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Re: [at-l] Hiking and Thyroids...

Congrats on getting a diagnosis and intervention. I'd like to add that the 
problem is fairly complex and that there is much complaint regarding 
physician overuse of thyroid screening tests, even though thyroid pathology 
can mimic many other illnesses. It is usually diagnosed after failure of 
the "obvious" diagnosis, with some controversy over which numbers are 
important or impacted by other conditions and medications. There is even 
some issue over which thyroid hormone is appropriate for replacement therapy.

The response can also be a problem. Adjusting thyroid hormone can be like 
turning a battle ship. Initially nothing appears to happen, and then it is 
easy to overshoot the goal. Excessive thyroid can be life threatening, even 
if caused by good intentioned treatment. You are correct that it tends to 
be seen as a "girl thing" as we male physicians are fairly quick to 
consider hormone abnormalities in women, while there is some stigma to such 
consideration in men.

So the take home message is that this can be a problem that will stump the 
diagnostic acumen of many a physician. Deal with a real world doctor for 
such concerns.


At 04:41 PM 9/11/2000, Lynn Setzer wrote:
>Having thyroid disease will, in all likelihood, seriously affect your
>ability to hike.  My own experience was that after being able to knock off
>anywhere from 8 - 16 miles a day depending on pack weight and terrain, I
>was, at my worst able to walk, oh, a mile around my neighborhood.  This was
>depressing to say the least.

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