So I’ve been taking Synthroid for almost a month now and had my follow up visit with the doctor. He started by asking me how I was feeling and I told him that I started feeling better within days of taking the 50, but not great. The 75 again gave me improvement and I feel better now than I have in years, though I still feel like there’s room for more improvement. He said that was what he was expecting and hoping to hear.
It turns out that my blood work came back normal. Not even low-normal, much of it was center-normal. However, based on my symptoms and my improvement on the Synthroid, he feels that he’s made the correct diagnosis and we’re going to continue to fine-tune the dosage in order to figure out where I ought to be. I’ll finish the rest of the week on the 75, then start 4 weeks on 100. Unless I have an adverse reaction to the 100 dose, he’ll prescribe me another month of that, then I’ll go for follow-up blood work. Basically, at this point, we need to find the magic numbers where I’m actually normal so that in the future I can explain what’s going on.
I really like this doctor because he takes the time to explain to me what’s going on and what everything means. My lipids and cholesterol are all in bad shape, but because he’s sure that it’s my thyroid causing that, we’re ignoring those numbers for now. Everything else is fantastic – bp, respiration, heart, etc. I’m in excellent health for a fat smoker (though Dr. Kelleher doesn’t put it in those terms
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I feel so lucky to have found this doctor, who diagnoses and treats based on the symptoms of the individual, rather than by the numbers that come back from the blood work. It also worries me, though, on a broader scale. If I do have a serious thyroid problem (which is pretty evident already), with these truly normal test results, I can’t imagine how many doctors I might have had to go through and how far down it would have dragged me emotionally. After the humiliating and degrading experience I had with Dr. Angelotti, I can only guess that there are a lot of fat women out there who are remaining undiagnosed simply because they don’t want to be further put down and accused of behaviors that don’t necessarily fit them.
I recently came to the conclusion that fat intolerance is the last acceptable form of bigotry in the United States, and it’s a serious problem. Women, I think, experience it more than men do, since we’re supposed to be petite and pretty and visually pleasing to men, but studies show that fat people (men and women) get paid less and get fewer promotions than thin people. It’s a serious problem.
I’m lucky in that my weight will probably be largely managed by the Synthroid, but I have serious concerns about the overall issue and it’s something that I think people really need to take a closer look at. Even I, as a fat chick, judge people who are fat… usually ones larger than me, usually when they’re eating fast food or taking the bus only a block or two, but it’s not an excuse, it’s (socially) acceptable bigotry and I am guilty of it too.
It’s something I need to work on. It’s something we ALL need to work on.