•2004: heavy periods, anxiety, marked premenstrual
syndrome [AS]
•
•Improved with dietary change – low wheat, low sodium,
high vegetable, and
supplements of vitamin B and magnesium
•
•Nov 2006 wholistic doctor, anxiety, period problems
& constipation
•
•Normal TFTs but microsomal antibodies +ve titre 1 in
1600
•
•Given iron, sulphur, vitamin C iodine ~ 5-10 mg/day
•
•March 2007 T3 6.9
pmol/l (3-6.5) and TSH 0.05 mu/L (0.35-5.5)
•
•May 2007 TSH 27.48 mu/l and fluctuated (1.82 to 9.32
mu/l)
•
•Late 2007 severe menorrhagia, endometrial ablation
unsuccessful, hysterectomy
•
•[AS] March 2008 v. anxious, hypertensive, fluid
retention on HRT
advised to improve diet, referred
back to GP and endocrinologist
•
•Endocrinologist, commenced on thyroxine – felt much
better