Basal temps should be quite steady… From what I’ve read a fluctuating temp suggests adrenal problems, which would be entirely normal considering you’re fighting infection. This might lead to high cortisol, which will surpress thyroid and could lead to water retention issues. TSH has been linked to edema, and rises in low thyroid states – but can also rise independently especially if there is infection present…so be careful if you test this and see it high because it shouldn’t be solely relied upon without other thyroid markers. Some docs are overly zealous with treating thyroid problems, but often its the adrenals or the liver.
Therapy for hypothyroidism is monitored at approximately six week intervals until stable. During these visits, a blood sample is checked for TSH to determine if the appropriate amount of thyroid replacement is being given. The goal is to maintain the TSH within normal limits. Depending on the lab used, the absolute values may vary, but in general, a normal TSH range is between to /ml. Once stable, the TSH can be checked yearly. Over-treating hypothyroidism with excessive thyroid medication is potentially harmful and can cause problems with heart palpitations and blood pressure control and can also contribute to osteoporosis . Every effort should be made to keep the TSH within the normal range.
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