![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by CaffeinePoet on April 30, 2011, at 13:16:23
Hi folks,
I'm 35, and I have ADD-inattentive type symptoms. I actually have hypothyroidism, and treating that with added T3 really helped but seemed to provoke Thyroid Eye Disease, so I had to stop the T3.
My biggest problem is low motivation. But I am also not getting anywhere in my career because of being late to meetings, interrupting, and procrastination. I feel that I have been overlooked as a possible ADD-I diagnosis in the past because I am fairly smart, and it took several years of failures (job loss, course failures, etc.) after reaching more complex work, for me to seek help.
Oh yes, and I have anxiety.
I have worked with a therapist for about a year now to try to overcome these symptoms behaviorally. The hypothyroidism just complicates the pictures.
Now, after a final failure, I am moving on to medication. What do you all think about Strattera? Would you try that first, or would you try to go straight for the stimulants?
Posted by mtdewcmu on April 30, 2011, at 14:38:38
In reply to Strattera for ADD-I?, posted by CaffeinePoet on April 30, 2011, at 13:16:23
> Hi folks,
>
> I'm 35, and I have ADD-inattentive type symptoms. I actually have hypothyroidism, and treating that with added T3 really helped but seemed to provoke Thyroid Eye Disease, so I had to stop the T3.
>Do you have bona fide hypothyroidism that is confirmed by a mainstream endocrinologist or internist? Because the established standard of care for hypothyroidism is levothyroxine, not T3. I know there are some people outside the mainstream promoting the idea of softer forms of hypothyroidism that respond better to T3 or desiccated thyroid, but I would not mess with my metabolism on the basis of their ideas. I took one dose of Armour Thyroid years ago, and I felt great for a while, but I couldn't sleep for the next couple days.
> My biggest problem is low motivation. But I am also not getting anywhere in my career because of being late to meetings, interrupting, and procrastination. I feel that I have been overlooked as a possible ADD-I diagnosis in the past because I am fairly smart, and it took several years of failures (job loss, course failures, etc.) after reaching more complex work, for me to seek help.
>If your attention problems were already prominent in childhood, then it could be ADD. My life followed a similar track to what you are describing, with problems already apparent in elementary school, that I was able to compensate for more or less, but becoming more intractable later in life.
> Oh yes, and I have anxiety.
>
> I have worked with a therapist for about a year now to try to overcome these symptoms behaviorally. The hypothyroidism just complicates the pictures.
>Anxiety and mood disorders can conspire to cause attention difficulties even in the absence of ADD. But the presence of such disorders by no means rules out ADD. In fact, untreated ADD strongly predisposes one to develop secondary anxiety, mood, and substance abuse disorders. I had to suffer through years of having only my anxiety and mood disorder treated, before I got a doctor to take seriously my complaints of longstanding, severe attention problems.
> Now, after a final failure, I am moving on to medication. What do you all think about Strattera? Would you try that first, or would you try to go straight for the stimulants?
Strattera benefits fewer people with ADD than either Ritalin or amphetamine. That's not to say that it doesn't work well for those it helps (I assume), but overall it's considered much less effective than stimulants. I have heard that Adderall or Dexedrine (or Vyvanse) are most effective in adult ADD. My experience is that Dexedrine blows all the other ones away for my symptoms.
I recommend trying Wellbutrin before Strattera. All Strattera did for me was cause me to sweat more, and cause a mild subjective effect that at the end of the day didn't amount to anything. If your doctor tries to put you on Strattera before stimulants, that usually means that he either A) doesn't trust you with a controlled substance and wants to avoid it at all costs, or B) is susceptible to Lilly's marketing, because the studies have all shown that Strattera is less effective, and therefore should be a second-line treatment for ADD.
Posted by floatingbridge on April 30, 2011, at 16:32:20
In reply to Strattera for ADD-I?, posted by CaffeinePoet on April 30, 2011, at 13:16:23
Hey Caffeine Poet,
I don't think strattera has a great record of efficacy, but it might work for you.
Are you on any other medication? I am not sure what the 'discontinuance profile' is for strattera. Is it a nari rather than a snri? I remember something about that.
Another add med being marketed is called intuiv, I believe. It is a non-stimulant. I don't know if it's meant to be used conjointly with vyvanse or can be used as monotherapy.
Best to you working with this issue.
Posted by desolationrower on April 30, 2011, at 18:52:39
In reply to Re: Strattera for ADD-I? » CaffeinePoet, posted by floatingbridge on April 30, 2011, at 16:32:20
"nari rather than a snri"
snri is used for several different drug types. stattera is mostly a noradrenergic reuptake inhibitor.
I have symptoms similar to yours, and take nortriptyline (also a nri, and also 5ht2 antagonist, which makes it better vs depression) as it is cheap. I take mixed amphetamine ('adderall') when i need to study. amphetamine=finally passed my licensing exam. I found bupropion somewhat helpful too.
Since you have an autoimmune disease, I would think about fixing immune problems, since that could be worsening things (not to say that means you don't have ADHD-i). I don't know much about this, enough to suggest anything helpful.
intuiv or whatever (guanfacine) is a drug i think can be useful for certain things (blood pressure, bipolar, substance abuse with add), but i wouldn't really say its a first choice. If you try a ADD drug or two and find they give you bad anxiety, then give it a try.
-d/r
Posted by mtdewcmu on April 30, 2011, at 19:24:59
In reply to Re: Strattera for ADD-I?, posted by desolationrower on April 30, 2011, at 18:52:39
> intuiv or whatever (guanfacine) is a drug i think can be useful for certain things (blood pressure, bipolar, substance abuse with add), but i wouldn't really say its a first choice. If you try a ADD drug or two and find they give you bad anxiety, then give it a try.
>I had a doctor prescribe me guanfacine (generic) for ADD. It caused some orthostatic hypotension, but not much else. I could see it possibly helping with hyperactivity, since it's a sympatholytic, like clonidine. But I can't really conceive of how it would help with attention -- unless there is some specific subtype of inattentive ADD that has something to do with that receptor.
Posted by CaffeinePoet on April 30, 2011, at 19:55:28
In reply to Re: Strattera for ADD-I?, posted by mtdewcmu on April 30, 2011, at 14:38:38
Thanks for your well thought out answer.
>
> Do you have bona fide hypothyroidism that is confirmed by a mainstream endocrinologist or internist? Because the established standard of care for hypothyroidism is levothyroxine, not T3. I know there are some people outside the mainstream promoting the idea of softer forms of hypothyroidism that respond better to T3 or desiccated thyroid, but I would not mess with my metabolism on the basis of their ideas. I took one dose of Armour Thyroid years ago, and I felt great for a while, but I couldn't sleep for the next couple days.
>Yes, it's been confirmed with blood value tests and positive results from tests for antibodies against the thyroid. When I said it was treated with T3, I said _added_ T3, as in addition to the levothyroxine. The T3 that I took was actually synthetic T3 (Cytomel), not Armour. T3 (lioothyronine) is available as a synthetic. When I took it in addition to the levothyroxine, the symptoms of lethargy, low motivation, low attention greatly improved, but my thyroid value zig-zagged and I developed dizziness, fatigue, migraines, and finally the thyroid eye disease -- all onset within 2 months of starting the Cytomel, improved off the Cytomel. I would not have had Thyroid Eye Disease, btw, unless I had antithyroid antibodies in my system -- it's the same bugger.
> > My biggest problem is low motivation. But I am also not getting anywhere in my career because of being late to meetings, interrupting, and procrastination. I feel that I have been overlooked as a possible ADD-I diagnosis in the past because I am fairly smart, and it took several years of failures (job loss, course failures, etc.) after reaching more complex work, for me to seek help.
> >
>
> If your attention problems were already prominent in childhood, then it could be ADD. My life followed a similar track to what you are describing, with problems already apparent in elementary school, that I was able to compensate for more or less, but becoming more intractable later in life.They were there in childhood. My therapists have trouble piecing out whether they were there in childhood due to untreated hypothyroidism or existed as a separate entity. However, I learn very quickly and was bored in school as a child. "Absentminded professor" was a term that came up a lot.
>
> > Oh yes, and I have anxiety.> Anxiety and mood disorders can conspire to cause attention difficulties even in the absence of ADD. But the presence of such disorders by no means rules out ADD. In fact, untreated ADD strongly predisposes one to develop secondary anxiety, mood, and substance abuse disorders. I had to suffer through years of having only my anxiety and mood disorder treated, before I got a doctor to take seriously my complaints of longstanding, severe attention problems.
>I'm glad to hear that this worked out for you! I have had anxiety treated, both with low-dose benzos and SSRI's in the past. Frankly, they did help my anxiety but utterly masked any motivation I had. SSRI's make me feel zombie-like. Knowing that the anxiety has been treated and I still have these symptoms, I realize, gives me a clue about where to go.
> > Now, after a final failure, I am moving on to medication. What do you all think about Strattera? Would you try that first, or would you try to go straight for the stimulants?
>
> Strattera benefits fewer people with ADD than either Ritalin or amphetamine. That's not to say that it doesn't work well for those it helps (I assume), but overall it's considered much less effective than stimulants. I have heard that Adderall or Dexedrine (or Vyvanse) are most effective in adult ADD. My experience is that Dexedrine blows all the other ones away for my symptoms.
>
> I recommend trying Wellbutrin before Strattera. All Strattera did for me was cause me to sweat more, and cause a mild subjective effect that at the end of the day didn't amount to anything. If your doctor tries to put you on Strattera before stimulants, that usually means that he either A) doesn't trust you with a controlled substance and wants to avoid it at all costs, or B) is susceptible to Lilly's marketing, because the studies have all shown that Strattera is less effective, and therefore should be a second-line treatment for ADD.I think the doctors will hesitate to put me on stimulants because of the anxiety diagnosis -- at least that's how it seems to work in the group I'm working with. And my therapist has been focused on my finding work that 'truly motivates' me, as opposed to the in-demand technical work that I have been doing. However, despite her competence (she has a PhD & seems to really be with it), I don't think she's fully realistic about what it takes to pay the bills -- people might have been able to follow their passions with a degree in anything in the 1970's, but we're not living in that world anymore and only certain things truly pay.
Posted by CaffeinePoet on April 30, 2011, at 20:04:09
In reply to Re: Strattera for ADD-I? » CaffeinePoet, posted by floatingbridge on April 30, 2011, at 16:32:20
> Hey Caffeine Poet,
>
> I don't think strattera has a great record of efficacy, but it might work for you.
>
> Are you on any other medication? I am not sure what the 'discontinuance profile' is for strattera. Is it a nari rather than a snri? I remember something about that.
>
> Another add med being marketed is called intuiv, I believe. It is a non-stimulant. I don't know if it's meant to be used conjointly with vyvanse or can be used as monotherapy.
>
> Best to you working with this issue.I take some fish oil, calcium magnesium, and Saint John's Wort on occasion. I think I would have to stop the Saint John's Wort if I went on something, but not the other stuff.
Intuniv, I thought was a kid's drug?
Posted by floatingbridge on April 30, 2011, at 20:30:55
In reply to Re: Strattera for ADD-I? » floatingbridge, posted by CaffeinePoet on April 30, 2011, at 20:04:09
Hey, I need to Google hypothyroid eye disease. I've got hashimoto's, too. (Is the name for your thyroid AI?)
I asked about the strattera withdrawal only because it would be awful to have that. I'm recalling there wasn't much, but I was already highly chemically compromised :P
Intuvi only seen it hyped. Aimed at kids because parents are increasing reluctant about placing those lovely developing brains on stims.
Yeah. Absent-minded professor here, too. ADD-I. Who knew? I just thought I was a space cadet.
Very wise of you to seek therapeutic help. Sounds good. If or when you add a med, you'll have a full toolbox of skills.
Some people find Wellbutrin works wonders. It did for me years ago. I would look at the work on my desk or hear directions and be, like, right-o. That makes sense. Wonderful feeling.
Best with this ongoing challenge.
fb
Posted by CaffeinePoet on April 30, 2011, at 20:43:01
In reply to Re: Strattera for ADD-I?, posted by desolationrower on April 30, 2011, at 18:52:39
>
> I have symptoms similar to yours, and take nortriptyline (also a nri, and also 5ht2 antagonist, which makes it better vs depression) as it is cheap. I take mixed amphetamine ('adderall') when i need to study. amphetamine=finally passed my licensing exam. I found bupropion somewhat helpful too.
>Interesting! Glad the amphetamines worked for your licensing exams.
> Since you have an autoimmune disease, I would think about fixing immune problems, since that could be worsening things (not to say that means you don't have ADHD-i). I don't know much about this, enough to suggest anything helpful.
>It's true that inflammation is thought to make ADD/ADHD worse. I think that with the assistance of medication, I would have the discipline to sort through the sort of dietary changes recommended for those with high levels of autoimmunity.
Posted by CaffeinePoet on April 30, 2011, at 20:49:06
In reply to Re: Strattera for ADD-I? » CaffeinePoet, posted by floatingbridge on April 30, 2011, at 20:30:55
> Hey, I need to Google hypothyroid eye disease. I've got hashimoto's, too. (Is the name for your thyroid AI?)
I do have Hashimoto's. About googling the eye disease, it's called Thyroid Eye Disease. But I suggest not Googling it. It's very rare and the pictures will freak you out; they post pictures of really the worst cases, not average or mild ones.
>
> I asked about the strattera withdrawal only because it would be awful to have that. I'm recalling there wasn't much, but I was already highly chemically compromised :P
>I read that it can be stopped immediately.
> Yeah. Absent-minded professor here, too. ADD-I. Who knew? I just thought I was a space cadet.
>
> Very wise of you to seek therapeutic help. Sounds good. If or when you add a med, you'll have a full toolbox of skills.
>
> Some people find Wellbutrin works wonders. It did for me years ago. I would look at the work on my desk or hear directions and be, like, right-o. That makes sense. Wonderful feeling.
>
> Best with this ongoing challenge.
>
> fbThanks so much for your support.
Posted by 10derheart on April 30, 2011, at 21:17:30
In reply to Strattera for ADD-I?, posted by CaffeinePoet on April 30, 2011, at 13:16:23
I have been on Strattera for 7 years. Works great for me. This post - the links inside it, actuially - will link you to most of my previous posts on this med, which are numerous and detailed! ;-)
http://www.dr-bob.org/babble/20091107/msgs/925999.html
If I have occasionally run out and gone off for a day or two, I do get a strange headache, but nothing to fear. Feel a bit tired and strange, but more annoying that anything. I'd say the horrible part of the "withdrawal" would be the gradual return of the crazy-making, 5 radio stations in my head all on at once, "ooo....a squirel!" distractibility, inability to pay attention, followed instantly by inability to tear myself away from one thing, not to mention extreme sensitivity to every little noise, light and color, blurting, incessant talking, forgetting what Iam doing 20 times a day.....shall I go on? I think not. I assume those return, but honestly, the longest I've been off since 2004 is 1-2 days, and that was not my choice.Many docs may go with the stims first, I'll bet, though it ought to depend on the pt's history and individual needs. Before Strattera I took Prozac and IR Ritalin for my ADD, which worked quite well, too. Just inconvenient dosing and adjusting the MPH.
Right now, I take SJW daily with 80 mg of Strattera, on an as needed basis to combat situational depression b/c I don't want to go back on a prescribed AD. Why do you think you would have to stop SJW?
Let me know if I can answer anything specific....
- 10der
Posted by CaffeinePoet on April 30, 2011, at 21:23:38
In reply to Re: Strattera for ADD-I? » CaffeinePoet, posted by 10derheart on April 30, 2011, at 21:17:30
> I have been on Strattera for 7 years. Works great for me. This post - the links inside it, actuially - will link you to most of my previous posts on this med, which are numerous and detailed! ;-)
>
> http://www.dr-bob.org/babble/20091107/msgs/925999.html
>
>
> If I have occasionally run out and gone off for a day or two, I do get a strange headache, but nothing to fear. Feel a bit tired and strange, but more annoying that anything. I'd say the horrible part of the "withdrawal" would be the gradual return of the crazy-making, 5 radio stations in my head all on at once, "ooo....a squirel!" distractibility, inability to pay attention, followed instantly by inability to tear myself away from one thing, not to mention extreme sensitivity to every little noise, light and color, blurting, incessant talking, forgetting what Iam doing 20 times a day.....shall I go on? I think not. I assume those return, but honestly, the longest I've been off since 2004 is 1-2 days, and that was not my choice.
>
> Many docs may go with the stims first, I'll bet, though it ought to depend on the pt's history and individual needs. Before Strattera I took Prozac and IR Ritalin for my ADD, which worked quite well, too. Just inconvenient dosing and adjusting the MPH.
>
> Right now, I take SJW daily with 80 mg of Strattera, on an as needed basis to combat situational depression b/c I don't want to go back on a prescribed AD. Why do you think you would have to stop SJW?
>
> Let me know if I can answer anything specific....
>
> - 10derGlad to hear you had a positive experience. Re SJW -- I thought it interacted negatively with most psychotropic drugs, am I wrong re: Strattera?
I'll read those links.
Posted by mtdewcmu on April 30, 2011, at 22:06:29
In reply to Re: Strattera for ADD-I? » mtdewcmu, posted by CaffeinePoet on April 30, 2011, at 19:55:28
> Yes, it's been confirmed with blood value tests and positive results from tests for antibodies against the thyroid. When I said it was treated with T3, I said _added_ T3, as in addition to the levothyroxine. The T3 that I took was actually synthetic T3 (Cytomel), not Armour. T3 (lioothyronine) is available as a synthetic. When I took it in addition to the levothyroxine, the symptoms of lethargy, low motivation, low attention greatly improved, but my thyroid value zig-zagged and I developed dizziness, fatigue, migraines, and finally the thyroid eye disease -- all onset within 2 months of starting the Cytomel, improved off the Cytomel. I would not have had Thyroid Eye Disease, btw, unless I had antithyroid antibodies in my system -- it's the same bugger.
>I didn't mean to jump to conclusions. Cytomel is not the usual treatment for hypothyroidism (my mom is hypothyroid). It sounds like it made you hyperthyroid, so it must have been some kind of experiment gone awry. Do you think your doctor misdiagnosed your lethargy and inattention as residual hypothyroidism?
> > > My biggest problem is low motivation. But I am also not getting anywhere in my career because of being late to meetings, interrupting, and procrastination. I feel that I have been overlooked as a possible ADD-I diagnosis in the past because I am fairly smart, and it took several years of failures (job loss, course failures, etc.) after reaching more complex work, for me to seek help.
> > >
> >
> > If your attention problems were already prominent in childhood, then it could be ADD. My life followed a similar track to what you are describing, with problems already apparent in elementary school, that I was able to compensate for more or less, but becoming more intractable later in life.
>
> They were there in childhood. My therapists have trouble piecing out whether they were there in childhood due to untreated hypothyroidism or existed as a separate entity. However, I learn very quickly and was bored in school as a child. "Absentminded professor" was a term that came up a lot.So your therapists think you were hypothyroid all through your childhood? I'm pretty sure that would have stunted your growth or caused some sort of tell-tale deformity.
I was also a bright child but had problems getting work done. A lot of excuses were made on my behalf.
> >
> > > Oh yes, and I have anxiety.
>
> > Anxiety and mood disorders can conspire to cause attention difficulties even in the absence of ADD. But the presence of such disorders by no means rules out ADD. In fact, untreated ADD strongly predisposes one to develop secondary anxiety, mood, and substance abuse disorders. I had to suffer through years of having only my anxiety and mood disorder treated, before I got a doctor to take seriously my complaints of longstanding, severe attention problems.
> >
>
> I'm glad to hear that this worked out for you! I have had anxiety treated, both with low-dose benzos and SSRI's in the past. Frankly, they did help my anxiety but utterly masked any motivation I had. SSRI's make me feel zombie-like. Knowing that the anxiety has been treated and I still have these symptoms, I realize, gives me a clue about where to go.
>You can go around and around in circles for a long time trying to decide if a little better anxiety control or a little better antidepressant response might finally correct your attention issues. My story is not all that successful; it took about 8 years and a progression of doctors to get to one that let me try treating the inattention with the strongest available meds. I convinced myself for a lot of that time that the occupational problems and chronic inability to get my stuff together was a burden I simply had to bear, and was tied up with intractable depression and irrevocable damage done in childhood. There is never anything you can point to as proof that you have ADD, like a blood test, and many people including psychiatrists will be extremely obliging with stories that attribute your problems to anything other than a disorder that demands stimulants for effective control. It would have been easier to get ADD meds prescribed had you been brought in by a parent when you were a child and could not be guilty of drug seeking. Back when I had insurance, like 6-7 years ago, I raised the question of ADD and was given some computerized test to do where you had to stare at dots and push a button; apparently I did too well to have ADD. I also went to an ADD gathering on meetup.com years ago; I could not see myself in the people I met there, so I convinced myself I must have something different. In reality it is pointless to question if you have "true" ADD as there is no definitive criterion that defines true ADD; I think it would be more helpfully called Amphetamine Deficit Disorder, because it is a disorder in which you are more functional when given amphetamines. It's as simple as that. It finally got to the point with me where I realized that I would never be employed and independent unless something changed, so I put it to my current pdoc in stark terms, and by the grace of god this pdoc was willing to try bringing in the heavy artillery med-wise. My previous doc laughed at me when I suggested Dexedrine.
Of course I've only had the prescription for a few weeks and it is still unproven that I will be able to hold a job and manage an independent existence on this medication. But I believe this is the most promising thing yet tried and has the potential to effect a transformative change.
> > > Now, after a final failure, I am moving on to medication. What do you all think about Strattera? Would you try that first, or would you try to go straight for the stimulants?
> >
> > Strattera benefits fewer people with ADD than either Ritalin or amphetamine. That's not to say that it doesn't work well for those it helps (I assume), but overall it's considered much less effective than stimulants. I have heard that Adderall or Dexedrine (or Vyvanse) are most effective in adult ADD. My experience is that Dexedrine blows all the other ones away for my symptoms.
> >
> > I recommend trying Wellbutrin before Strattera. All Strattera did for me was cause me to sweat more, and cause a mild subjective effect that at the end of the day didn't amount to anything. If your doctor tries to put you on Strattera before stimulants, that usually means that he either A) doesn't trust you with a controlled substance and wants to avoid it at all costs, or B) is susceptible to Lilly's marketing, because the studies have all shown that Strattera is less effective, and therefore should be a second-line treatment for ADD.
>
> I think the doctors will hesitate to put me on stimulants because of the anxiety diagnosis -- at least that's how it seems to work in the group I'm working with. And my therapist has been focused on my finding work that 'truly motivates' me, as opposed to the in-demand technical work that I have been doing. However, despite her competence (she has a PhD & seems to really be with it), I don't think she's fully realistic about what it takes to pay the bills -- people might have been able to follow their passions with a degree in anything in the 1970's, but we're not living in that world anymore and only certain things truly pay.
>This is what I meant about people, including doctors and therapists, being willing to invent all manner of rationalizations for why you fail at this or that, other than ADD. A lot of people will consider attributing your problems to a neurological cause as a failure. I actually changed careers 5 years ago, from something technical like you, to something in a health care setting where there was more adrenaline and was far from a dull office cubicle. Unfortunately, my problems followed me to the new career, and it turned out that being unproductive and unaccountable wasn't any more desirable in health care than it was in technology. There comes a time in any career when the initial novelty wears off and it intermittently becomes a chore. I have had people tell me recently that I need to keep looking for the "right" job. Well, normal people are able to do something just because they need to, it doesn't have to also be exciting. Do you suppose that 300 years ago everyone that farmed did it because they were thrilled to be farmers? I doubt it. I'm sure they adapted to it because they needed to.
Posted by mtdewcmu on April 30, 2011, at 22:23:29
In reply to Re: Strattera for ADD-I? » CaffeinePoet, posted by 10derheart on April 30, 2011, at 21:17:30
> If I have occasionally run out and gone off for a day or two, I do get a strange headache, but nothing to fear. Feel a bit tired and strange, but more annoying that anything. I'd say the horrible part of the "withdrawal" would be the gradual return of the crazy-making, 5 radio stations in my head all on at once, "ooo....a squirel!" distractibility, inability to pay attention, followed instantly by inability to tear myself away from one thing, not to mention extreme sensitivity to every little noise, light and color, blurting, incessant talking, forgetting what Iam doing 20 times a day.....shall I go on? I think not. I assume those return, but honestly, the longest I've been off since 2004 is 1-2 days, and that was not my choice.
>I am amazed that you have all that, and Strattera was enough to treat it. But that's great. The side effects are much milder, it doesn't cause insomnia and disturb your appetite, and there are no ups and downs throughout the day. The only downside is the expense. But your doctor obviously tried you on stimulants first, which I think was the right thing to do.
Posted by Phillipa on May 1, 2011, at 0:00:59
In reply to Re: Strattera for ADD-I? » 10derheart, posted by mtdewcmu on April 30, 2011, at 22:23:29
If the eyes are bulging usually it's hyperthyroidism. Still autoimmune but named Graves Disease. Is this what you have? I tried 5mcg of cytomel once and too stimulating for me. Phillipa on synthroid
Posted by CaffeinePoet on May 1, 2011, at 0:38:09
In reply to Re: Strattera for ADD-I?, posted by Phillipa on May 1, 2011, at 0:00:59
> If the eyes are bulging usually it's hyperthyroidism. Still autoimmune but named Graves Disease. Is this what you have? I tried 5mcg of cytomel once and too stimulating for me. Phillipa on synthroid
Sure, it's usually hyper. In this case, it was hyper at one point and then burnt out and became hypo. After several years at this point, the part re: the eyes became activated.
Cytomel was like a dream for me, before the bad parts. It's highly stimulating so maybe being stimulated would help.
This is the end of the thread.
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