Thursday, August 18, 2011

How is it going?

So many people have asked how it is going since I started on Synthroid. Well, who knows? I have only been on them for 2 weeks (25 mcg of synthroid daily), and they say it can take 4-6 weeks to notice a difference.

I was relating to it like it was a miracle drug before I started. It was going to:

  • Make me a twig (something I don’t think I have ever been although my family says I was as a child)
  • Give me endless energy
  • Solve my insomnia
  • Cure my foot issues
  • Make me cheerful and totally even keeled (something else I don’t think I have ever been, and my family hasn’t tried to convince me otherwise)
  • Give me back the endurance I have lost while nursing my foot
  • And basically make me the person I have always wanted to be (including taller, richer, etc.)

I am now back in reality and hoping that with this treatment I get to a normal level of energy so that I can get back to working out the way I love and build back my endurance and slowly and safely get back to a weight which I am comfortable at (which is much heavier than the media would promote).

Here is what I have noticed since starting this treatment, and perhaps none of it is related to the meds:

  • I crave salads and veggies again. I used to eat a salad every single day for lunch, and I haven’t in ages and have only eaten veggies because I know I should. I haven’t wanted them in forever.
  • I also want ice cream, which I am thinking is really a craving for dairy, so I have been trying to have yogurt, but I have certainly had some ice cream and even had a shake shack fair shake for lunch the other day. That was one of the best shakes I have ever had…I have caught myself daydreaming about it. I could do a whole blog post on that...yum.
  • My sleeping is 100% out of whack (no idea if this is from having no reason to set the alarm or the meds or a combo).
  • I sweat way more than I used to (this started before the meds, but it used to be I turned bright red before I started to sweat, now I sweat before I even think about turning red). Some say this could be an age/perimenopause thing, but from what I can tell, that gives you hot flashes more than causing you to sweat the minute you are exposed to humidity.
  • I have had more pain free stretches than I had in months, but when I do have pain, it seems to be worse and in 3 spots on my feet and in my right knee instead of just in one primary foot spot.

So, in summary…I have no idea but I am hopeful and perhaps a bit more realistic.

Friday, August 5, 2011

And, the journey begins

Today was the first day on Synthroid. You can't eat for an hour after taking it which I don't see being a problem for me. I hate to eat early in the morning and force breakfast because it is "the most important" meal of the day.

It was an uneventful day in terms of the meds. I am exhausted, but that could be because I got up earlier than I have during the week in ages or because I spent all day yesterday in the sun at the beach. Either way, Day 1 is declared an easy breezy day 1.

Thursday, August 4, 2011

Everywhere I turn...

I am wondering if there should be some shame in talking about thyroid issues...if so, I missed that memo. Since telling people that mine was being tested, and I had my first test indicating possible hypothyroidism, I have been talking about it. Almost everyone I tell responds with a tale of their mother, sister, aunt, bff, co-worker, or, even, nephew who has thyroid issues. Yet, I am pretty open-eared and open-minded and only knew of 2 people with thyroid things before this. Those 2 were very open and honest with me and both were talking about adjusting the levels of their meds to figure out the right dosage for them.

Maybe I should be hiding, but I am excited. I am looking forward to seeing what I can make work for me. I am looking forward to feeling a sense of balance. I am hopeful the ongoing pains I have experienced will go away and mildly dreaming that the 40 pounds that have flown on so fast will come off again (and maybe take some of the other pounds that were already there with them). I am realistic and know that there is a chance nothing will change or only my TSH level will get back into the normal range. I am okay with that too, but I am totally willing to see much bigger impacts!

So, stay tuned for more on my journey.

Here are a couple of photos from today - I took a day trip to LBI to see my BFF (not related to my "condition" (that sounds heavy, huh?), but fun photos anyway.

Wednesday, August 3, 2011

A Little Hope...

Tonight, as I sit here sweating in this muggy NYC summer weather, I feel a slight sense of hope, one that I haven’t felt in ages. No one ever wants to hear from the doctor that something is wrong with them, but for over a year I haven’t felt like myself. I have been trying to be energetic and upbeat rather than it coming naturally. I have forced my workouts when they have happened (and missed more than I can count), and almost every time it has hurt. I have gained weight and not been able to reel it in. I have just not been me. So, when the doctor told me I had hypothyroidism, I felt a sense of hope: like I could possibly be the positive and upbeat and loving Alison I know I really am again. Fingers crossed.

I blamed it all on my foot: the mood, the weight gain, the lethargy, etc. My right foot started hurting last June (that is the first time I remember). For more about this you can read the appendix, but the gist is I though the foot caused not working out which caused a loss of a release which led to anger and depression and caused weight gain…now the unanswerable question is: which came first the chicken or the egg? Or, in this case: The foot pain or the anger/depression or the weight gain…see, I have just learned that hypothyroidism (under active thyroid) is often accompanied by depression, weight gain, swelling of the hands and feet and pain in the joints.

Friday I start Synthroid, a medication to help get the thyroid working again. And, although my doctor didn’t seem as concerned about the physical pain and treating that, I am hopeful it will help with this lingering foot swelling/pain. Weight loss and a better mood are welcome too, but I am so ready to not feel my feet (and /or other parts from compensating) in agony.

By the way, I have a friend who has treated her hypothyroid without meds, and eventually I want to go holistic with this (I am not big on meds for me), but right now I just want it treated! I just want to see if the Alison that I used to be proud to be can re-surface again naturally (well with meds, but not with me forcing it or faking it til I make it).

Appendix

The foot pain was blamed on my wearing heels for work. Funny, but I wear comfy heels – like old lady heels – aerosoles: chunky-with-cushioning heels. Alas, they caused something.

What did I do? I went to the podiatrist…diagnosis: metatarsalgia, aka swelling of the ball of the foot or pain at the base of the toes…not very useful. Prescription: ice and elevate foot. So, I did that a bunch last summer and fall, but my training stopped being the least bit enjoyable. I loved being out there for others, but for me, it just plain hurt, usually. I think I was compensating because my entire right side would hurt and the top of my left foot. I got some extra massages , which were awesome, and figured time would cure. Worst part of all: I could not predict when it would hurt. I did a 16 miler with loops of the park and an out and back on Ocean through the park and back home and was pretty okay. I did a 3 miler and could barely get through it.

So, of course, I did the Dublin Marathon. At mile 18 I was dropping out because my knee (again right side) was having a grinding feeling. It felt like it was really scraping. I kept thinking, “I am doing permanent damage to be a DNF…this is stupid.” (DNF = Did Not Finish) I, mentally, knew it was bad when I was walking with 3 friends who had flown in to support me (Love you all MT, CG and HEF, even if I couldn't express it), and I couldn’t let their laughter and support in. I was too sore. I forgot about dropping out when I ran into one of my peeps (will love you forever, Tamera) who was suffering at mile 19. It became 98% about her. We pushed through, refused to get on the sweeper bus and finished. The next few days were awful – knee pain, foot pain, hip pain (never had any of that post-marathon before, but most have so I wasn’t overly fazed). Plus, I was in Dublin with Michael, how bad was a little (ok, major) pain?!

I came back to the states and was still very sore…so I went to 2 PTs, my podiatrist again, an acupuncturist who was a PT for years, an orthopedist, had x-rays, got reflexology, kept a food diary, eliminated aspartame (based on food diary and have since resumed again –DC is as hard to give up as smoking was) and each time I felt a quick sense of relief but nothing lasting and found that pedicures with a good massage were just as effective and less costly and more enjoyable and convenient. I was told I could run, given a prescription anti-inflammatory and told if that didn’t work, we could try cortisone. I am not sure why I was/am so scared of cortisone, but it didn’t seem like the route for me. I have tried to push through it, and there are days when I think it is behind me and days (like today) where before I am even out of bed I am in pain. One of the hardest parts for me is that I do not know when it will be bad and when it won’t. I have gotten a bike (which also hurts to ride when my feet hurt because I pedal too much with my toes and any time I bend my toes things are worse, driving too – trying to re-learn to use the whole foot on my pedals, but apparently I am a toe driver - I actually know when that started, but that is another topic for another day).

So, here’s to my meds for my thyroid having the added impact of reducing the inflammation of my feet and allowing me to train pain-free again. In the meantime, I will see you from my new bike.