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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by SLS on November 4, 2006, at 5:55:13
Article on thyroid and depression:
http://www.currentpsychiatry.com/article_pages.asp?AID=4545
- Scott
Posted by Phillipa on November 4, 2006, at 10:01:21
In reply to Article on thyroid and depression., posted by SLS on November 4, 2006, at 5:55:13
Scott that's what I've said all along when I worked in psych I checked all the labs and the majority had hypothyroidism. Hence my depressive symtoms started when my thyroid was dx'd as hasimotos thyroiditis and why I've finally gone to an endocrinologist as now mine is hyper. I totally believe the thyroid is implicated. Love phillipa
Posted by bassman on November 4, 2006, at 10:02:43
In reply to Article on thyroid and depression., posted by SLS on November 4, 2006, at 5:55:13
SDS, thanks so much for the article. I have had a very low body temperature (consistently 93.8 when I get up, about 95.5-96.5 during the day). I also have a very slow pulse (42-46), but that's from jogging. I looked it up once and I think I'm legally dead in the morning with that low a temperature. Anyway, when thyroid testing is done, I always come out normal. Strange.
Posted by Phillipa on November 4, 2006, at 19:09:23
In reply to Re: Article on thyroid and depression., posted by bassman on November 4, 2006, at 10:02:43
Bassman too often they only test TSH. A whole panel needs to be done including thyroid antibody tests. And the most accurate thing to establish a thyroid condition is a mercury thermometer in the morning under your arm. Your temp is way too low and your pulse even though you're a jogger. I would make an appointment with an endocrinologist. I just had my first one. Love Phillipa
Posted by Iansf on November 5, 2006, at 0:17:51
In reply to Re: Article on thyroid and depression., posted by bassman on November 4, 2006, at 10:02:43
A pulse of 42-46 is extremely low, even for the most avid jogger. I'm shocked that the combination of such a low heart rate and body temperature hasn't grabbed the attention of your doctor.
> SDS, thanks so much for the article. I have had a very low body temperature (consistently 93.8 when I get up, about 95.5-96.5 during the day). I also have a very slow pulse (42-46), but that's from jogging. I looked it up once and I think I'm legally dead in the morning with that low a temperature. Anyway, when thyroid testing is done, I always come out normal. Strange.
Posted by bassman on November 5, 2006, at 10:12:42
In reply to Re: Article on thyroid and depression. » bassman, posted by Iansf on November 5, 2006, at 0:17:51
Maybe it's the problem of having PD...when I go to the doc, my pulse rate, bp, and temperature go up. So in the doc's office, my pulse is 50-70 and my temperature is 97.5. So I tell the doc what my pulse rate normally is, but they've never observed it-they take a thyroid blood test and I end up low normal.
Your point is well taken about my pulse and jogging...I jog an hour every other day, if I can...but I'm slow. Under those conditions, you might expect a pulse of maybe 60...
Just for entertainment value, I had a GP, who, seeing my artifically high bp, put me on a beta blocker. My relaxed pulse was 29...talk about being in a fog.:>}
Posted by Phillipa on November 5, 2006, at 17:44:07
In reply to Re: Article on thyroid and depression., posted by bassman on November 5, 2006, at 10:12:42
Bassman that's not funny as pacemakers are put in people with rates below 50. And you would be given atropine and lidocaine in an ER. Love Phillipa
Posted by bassman on November 5, 2006, at 18:45:22
In reply to Re: Article on thyroid and depression. » bassman, posted by Phillipa on November 5, 2006, at 17:44:07
I know about the pacemakers...a fellow I knew went to the hospital with heart problems and his wife said, "his pulse went below 50..." looking very, very concerned, "so they put in a pacemaker". I didn't want to tell her my pulse was about 40 at the time...
Maybe I should put something in my wallet that says, "relax! My pulse is always this slow" :>}
Thanks for your concern!
Posted by jealibeanz on November 5, 2006, at 19:27:03
In reply to Re: Article on thyroid and depression., posted by bassman on November 4, 2006, at 10:02:43
Well very low pulse rates aren't abnormal for extremely athletic people. That is very low though. I know well conditioned atletes with rates of 50 are considered normal due their activity level and compensation by the body. Are you very thin? Underweight? That could cause a low pulse rate.
Posted by Phillipa on November 5, 2006, at 19:39:55
In reply to Re: Article on thyroid and depression., posted by bassman on November 5, 2006, at 18:45:22
Bassman seriously it's not just concern you need to find out why it's not healthy. Love Phillipa
Posted by bassman on November 5, 2006, at 19:41:40
In reply to Re: Article on thyroid and depression., posted by jealibeanz on November 5, 2006, at 19:27:03
No, not underweight at all: 6'2", 200 lbs.
Posted by BryanII on November 6, 2006, at 16:43:54
In reply to Article on thyroid and depression., posted by SLS on November 4, 2006, at 5:55:13
Thanks for this lead. It's an unusually good article on diagnosis of thyroid problems, not just on thyroid and depression. Especially the discussion of TSH levels from 2.5 to 5. Calling these levels subclinical may be wrong, however. People with clear, overt symptoms can have TSH in this range. IMO, the endocrinologists responsible for defining and interpreting the "normal" range don't understand statistics.
Getting educated and reading the dissenting views is critical. Unfortunately most articles and websites related to hypothyroidism repeat the conventional wisdom (worse than useless if you have high but "normal" TSH), engage in polemics, or promote dubious alternative treatments. Some good info can be gleaned from these, subject to all the usual cautions.
The observation that psychiatrists are more open to treating subclinical hypothyroidism seems true. At least that was my experience. I listened to my doc's casual reading of my labs ("You're normal, it's not the cause of your fatigue.") It took 8 or 9 years to get dxed correctly with NO CHANGE in labs. Treatment of hypothyroidism and BPII have both been critical, and my Pdoc has been very good about this.
Posted by Phillipa on November 6, 2006, at 19:55:13
In reply to Re: Article on thyroid and depression. » bassman, posted by Phillipa on November 5, 2006, at 17:44:07
I've finally seen an endocrinologist after l0 years of knowing I have hasimotos thyroiditis. The new range levels are between 1-3 and I've maintained that range. Suddenly it changed to hypethyroidism so naturally anxiety is higher. The eno did all the autoimmune tests, autoantibody tests too as well as the regulare thyroid panel. Also cortisol levels as my Mother died of Addisons disease and pituitary hormones as well as I've had a small micro adenoma on my pituitary for over two years unread except by a radiologist. Hopefully now I can be straightend out. Thyroid already lowered synthroid. And the results won't be available for two weeks which is hard as I do not want to change any meds till I see how many autoimmune diseases I have. And I see a new pdoc next week. Love Phillipa please follow up with a complete endo work-up.
This is the end of the thread.
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