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Re: My big boy Gable
Joan, over supplementation of thyroid hormone would not have a direct effect on lowering cortisol per se; however, hyperthyroidism can put a lot of stress on the body so Gabel may not have had much cortisol in reserve to respond to that stress. The good news is your vet seems to have it figured out. The triglycerides were most likely elevated due to a recent meal so all in all, things look pretty darn good.
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Re: My big boy Gable
Thank you, Glynda....I am very relieved.
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Re: My big boy Gable
I want to have Gable's cortisol tested over the weekend to get back on track with the Vetoryl. He's panting like anything and putting the weight back on. Should I do the ACTH test? Or just the pre-pill test? What do you think?
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Re: My big boy Gable
Joan, if it was me, I’d want to have a full ACTH performed prior to restarting the Vetoryl. I’d want to have the more complete picture of his baseline cortisol status — both resting cortisol and cortisol reserves — against which to compare any future readings.
Marianne
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Re: My big boy Gable
That was my feeling, too Marianne. I just wanted to check. Thanks!
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Re: My big boy Gable
Okay, well results are:
Pre: 2.4
Post: 2.6
I didn't do a full blood panel, don't have the money right now, so we'll test that in a couple of weeks. His weight is back up to 71.1.
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Re: My big boy Gable
Joan, in looking back, I see that the specialist had suggested restarting 10 mg. of Vetoryl back on February 8th. Has Gable been back on the Vetoryl since then? If so, you don’t want to increase the dose — high cortisol is definitely not his problem. I do wonder whether his thyroid meds got knocked back too much, though. Unfortunately, it may take some fining tuning to get the optimal thyroid dose worked out. I think retesting his basic blood chemistries including thyroid level as soon as you’re able will be important.
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Re: My big boy Gable
He's been on the 10mg once a day as they suggested. I have been giving him only 1 dose of the thyroid meds, instead of the 2 they suggested. It could be that he needs that extra pill. I'll check it next week after I get paid.
I'm happy with the cortisol levels.
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Re: My big boy Gable
If his increased drinking and urinating has normalized than I would assume that it was because of the over medication of the thyroid supplementation. I also wouldn't want his cortisol levels to drop anymore either. How's his appetite?
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Re: My big boy Gable
He's still drinking a lot, but no accidents in the house. His appetite has increased, and he's getting heavy again. I'm wondering if I should give him the second soloxine that they recommended, or just wait until the weekend and have them check. I have only been giving him one a day instead of the two. I'm kind of afraid to give it now that the cortisol has stabilized. He could be hypothyroid again.