In a message dated 7/5/2006 8:18:16 P.M. US Eastern Standard Time,  
[log in to unmask] writes:

Has  anyone out there had a similar experience with palpitations getting on  
synthroid?  Is this 
something that will go away as my body adjusts to  the medication?  is it 
more likely to be my 
adrenals or could there  be another problem?  Do you think I could step up my 
medication at this  
point so that I don't continue to become more and more hypo or would my  
palpitations get worse?  >>>>
Run, don't walk to a doctor who has a better understanding of your  condition 
and who will take the time to make a real DIAGNOSIS. 
 
It is very apparent that some things are not being adequately  addressed . 
 
Your idea on Adrenal Fatigue is an excellent place to start, unfortunately  
most doctors trained today know virtually nothing about a condition that was  
well understood and treated in the 1940's. 
 
Hypothyroidism, severe stress, chemotherapy, surgery, and radiation all can  
conspire to knock a serious blow to your adrenal cortex. This can leave you in 
a  state that superficially resembles Hypothyroidism (and may even be mixed 
with  it). But, when you use thyroid replacement; it may either not  work at 
all,  or you can get overdose symptoms on a very low dose of thyroid. 
 
While I wouldn't be too critical of your docs because nothing is  taught 
about adrenal insufficiency in Med School beyond Addison's Disease, you  really 
need to work with someone better for the sake of your health and possibly  your 
life.
 
There are also a host of other problems that could easily cause the  problems 
you discussed, and these need to examined. If you have chemotherapy,  other 
endocrine glands can also be affected. 
 
And having live though some very stress filled times can also predispose  you 
to Wilson's Thyroid Syndrome which may be inactivating the thyroid meds you  
take. It is impossible to tell without more information. 
 
Things like "more likely" and guessing at what might be wrong is not an  
acceptable risk to take when alternatives are available. 
 
Dr. Rind has a web site that discusses the role of  Adrenal Insufficiency in 
Hypothyroidism, and the Wilson who wrote  "Adrenal Fatigue: The 21rst Century 
Stress Syndrome" also has one. You may want  to take a look at those. 
 
Basically, you need to work with someone who will spend the time to get a  
complete understanding of what is going on with you, do the appropriate exams,  
and work with you to get a satisfactory resolution. 
 
A prayer that you get what you need to get well.
 
Doc Don (AKA D. Michael, MD, PC)






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