear in mind I hadn’t had any T3 for 13 hours when this blood draw was done, so the T3 is circulating for a long time.

Third; FT3

Third, my FT3 is a bit low. Now according to my functional medicine guy he liked my FT3 in the middle of the range, so he would have said this was almost borderline too high. However, when a patient is on T3-only your FT3 should be in the upper end of the range or perhaps slightly over. I feel pretty good with my FT3 at 3.8, so I think I will leave things as they are for now but I do like knowing that there is room for improvement.

Flags and other warnings

As for any flagging that was done, my TSH was flagged as “Low”. My FT4 was flagged as “Low” and my Thyroxine was flagged with the dreaded “ALERT”. If you are going to consider the path I have taken for treating your thyroid disease you really must educate yourself and have good, scientifically proven information for your guide. I would never do this on my own (I had a group of patients who had gone through the same thing and researched the subject thoroughly as my guide) nor as an uninformed novice because results like these are, to say the least, disturbing if you don’t know what they mean.


I don’t know about my readers but I like knowing that things are okay because I know they aren’t perfect. My skin is still scaly especially if I bathe too regularly but it is summer and it has been hot (but isn’t at the moment). My sleep has its ups and downs and my dreams have been graphic lately (someone suggested no fermented food at bedtime and I have been drinking kefir every night, so no more of that). I have many nights when I ache especially my bum hip aches when laid on too long and my head has felt a bit muzzy lately. I keep trying to decide if all these things are part of aging or part of my disease.

I keep thinking that perhaps if I can eventually take 75 mcg of T3 or find that right remedy with the help of my homeopathic doctor things will be perfect. However, I am a human being, we, by nature, are not perfect. Is it so bad that my energy lags some days? I tend to think not, especially when most days my energy is good. As long as I can keep up with my two-year-old grandson hopping and skipping over cracks in the sidewalk and carrying him when he asks “Carry me?” Well I just feel blessed.  If sleep alludes me now and then that won’t kill me. As for aches and pains, if you increase your activity with muscles, tendons and ligaments that aren’t used to such activity you are going to ache a bit, so what do I expect?

I ask my readers, in all seriousness, what should I expect? Should I expect to be Suzanne Somers and be out there tooting my horn about my fabulous sex life and my 20-year-old body? Or should I be running a business where I work 24/7? I do neither of those but it makes me wonder. What is your energy like? How many aches and pains do you have? And to what do you attribute these good or bad things in your life?

Don’t be put off by the “S” word in the previous paragraph I just always wonder if she is on drugs or has had surgery, so Suzanne Somers is the first person who comes to mind when I feel a bit on the 50-ish side of life and start wondering if that is normal. That little detail cleared up, before I close I wanted to share a quick recipe for a blueberry elixir because blueberries are plentiful right now and it is the perfect time to make some of this to enjoy in the autumn. This recipe is from a book called Wild Medicinal Plants and it can be found on page 76.

Father Kneipp’s Elixir

  • 2 cups of Brandy (500 ml) do not get brandy with flavors added as they contain gluten sometimes
  • 7 ounces (200 g) organic blueberries, crushed
  • 2 cinnamon sticks
  • 5 whole cloves

Combine all the ingredients and macerate for 1 month away from any light. Stir from time to time. Strain after one month.

Drink one ounce (25 ml), pure or diluted, in the case of diabetes, gastritis, enteritis, colic, and intestinal gas, or poor night vision, or simply as a full-bodied and delicious digestive.

I made this a few years ago and it is so pleasant you will enjoy every drop but drink with reserve, it does contain alcohol and I can’t really think of any other way to make an elixir. If you can’t have alcohol then just enjoy some blueberries in whatever form you enjoy.




Using Up Spoons

I am sitting at my ‘puter this morning looking, when I am not looking at my screen, at a very cloudy morning. Last night was a very entertaining night if you like summer storms and sirens at 3:45. Personally I could do without either when I am trying to sleep and especially when I am sleep deprived and quickly using up my daily spoons.

Have you ever heard of the “Spoon Theory”? It is a term coined by Christine Miserandino on her site called But You Don’t Look Sick. I think it applies to lots of folks who have chronic illness and autoimmune disorders. Hashimoto’s falls under that category in my opinion.

What is the Spoon Theory?

To explain it very simply, and I repeat the word simply, it says for people like us (apparently sick people need only apply the “spoon theory”) there are only so many “spoons” that we can use up in a 24 hour period. Normal healthy folks have unlimited spoons and can handle whatever challenges they face. For “sick” people once you have used up all your spoons you will suddenly find yourself totally spent and on the couch or in bed for days.

So take a handful of spoons and call that your day. For each activity or stressful situation take away a spoon. Once your hand is devoid of spoons you have spent your days worth of spoons and you will either go to bed or find a place to collapse because it is inevitable. I feel like my hands are empty and I can’t even find a spare spoon in the house, anywhere.

How do you use spoons?

I don’t know how others do it but I had a most welcome guest for two and a half weeks. I loved every minute of my time with her BUT I could never get my sleep. We went to bed later than normal and I woke up every morning at the same time, somewhere between 5 and 5:30.

Since she has returned home I still can’t seem to get over my deficit. First it was a visit from my daughter and grandson, then it was a bad heart day and then it was the weather. I love, love, love having my daughter and her adorable son stay overnight but the bad heart day and weather I could do without. This morning after a storm that woke me at 3, too early for even the early riser that I am, I sit here feeling very sleep deprived with that all too familiar fog in my brain and flutter in my heart.

Once the spoons are on the floor….

I don’t really have an answer for any of us except to learn how to never exceed your handful of spoons but that means bypassing some really happy moments in life. I am simply not able to give up the smile days just to reserve spoons, so with that in mind I will tell you what I think happens to me when I use up my spoons. As with most things I share on Krisinsight it is just a theory, I have no proof.

I don’t get sick very often, so I never consider myself a “sick” person. What does seem to happen is my adrenals finally spin out of control and that releases unwanted adrenaline. The adrenaline is what keeps me moving and enjoying life but it is artificial energy and I pay a price for that expenditure, heart palps. The culmination of the two and half weeks of entertaining a visitor and then the overnight with the daughter and grandson and an accidental increase of T3 was an afternoon of a rapidly beating heart and general distress.

I actually felt sick and tired for most of the afternoon after my daughter left with her smiling baby but when it came time to go to bed I was electrified. My breathing was shallow. I jumped at the least bit of stimulation like a dog barking or spousal unit sneezing. When I took my pulse it was 98 my blood pressure was 122/83 which is high for me and I was feeling it. I think I had finally dumped all my spoons on the floor with a CRASH and now it was time to pick up the pieces.

How do spoons end up scattered on the floor?

What I almost did yesterday was lower my dose of T3 but yesterday I took my morning temperature and decided I wasn’t hyper when my temperature at 9 a.m. read 97.6. At 5 p.m. it was a perfect 98.6. I was right I wasn’t hyper but I had spent all my spoons. This morning my blood pressure is 97/65 and my pulse is 75 and that is after a cup of tea and my morning dose of T3.

I was thinking of lowering my T3 because why? Because I inadvertently increased it three days ago. I was divvying up my 56.25 mcg and dropped the extra 6.25 mcg chunk in the 10:00 a.m. slot, so the amount was actually 12 mcg. Those 6.25 mcg pieces are so small you can’t see them if the room is dark and you are presbyopic. I thought the other half had disappeared and would find it on the floor when it clinked in the vacuum cleaner.

The next day when I tipped 10 a.m. in to my hand and clumsily dumped the dose in my mouth my eye caught sight of the “missing” piece. I judiciously put it under my tongue anyway and let the gods take it from there. That day was fine, no side effects of the increased dose. The next day was the day from Hell but not until the afternoon and evening (when my cortisol tends to be high when tested) and that set me up for a rough night. Thankfully I experienced only one night of being shocked awake by adrenaline stimulation, last night it was a legitimate thunder and siren awakening.

Kris Insight

My guess is last week when I was hanging on for dear life to my last spoon the last thing I should have done is increase my T3. It quite literally broke the horse’s back and my heart is always the recipient of such stupidity. I know I need to be taking more T3 and I am gradually building my dose in the direction of 75 mcg but increases when you are feeling worn out and tired are not a good idea. It impacts your adrenals significantly and they react by producing more adrenaline and that causes heart palps and irregularity.

My advice to my readers with adrenal fatigue or just weak adrenals and on T3-only is do not increase your dose when you are spoonless. Even if all the signs are pointing at a need for an increase, low temperatures, low blood pressure and pulse DO NOT INCREASE YOUR DOSE. Nothing will happen if you wait a few days or a week or even a month. Increases should only be done when you are feeling well rested and up for the challenge.

I hope you will tune in August. At that time I will have my blood test results back and will share them with you. Life Extension had their yearly sale and I just can’t pass up the opportunity to see how the old bod is running. I really want to see how my FT3 is and find out how I am doing with inflammation and female hormones. Stay tuned and have a great and rejuvenating July.

Happy Fourth of July,


Good News for Bone Health

I have just returned from a relaxing and rejuvenating holiday along the coast of Oregon. It always feels good to get back home but I find the sea feeds my emotionally needy soul and leaving the vast water behind is akin to leaving a small part of me behind. Fear not, I shall recover that small but important entity on my next visit to the ocean.

Inbox: BioBalance Report

While I was away my trusty computer was along and I easily kept track of emails and the latest news when our internet connection would allow such vacation interruptions. One piece of mail that arrived was most welcome- my December NTx results.

That piece of mail had the potential to be most unwelcome but upon opening the email I found, to my great relief, that my NTx results showed remarkable improvement from the results I had in November 2010. The improvement in my results made me think that perhaps many of my female readers and especially my fellow thyroid people might not know about the NTx test and now I could provide some valuable insight.

Online Links to Articles About NTx Testing

If you want to know more details about the NTx test I have listed two sites that explain the test and why you might want to have it done:

Very unscientifically put the NTx test measures the N-Telopeptides in your urine which shows your bone loss on a daily basis. I now have had four NTx tests and have some insight of my own, so we can compare the results and I can share my insight with you my readers.

Past NTx Test Results

My first NTx test was in October 2008. At that time my bone loss was elevated as was shown by a result of  53nM BCE (bone collagen equivalent). Six months before the test I had begun taking bio-identical hormones (E1, E2 compounded cream and Progesterone) as suggested by Dr. Robert Bruley to halt bone loss. I was also taking compounded T4 with some additional T3 for my thyroid.

Then in November 2009, approximately a year later I performed another NTx test and my results were still elevated at 51.53 nM BCE. At that time I was taking Armour (60 mg dose) plus E1 and E2 cream and oral Progesterone.

In November 2010 I took the NTx test again and my results were  shockingly high at 219.37 / 187.97 nM BCE (urine collected at 5:30 and 6 am). Normal readings should be <38. Elevated readings are considered to be in the range of 38-60 and anything over 60 is considered to be a high rate of bone loss on a daily basis. My T3 dose at that time was 87.5 mcg, I was using E1 and E2 and Testosterone creams, plus oral progesterone and I was headed for trouble.

2011 NTx Test Results

You might now understand the trepidation with which I looked at my recent December 2011 results. In 2010, I had the feeling that the extremely high rate of bone loss was due to my thyroid treatment at the time but I didn’t know for sure. Now with the results of my most recent test in hand I knew I had been correct.

With great relief I read my results: 32.93nM BCE (remember anything less than 38 is considered normal for a pre-menopausal female). Hurrah! A normal test result, perhaps I am more in balance than even I thought I was. This time I was on a dose of 50 mcg of T3 and taking Estradiol 2-4 mg per day and the oral Progesterone 200 mg every day.

What Happened in 2010?

What was happening in November 2010? I was in the throes of adjusting to T3- only (7 months after switching to T3) and was on a dose that was too high for my body to handle. I was actually in a hyperthyroid state (due to T3 pooling instead of being used) and it is known that people with hyperthyroidism have a high rate of bone loss and a subsequent risk of fracture.

My T3 journey has been the topic of so many of my blog postings I will not go in to detail here (you can search for my blogs on hypothyroidism by typing “hypothyroid” in to the search box and at the end of each page of listings you will find “older entries” for even more). Suffice it to say that at the time I was trying to dose according to basal temperatures. Despite being on a dose of T3 that was causing rapid bone loss my temperatures never did show a normal reading or if they did they would spike and then the next day be low again (a sure sign of too much T3 causing adrenal stress).

Kris Insight

NTx testing can show you your daily bone loss and help you tweak your diet and exercise to maximize bone formation. The following is my to-do list to get you started:

  • Normalize your thyroid and sex hormones as quickly and naturally as possible.
  •  Limit sugary foods including most fruit. Eat foods high in Magnesium and K2 (dark green vegetables). If you tolerate dairy, you can add raw milk and raw milk products like kefir, yogurt, butter and cheese for your calcium.
  •  Optimize your Vitamin D levels preferably by exposing your skin to midday sun for 20 minutes or using a safe tanning option. If you live above the equator, especially at 45 degrees as I do, sun exposure is only useful from May-September. sells a safe tanning system and I use the Sunsplash Renew.
  • Adding supplements like magnesium, (Mark Sircus would say magnesium chloride transdermally as well as orally) K2, and Strontium will also help.
  •  Weight bearing exercise is known to cause the formation of bone and thus is of vital importance. Biking and swimming while useful exercise do not help build bone as there is no weight bearing on your limbs. You need to lift weights (the ligaments pull on the bone), run and/or walk. Sadly being overweight actually helps build bone but the risks of being obese are too great to justify it for load bearing reasons.
  • Order an NTx test here if your doctor doesn’t know about it.

To your good bone health,