Patients who have been on very high doses of levothyroxine for long periods of time may need to stop their medication more than 4-6 weeks prior to their treatment in order for the TSH to increase sufficiently.5. Learn which foods you should avoid if you have thyroid disease of any type. To obtain a high level of TSH, your doctor may choose to temporarily stop your thyroid hormone medication four to six weeks before treatment with radioactive iodine (RAI), or for diagnostic testing. When you take thyroid hormone it causes a feedback loop that inhibits the natural production of TSH from your pituitary gland. Anger: Coming off of this medication may make you extremely angry and frustrated. Cytomel can be taken with or without food. Resources, a 1. In most cases, discontinuing your thyroid medication (abruptly or otherwise) is not a wise decision. Get my free thyroid downloads, resources, and PDFs here. I'm on withdrawal protocol for RAI. Withdrawal symptoms of cytomel. Some symptoms are more predictably responsive than others. Ive done research and came to find out that bodybuilders c The autoimmune component of Hashimotos may lead to the eventual destruction of your entire thyroid gland which means it can no longer produce thyroid hormone by itself. Doctors such as endocrinologists and PCPs may, surprisingly, not be best suited to help you. Cerebral Blood Flow and Glucose Metabolism in Hypothyroidism: A Positron Emission Tomography; The Journal of Clinical Endocrinology & Metabolism, Volume 86, Issue 8, 1 August 2001, Pages 38643870,https://doi.org/10.1210/jcem.86.8.7749. Jul 24, 2013 1:11 PM. In addition, Cytomel often needs to be taken multiple times a day since it has a short half-life, resulting in fluctuating levels in the body. N . People may assume that when they stop taking thyroid medication their bodies will be able to start producing it on their own. It got better after two days on Cytomel. Im considering taking T3 after my cycle because ive put on a little more fat than intended. How did clinical experience suggest this? So, if you decide to stop taking your medication your body can only produce the amount that it is capable of producing. chest tightness or heaviness. Published online 2016 Jun 6. doi: 10.4274/mirt.88598;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096624; Accessed June, 2020. The score of 3 was reserved for always, which would not be likely for the LT4 patients on 4 weeks of withdrawal given the slow clearance rate of LT4. Peripheral Tissue Mechanism for Maintenance of Serum Triiodothyronine Values in a Thyroxine-Deficient State in Man. Journal of Clinical Investigation 73 (2): 57075. If you take lanthanum, take it at least 2 hours before or after liothyronine. This is an important question for many people who dose LT3. Van Tassell, Benjamin, George F. Wohlford, Joyce D. Linderman, Sheila Smith, Sahzene Yavuz, Frank Pucino, and Francesco S. Celi. The duration of LT3 monotherapy prior to withdrawal. Common side effects . It often results in the construction of new proteins. The less thyroid hormone you have in circulation, the more the body hangs on to it, as verified by Bianchi et al, 1978. Stomach and digestion problems (e.g.,abdominal cramping, nausea, vomiting, diarrhea, etc.) We study millions of patients and 5,000 more each day. Please let me know what you think. Some people end up experiencing full blown "rage" at times as well. 1 white pill Synthroid - 50 mcg T4. #2. However, when preparing for treatment with radioactive iodine ablation or for diagnostic testing, the TSH needs to be at least as high as 30 mlU/L.2. Mallipedhi, Akhila, Hamza Vali, and Onyebuchi Okosieme. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. cytomel withdrawal symptoms. Withdrawing from others. You can find more information about how to find a thyroid doctor here. In clinical studies, the most common side effects reported were nausea and headache. Lee, Jandee, Mee Jin Yun, Kee Hyun Nam, Woong Youn Chung, Euy-Young Soh, and Cheong Soo Park. I don't say that like I don't believe him . Its possible, that through incorrect testing of an isolated TSH test, patients can be placed on thyroid medication inappropriately. Rapid heart rate and palpitations. The delay in TSH rise post-withdrawal, and also delay in developing the cognitive symptoms of myxedema coma, is partly due to two factors: T3-driven DNA transcription in every organ and tissue throughout the body causes diverse signalling cascades. Thats also a very severe level of hypothyroidism. Breastfeeding patients:If THYROGEN is administered with radioiodine, the combination regimen should not be used in breastfeeding women. One should be familiar with their mechanism of action, basic drug properties, adverse reactions and use with injections. Different individuals may respond to medication in different ways. The doctor wants me to add back Cytomel, but I am worried about doing so. This site uses Akismet to reduce spam. Im not depressed and my daughter is 11 years old. #4. After withdrawal, some symptoms do not appear until after the medication has disappeared from circulation, due to the long-term and cumulative nature of thyroid hormone signalling. Its far better, instead, to try other therapies (which are proven to be effective) with a knowledgeable physician. T3 and T4 will require a physicians supervision. This is very close to what you are taking. Can a Steroid Shot Treat a Sinus Infection? Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. diarrhoea. Here are the most recent graphs of LT3 clearance rate over 75 hours in 14 patients post-thyroidectomy after being treated with LT4 alone for 30 days, and terminal elimination was assessed over 11 days. (VanTassell et al, 2019.). I went out of the country with out my prescription for cytomel. This represents 1/5 of your total hormone intake in a day When you look at it that way, 5 mcg is not insignificant. Welcome to my website! You may be prone to anger spells and have a difficult time controlling your anger. Nicoloff et als 1972 report showed the following graph for clearance rates of an injection of T3 that was tagged by radioactive iodine. Simultaneous Measurement of Thyroxine and Triiodothyronine Peripheral Turnover Kinetics in Man. The Journal of Clinical Investigation 51 (3): 47383. . Once you get to the 100 mcg + range, you put yourself at a much higher risk of side effects like Tachycardia, muscle loss, anxiety, and feeling weak. The management of primary hypothyroidism with Levothyroxine is usually simple, effective and safe, and most patients report improved well-being once they have started treatment. You will notice a drastic decrease in your hormonal level when you stop using Cytomel or any other thyroid medication. Headaches. Check whether Withdrawal syndrome is associated with a drug or a condition, Withdrawal syndrome and drugs with ingredients of liothyronine sodium, Withdrawal syndrome in Moderna COVID Vaccine, Withdrawal syndrome in Pfizer BioNTech Covid Vaccine, Withdrawal syndrome in Johnson and Johnson Covid Vaccine, Desvenlafaxine Succinate and Fluticasone Propionate drug interaction. Obtain ethical informed consent from the patient first, and offer alternatives. Patients over 65 years old with large amounts of leftover thyroid tissue after surgery, or with a history of heart disease, should discuss with their physicians the risks and benefits of Thyrogen. Thyroid patient since 2003. Before you consider stopping your thyroid medication make sure you at least look at these potential options which tend to help MOST people. LT3 monotherapy is often taken in several divided doses per day.) The answer is no, in many cases it is not safe to stop taking your thyroid medication (at least not without physician supervision). Post-acute and protracted withdrawal symptoms from meth can include: 3. Our phase IV clinical studies alone cannot establish cause-effect relationship. You are now leaving Thyrogen.com and going to a website that is not operated by Sanofi Genzyme. Ultimately, legal steroids are a safe and effective way [] It was especially difficult for the LT3 withdrawal patients to answer with maximums for their 2 weeks of withdrawal alone, since the maximum scores often required an answer of always, or a duration lasting more than 2 weeks, or an event occurring more than 2 times. A half life can be misleading when the clearance rate is skewed, as it is in LT3 dosing. a Depression (0-3), Anxiety (0-3), Retardation Slowness of thought or speech, impaired concentration, decreased motor activity (0-3). Celi, Francesco S., Marina Zemskova, Joyce D. Linderman, Nabeel I. Babar, Monica C. Skarulis, Gyorgy Csako, Robert Wesley, Rene Costello, Scott R. Penzak, and Frank Pucino. A person can go for many years without thyroid hormones. Posted on 1 second ago; June 24, 2022 . It is used to treat conditions such as arthritis, blood / hormone / immune system disorders . Many times, cravings may be mistaken for thirst or hunger. Too many studies of Low T3 syndrome (nonthyroidal illness, NTIS) have shown that low T3 is an independent predictor of mortality and morbidity (Rhee et al, 2016), and the outcome worsens when serum T4 levels also fall below normal range. Never make any assumptions about your body or your thyroid function based on someone elses experience. Number of Cytomel and Withdrawal syndrome reports submitted per year: Cytomel T3 replaces the missing hormone and helps to regulate the body's metabolism. In people with healthy thyroid glands, the rise and fall in Free T3 and Total T3 is parallel over time. Because when the thyroid hormone levels are high, this gives the signal to your body to run at a very high speed. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. by. Drug cravings. These people didnt fall below 100 ng/dL TT3 because they had T4 in circulation, which did not have time to clear out, and some of which continued to convert to T3 every minute of every day. https://doi.org/10.1186/cc6211. Full-time research professor of communication. (Cytomel), 75 mcg daily." There was only one dose per day. I then conclude with data from a survey showing the harm to quality of life of even a short-term LT3 withdrawal, and a discussion of the serious health risks of withdrawal. The use of the eHealthMe site and its content is at your own risk. All rights reserved. Synthroid is FDA pregnancy category A - it is definitely secure for breastfeeding Synthroid or Levothyroxine in its generic form, is a a commonly used medication to treat Hypothyroidism, an underactive thyroid. Weakness, lethargy, cold intolerance, paleness, dry skin, coarse hair, and constipation can occur with acute hypothyroidism. If your body is capable of producing less than the amount that you are taking then you will be at an even worse deficit! Another surprisingly effective strategy for improving your thyroid is through the use of targeted supplements. severe headache. If possible, offer to help with these tasks so your loved one can focus on healing. Stick to a structured sleep schedule. Patients with kidney disease:Thyrogen exits the body much slower in dialysis patients and can lead to longer high TSH levels. Most patients, especially those who feel terrible, all find themselves taking the same medication: levothyroxine or Synthroid. Scroll. I have several supplements that I have used on hundreds of patients which you can find more about here. Low intracellular T3 secondary to hypothyroidism is the basic underlying pathology in myxedema crisis which leads to hypothermia and suppression of cardiac activity. Very few studies measure LT3 withdrawal in both types of patients at the same time on the same laboratory tests. A high level of TSH facilitates thyroid cancer treatment and detection of remaining, recurring, or metastatic thyroid cancer. severe headaches, ringing in your ears, dizziness, vision problems, pain behind your eyes; a seizure; or. Devoted to the education, treatment, and healing of all forms of hypothyroidism. For example, one of the questions was simply Duration of symptoms: For how long did you experience symptoms and the maximum score of 3 was only permitted for more than 2 weeks.. If you have Hashimotos, and youve had it for many years, there is a good chance that you have some element of permanent thyroid damage to your gland. LT3 monotherapy is often taken in several divided doses per day.). Their goal is not clearance of T3, but a target TSH that will strongly stimulate the thyroid remnant to take up the radioactive iodine. See our full disclaimer in "Terms of use.". https://www.ncbi.nlm.nih.gov/pmc/articles/PMC425050/. Thyroid Patients Canada is a registered federal not-for-profit organization. Drug cravings. blurred or double vision. He recently came off the Cytomel and is feeling pretty bad. Cytomel Withdrawal Symptoms. TSH stands for thyroid stimulating hormone because it stimulates the production and release of thyroid hormone from your thyroid gland. nausea. Hey There! I also happen to formulate the best supplements on the market (well, at least in my opinion!) A high TSH can stimulate a rise in cortisol, at first. Seehttp://www.thyca.org/about/TCGuide/, 5) Jason Baker MD; The Effects of Hypothyroidism in the Body;https://www.healthline.com/health/hypothyroidism/effects-of-hypothyroidism#1; Accessed June, 2020, 6) RADIOACTIVE IODINE FOR THE TREATMENT OF THYROID CANCER. In a great many cases, feeling better can be as easy as switching up the type of medication you are taking. In other cases, it may not be that you are on the wrong medication, but that you are taking an insufficient dose. Instead of stopping your medication, there is another approach. This website is for U.S. healthcare professionals only. Its important to realize that this axis is altered when you take thyroid function because it impacts your bodys ability to produce thyroid hormone if you stop or alter your medication. The mean half-life in this study must be interpreted as the half-life of I-125 radioactive iodine tagged T3 in three different situations: Nicoloff and co-authors found that the clearance rate also depended on the amount of TBG (thyroxine binding globulin) in blood. Thank you. For obvious reasons, no one does studies testing the limits of human hypothyroidism beyond rare case studies and retrospective observational studies. Whenever possible, its always a great idea to take your health into your own hands, do your own research, and make informed decisions about your body and health. Patients who suddenly stop taking levothyroxine may go into withdrawal and may experience symptoms like debilitating weight loss, panic attacks, fatigue, muscle weakness, and nausea. I just crashed, was nauseated, tired, headachy. 3) Rosario et al; Area under the curve of TSH after levothyroxine withdrawal versus administration of recombinant human TSH (rhTSH): possible implications for tumor growth. Thyroid Hormone Resistance: What is it & How to Diagnose it, read more about my own personal health journey, free thyroid downloads, resources, and PDFs here, 3 New Thyroid Support Supplements: Thyro Fuel, Thyro Biotic & Hashimotos Ab Rx. https://doi.org/10.1111/j.1365-2265.2009.03700.x. sun dried tomato bread recipe jamie oliver; laura englander levin wedding; how a guarded man tests you; red thread spaces llc east hartford, ct The mean half-life was 0.63 days in 7 hyperthyroid patients, 1.0 day in 8 euthyroid individuals, and 1.38 days in 9 hypothyroid patients.. restlessness. In Jonklaas study, the average half life was 22.04 hours. 2011. If THYROGEN is administered with radioiodine (RAI), the serious side effects for RAI apply to this combination regimen. #3. . Nervousness, anxiety, panic attacks. Effects of the drug can wear off fairly quickly. You can take part in a withdrawal program in: a residential detox unit or in a hospital. Check out my thyroid supplements. https://doi.org/10.1097/MED.0000000000000275. If you know that you have low T3 or have a problem converting thyroid hormone, then taking a supplement designed for improving T3 conversion is probably ideal. muscle aches, weakness, or cramps. The first half of the half life describes a steep crash; the decline past the half-life takes a much longer time. Consider cases of HPA suppression from cortisol (which can take 6-12 months to recover)(6) or cases of HPO suppression from birth control medication. 2022 Genzyme Corporation. 1 pill Cytomel - 5 mcg T3. I go to great lengths to help my users better understand their health; however, the content you see here is not a substitute for medical advice. Sign up to receive 20% off your first order. The worst symptom seems to be the head fog - he can't focus or get anything done - so he says. https://doi.org/10.1089/thy.2010.0175. Elderly: Studies do not show a difference in the safety and effectiveness of Thyrogen between adult patients less than 65 years and those over 65 years of age. Finally, the half life is deceptive because some people may mistake that the Cmax of a single dose achieves the maximal effect, and that complete clearance removes all the effects of the medication. Myxedema Coma: A New Look into an Old Crisis. Journal of Thyroid Research 2011. https://doi.org/10.4061/2011/493462. The initial dose of CYTOMEL varies with age and body weight. In most cases, its not worth the energy to fight with your Doctor for tests or medications. Lum, S M, J T Nicoloff, C A Spencer, and E M Kaptein. This axis is very sensitive and it can take weeks to months for it to come back to normal. COMMON side effects If experienced, these tend to have a Severe expression i . Common side effects of Cytomel include nausea, diarrhea, and headache. Cytomel causes an increase in the force of contraction and an increase in the heart rate (9). First of all, the survey was not co-designed by patients who had a long experience with hypothyroidism or who had already undergone this withdrawal. To put that in context, thereference rangeof total triiodothyronine (T3) is approximately 80-220 ng/dL in adults. Douglas Van Nostrand, M.D., Gary Bloom, and Leonard . Doctors, never, ever, force LT3 monotherapy withdrawal on a patient who may have no thyroid function. In addition, its estimated that up to 5% of lab tests are inaccurate (just from the standard error of measurement). 1972. Sweating and/or chills. Children:Safety and effectiveness in young patients (under the age of 18) have not been established. Walter, Kimberly N, Elizabeth J Corwin, Jan Ulbrecht, Laurence M Demers, Jeanette M Bennett, Courtney A Whetzel, and Laura Cousino Klein. When Thyrogen is used to help detect thyroid cancer, there is still a chance all or parts of the cancer could be missed. It is obvious why the alternative to withdrawal supplementation with recombinant human TSH (rhTSH) often sold under the brand name Thyrogen was given an average Quality of Life reduction score of 4.2 (pretty good!). Very bad head fog, depression, etc. 9 These symptoms can last a few weeks. Need better symptom control? Dont walk on thin ice. But make no mistake, the problem is not necessarily the medication (you probably need thyroid medication), instead, the problem has more to do with dosing, the type of thyroid medication you are taking, etc. 2022 Dr. Westin Childs | Thyroid & Health Supplements That Work Built withGeneratePress and powered by Kinsta. It is the second most commonly prescribed T3 thyroid medication for the treatment of hypothyroidism as well as other thyroid-related disorders. They considered this to be Loss of libido, impaired sexual performance, menstrual disturbances, and more than 1 week was given a maximum score of 3. Use the percentage index to get a quick start on clinical assessment. The complete lack of thyroid hormone leads to a condition known as myxedema coma which can lead to death (1). The quantitative results were as follows: The Quality of Life scores were equally poor for LT4 and LT3 withdrawal, the maximum score for the poorest quality of life being 31. At 22 hours, most of the transient peak was long gone. Like all bodybuilding steroids, Anavar suppresses natural testosterone. Just realize this is something you should be doing. In most cases, if you stop taking your medication cold turkey, you will experience many negative side effects. Not all supplements are created equal and not all thyroid patients will need the exact same supplements. If you take Cytomel once daily and notice symptoms of hypothyroidism getting worse as the day progresses, speak to your doctor about the possibility of . #1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1980928/, #2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2585732/, #3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4737508/, #4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784889/, #5. https://www.ncbi.nlm.nih.gov/books/NBK278958/, #6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682381/. But, lets go back to the idea of incorrectly taking thyroid medication for a minute. The half life is also deceptive because it does not map onto a single symptom or health impact, such as slower heart rate. arm, back, or jaw pain. The main difference between the heart and other tissues when it comes to thyroid hormone is the effects at the cellular level: WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Increased fatigue. It is believed that the health emergency of myxedema crisis is found in long term untreated hypothyroidism, and that only the chronic phase of Low T3 syndrome is pathological (Fliers et al, 2015). Pregnant patients:Notify your healthcare provider immediately in the event of a pregnancy. The exception would be if you are starting a new medication, altering your dose or if you are doing it with physician supervision. People with a TBG deficiency had a T3 clearance rate similar to that of thyrotoxic people. Frequent episodes of flu like symptoms is 1 of the problems I've had over the years sometimes . amc gremlin for sale washington state cytomel withdrawal symptoms. And when I say important, thats really an understatement. Symptoms that impair complex and demanding tasks may appear long before the half life of the dose if one starts from a position of LT3-dependent euthyroidism (Busnardo et al, 1983) and then progresses all the way to depletion of T3 without any T4 support. Studies reported by Nicoloff and colleagues in 1972 calculated a half-life of T3 that varied with thyroid status (8). This information is also relevant if you have had your thyroid damaged or destroyed via RAI. The thyroid is like the engine of your body. A drug's half-life is the time it takes for 50% of that drug to be removed from the body. Side Effects. This likely has to do with thyroid hormone conversion and metabolism in your body. Mathew, Vivek, Raiz Ahmad Misgar, Sujoy Ghosh, Pradip Mukhopadhyay, Pradip Roychowdhury, Kaushik Pandit, Satinath Mukhopadhyay, and Subhankar Chowdhury. Lum et al 1984 (over)dosed euthyroid people on LT3 for 4 weeks to compare their clearance with hypothyroid people. Individuals vary slightly in their rate of absorption and clearance, as shown in the TT3 graph. Weigh pro's and con's of treatment (see Q2). The above mentioned symptoms improved as I brought the dose and levels down (which made the tsh levels higher). Just realize that some people may feel better when they stop the medication, but the exact reason should be evaluated on the individual level. The withdrawal process affects everyone differently in terms of symptoms and severity. Symptoms of low thyroid hormone levels include tiredness, muscle aches, constipation, dry skin, weight gain, slow . Experts calculate this period using the half-life of a drug. The brand name for rhTSH is Thyrogen. USE IN SPECIFIC PATIENT POPULATIONS TSH is part of an important axis known as the hypothalamic-pituitary-thyroid axis (5). Unsurprisingly, patients quality of life (QoL) suffered. However, after beginning LT3, the medication can take weeks to achieve euthyroid stability and full effect after being on a different medication or no medication at all. Patients should not use Thyrogen with radioiodine if they have a contraindication to the use of radioiodine. (The study did not mention any adverse side effects experienced by the euthyroid people who ended up dosing 100 mcg/day under supervision. The more thyroid hormone you take, the lower your TSH will go (4). 39K subscribers in the Hypothyroidism community. Feeling jumpy and restless. Withdrawal symptoms of suddenly stopping certain antidepressants include anxiety, chills, difficulty sleeping, dizziness, headaches, increased depression symptoms, irritability, muscle aches, nausea, sensations of electric shock, sleepiness, and vivid dreams. Overall, the survey revealed an average of severe suffering, given that an LT3 withdrawal patient with extremely severe symptoms (but no minor genital symptoms or weight gain or dry skin) may have answered with a score of 20 or less. Proteins triggered by T3 remain in the body and have their own life cycle beyond T3s clearance. Mood swings. Withdrawal syndrome (a discontinuation syndrome is a set of symptoms occurred due to discontinuation of substance) is found to be associated with 1,809 drugs and 1,379 conditions by eHealthMe. Clickherefor full Prescribing Information. It was a modified version of the self-rating Kellner symptoms questionnaire, the Hamilton depression scale, and Lusters 13-item scale for measurement of hypothyroidism. They cherry-picked from these 3 sources, and then they did not adapt it to the situation very well at all. https://doi.org/10.1089/thy.2019.0101. You will be required to stop taking it for about 2 weeks before receiving RAI to make sure your TSH level is high enough for the . How Thyrogen Can Help, a It takes much longer for TSH to rise after LT4 withdrawal (Lee et al, 2010). Liothyronine is used to treat hypothyroidism, a condition wherein the thyroid gland does not produce enough thyroid hormone. Therefore, the survey was designed so as to make it nearly impossible to come near to the maximum score of 31 for a severely reduced quality of life. synthroid. He didnt run any test . It has been a common practice for many decades to treat thyroid cancer patients after a total thyroidectomy with either LT4 or LT3 monotherapy, and then completely withdraw thyroid hormone prior to radioioidine (RAI) ablation of any thyroid remnants left behind after surgery. As with any opiod drugs, it's best to avoid buying Cytomel T3 . It does sound like the hormones left in your system are still pretty high. Increased weight gain. Weakness, lethargy, cold intolerance, paleness, dry skin, coarse hair, and constipation can occur with acute hypothyroidism. Therefore, signalling effects linger on even after the T3 is no longer bound to the receptor and is depleted from blood. Breastfeeding women should discuss the benefits and risks of Thyrogen with their physician. Elevated Thyroid Stimulating Hormone Is Associated with Elevated Cortisol in Healthy Young Men and Women. Thyroid Research 5 (October): 13. https://doi.org/10.1186/1756-6614-5-13. If your current doctor is unwilling to order these tests then you may need to seek out a second opinion and look for someone who specializes in thyroid care. He barely looked at me and said I dont have a thyroid condition (had been stable on meds for 11 years) and that my problem is really post-partum depression. Anhedonia (loss of ability to feel pleasure). Stay hydrated. The most severe and deadly cases, according to Dutta et al, are not among those who were previously undiagnosed, but rather among the people who stopped their thyroid therapy. Levothyroxine (also commonly known by brand names such as Synthroid, Eltroxin or Levoxyl) is typically stopped for at least four and preferably six weeks prior to the radioactive iodine. Other people experience severe symptoms. Official answer. Keeping the body properly hydrated and nourished can aid in reducing these instances. 2009;53/6, 4) K. Burman;Hypothyroidism Symptoms Following Temporary Withdrawal from Thyroid Hormone; Excerpted, with permission, from pages 92-93 of Withdrawal of Thyroid Hormones, Chapter 915 of the reference book Thyroid Cancer: A Guide for Patients, Keystone Press, 2010. The relationship between THYROGEN administration and stroke is unknown. It is also prescribed for hormone imbalances from radiation treatment, surgery or .