Dr. Mathur looked at me, after glancing at my test results and asked, "Have you been feeling tired lately?"
I went into my appointment today expecting the worst. As a matter of fact, I have been feeling listless lately. Not waking up as early as usual. Not feeling the same kind of energy. And also sleeping a lot. A lot.
But, frankly, I hadn't really given it much thought. I just figured I was maybe on an emotional downturn or tired from travel. Or even slightly depressed despite all the good things that have been going on. I don't usually suffer from depression, but I can dip into these little valleys every once in awhile that affect my being able to think clearly. They don't last long, and don't come around very often, so I don't worry about them, preferring to just ride them out. And usually they go away after a few days.
The other thing is that with so much travel, my diet has not been great. My expectation was that everything would be a big mess. My meds have pretty severe metabolic side effects, especially in the area of lipids and triglycerides, etc.
Amazingly, though, most of my test results were pretty normal. In fact, my bad cholesterol was in the low range and my triglycerides, though high, were more in the 230 range than the 1800 range they had been a couple of years ago. So, Dr. Mathur said, "For you, this is good. I'd like it lower, but this is great."
I told her I was surprised at the good results, but yes, I had been feeling tired lately.
The problem was my thyroid. I've been on synthroid for some time now due to the fact that I had had hyperthyroid disease (which gave me too much energy). But the thyroid had finally burned itself out and now I was on synthroid, but the results were that it was swinging back in the wrong direction.
"Do you take this pill on an empty stomach?"
"No. It doesn't say to on the label."
"Well, if you take it with a multi-vitamin, it tends to cling to the vitamin and get flushed out of your system."
"And that's why I've been so tired?"
"Yes. This marker is way off."
"So, what should we do?"
"I could increase the dosage, but I think I'd rather you try taking it on empty stomach for the next couple of months and let's see if that works out. If it doesn't, we'll increase it. Just get back on your good food and exercise program and I think you'll be fine. Your A1c is also too high."
(A1c is the glucose test that gives a baseline blood sugar result.)
"You were doing really well with that before and now it's up to 8. I could give you more meds but I don't want to do that. I want you to get back into your routine because when you do, you tend to improve very quickly. I'll see you in eight weeks."
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