I am exhausted.
No I haven't been out partying or overextending myself. I am hypothyroid.
This is more common than people think. HOWEVER my case is a little more challenging than cases for most people.
fortunately, the solution is simple. You take a pill for the rest of your life. There are both synthetic and natural hormone derivative that you can take. For a chronic condition, they are affordable and in most people they have to have there levels measured regularly but no big deal.
Not me.
First let me explain the symptoms, some people have a few of these or a combination:
Early symptoms:
Poor muscle tone (muscle hypotonia)
Fatigue
Cold intolerance, increased sensitivity to cold
Depression
Muscle cramps and joint pain
Carpal Tunnel Syndrome
Goiter
Thin, brittle fingernails
Thin, brittle hair
Paleness
Osteoporosis
Decreased sweating
Dry, itchy skin
Weight gain and water retention[9][10][11]
Bradycardia (low heart rate – fewer than sixty beats per minute)
Constipation
Late symptoms
Slow speech and a hoarse, breaking voice – deepening of the voice can also be noticed
Dry puffy skin, especially on the face
Thinning of the outer third of the eyebrows (sign of Hertoghe)
Abnormal menstrual cycles
Low basal body temperature
[edit]Less common symptoms
Impaired memory[12]
Impaired cognitive function (brain fog) and inattentiveness.[13]
A slow heart rate with ECG changes including low voltage signals. Diminished cardiac output and decreased contractility.
Reactive (or postprandial) hypoglycemia[14]
Sluggish reflexes
Hair loss
Anemia caused by impaired haemoglobin synthesis (decreased EPO levels), impaired intestinal iron and folate absorption or B12 deficiency[15] from pernicious anemia
Difficulty swallowing
Shortness of breath with a shallow and slow respiratory pattern.
Increased need for sleep
Irritability and mood instability
Yellowing of the skin due to impaired conversion of beta-carotene[16] to vitamin A
Impaired renal function with decreased glomerular filtration rate
Elevated serum cholesterol
Acute psychosis (myxedema madness) (a rare presentation of hypothyroidism)
Decreased libido[17] due to impairment of testicular testosterone synthesis
Decreased sense of taste and smell (anosmia)
Puffy face, hands and feet (late, less common symptoms)
Gynecomastia
Last year the company that makes my medicine changed the binding agent and this caused some patients to be taking the equivalent of a placebo. Then the same company had issues with the FDA and it became impossible to get the medicine. So about nine months ago, my levels began to tank and my dr tried to bring them back in line with a combination of natural thyroid meds and synthetic and sure enough my levels tanked further.
I found a local lab that makes my meds. I started to get better but we need to increase the dosage. Each time we change my meds I get much worse before I get better. I can not express to you how bad I feel right now.
I am so exhausted that I could nap an hour for every hour I am awake. I am so exhausted that I have trouble focusing. I have gained weight and can not do anything about it. I have lost muscle tone. I feel like a rhinoceros (ok so I am between a size 6 and 8 so I don't look like one but when I put on even 5 lbs, I feel disgusting). Since your thyroid controls your metabolism, dieting won't cut it. My joints ache. My vision is not as sharp. I am losing hair. I can cry on command right now. When I bruise, it lasts for six weeks. My skin is so dry I use pure coconut oil on it. I feel like I turned 85 this morning.
Most people, including my prior dr have trouble believing me when I tell them these things. I am type A to the letter so no matter how badly I feel, I get it done any way. Most people mistake my personality for how I feel. I generally will not let how I feel stop me but it has made me rethink some things in my life.
For example, I decided when I was 30 that I would not be a good mother. I never felt the desire to have children but more importantly, I am too tired to do a good job. Every parent I know gets worn down but I would not be able to recover fast enough to do a good job and that is too important of a job to screw up. Thus I chose not to do it. I would have had a tough time getting pregnant any way as your thyroid function has a large hand in that as well.
Right now I am trapped in obligations. I spent all weekend in meetings or at a conference. I hardly had time to run to the grocery store. Thus no rest, thus further exhaustion. I am so tired that I am at the point of resenting my obligations. This is temporary but it is so hard to find balance. I want to cancel everything that isn't essential. I want to go home and nap for about four weeks, wake up and pick back up where I left off. There is no pause button in life. Thus I keep going on.
My honey is sensitive to this. He wants me to "take it easy". I am not good at "take it easy". Before I got married to my ex husband, I purchased a small book for him so that he could understand what I was going through when my levels were off. My mistake here was assuming that he gave a damn about me. When I spoke to him about the book, his response was "that is bs I am not reading it, I don't believe you any way". He saw me taking meds every day and going to my dr regularly. He was such an ignorant asshole. As was I to marry him.
I don't know how to find balance right now. I can not stand doing poorly at anything but I know I am not doing a good job. I need to take things off my plate but don't know how to prioritize these items. I feel stuck, tired and quite blue about going through this imbalance AGAIN. I hate being weak and I hate having my boyfriend see me weak. I hate needing about seven cups of coffee to make it through the day. The first two to three weeks of the transition are always the hardest. One day in the very near future I will wake up feeling like the fog has lifted. I know it as I have been in this place before. Just right now, it seems soooo far away.
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