Metformin is also associated with weight gain. PCOS and hypothyroidism are each associated with an activation of your sympathetic nervous system-- this is the "fight or flight" part of the autonomic or automatic nervous system. This activation can lead to difficult to control high blood pressure, higher than normal rapid resting heart rates, anxiety and sleep disturbances as well as increasing resistance to insulin which can progress to type II diabetes. The link I sent you is for an experimental procedure targeting the nerves that connect your brain and kidneys. The kidneys play a central role in regulating salt and water retention as well as the release of a hormone that causes blood vessels to constrict. Constricted blood vessels re directs blood flow away from your muscles to your insulin insensitive thanks. Normally your muscles burn excess glucose with the help of insulin spikes but this doesn't work as efficiently as insulin spikes when the blood is flowing preferentially to your core. The kidney is also loaded with millions of pressure and chemical receptors which feed information thought these nerves back up to the brain thereby chronically activating your sympathetic nervous system. It's very new and still experimental but something you may want to watch should your high blood pressure worsen-- especially since you don't tolerate meds well. The procedure involves the use of radio frequency energy delivered via a small 2 mm catheter that is inserted into your leg blood vessel and threaded up to your kidney artery. The target nerves travel in and out if your kidney via the outside if the blood vessel so the energy is applied to the inside wall if the blood vessel and this permenantly inactivates the nerves by thermal injury. It takes about 40 minutes and is done with conscious sedation. So far complications have been pretty rare-- mostly related to the arterial access site which is common for catheter based procedures like angiograms and stent placement. Like I said its new and still experimental but potentially a very important advance. Google "Renal Denervation" if you are interested in learning more.

Earthclinic.com is a great site. That's where I get the info. to treat my own eczema when doctor's prescribed medications failed. Here's some excerpts on treating one's hypothyroid: http://www.earthclinic.com/cures/hypothyroidism.html Posted by Mari (California) on 04/23/2014 "I've had an goiter for several years, but lab tests were always within normal. The right side of my thyroid is definitely larger than the left. Finally, one doctor did an antibody test and determined I have a diagnoses of Thyroiditis. I was always able to manage without meds, but a few months ago I started having trouble breathing at night and a couple of times had laryngospasms that were pretty frightening. I was pretty desperate to find something that would help with my symptoms and read quite a bit about Lugol's solution. I sent away for a bottle and began adding 1-2 drops to water once a day. I have been taking it for several weeks now and have noticed my goiter is shrinking and getting softer. I also have no more trouble breathing at night or laryngospasms. Lately, I've increased to 3 drops/day without difficulty. I've also noticed my skin problems have cleared up and I attribute that to the Lugol's too." Mari (California) From StrawChicago: Doctors often resort to surgical removal of thyroid, without consideration for long-term effects. After my niece got 1/2 of her thyroid removed, she became severely depressed and has to be on medications for the rest of her life. Here's more excerpts from earthclinic.com: Posted by Harley_girl_1000 (Mt. Dora, Fl) on 09/19/2010 [NAY] 10 years ago I developed goiter on both sides of the thyroid. Each side was as large as a golf ball and multi-nodular. The doctors said that my thyroid blood work was normal. One side spontaneously shrunk and the other continued to grow. I opted for surgical removal of the larger side and kept half of the thyroid. Although I am on natural dessicated thyroid, my life has never been the same. The day after surgery I felt strangely different. A month later I was impotent. My energy levels have never been what they were. It has affected my whole life and I've had to give up many dreams. Despite a careful diet and exercise, nothing was as good as my old thyroid. Not one of 4 endocrinologists mentioned iodine to me. Now I take several drops of Lugol's a week. I have heard that painting the goiter with iodine can help. China is injecting young brides with iodine to prevent cretinism. I know it is possible to shrink a goiter since the half that I kept was at one time larger than the half that was removed. This post is to emphasize NAY to surgical removal of the goiter." http://www.earthclinic.com/cures/goiter.html Replied by Lisa Rabat, Morocco 02/06/2012 Are you also taking Vitamin C, magnesium, selenium and unrefined sea salt? These are recommended to take with iodine. I also was diagnosed with a goiter (by ultrasound) and after being on iodine for several months I no longer have one. You need very large doses of iodine if you have breast cancer, somewhere in the range of 50-300 mg/day. In any case, DON'T let them remove your thyroid. You will be on meds for life." Tchamers (North Carolina) on 10/22/2013 [YEA] I had hypothyroid issues and started eating 3 Brazil nuts a day that have high selenium in them and my thyroid is normal. Selenium regulates the endocrine system. Replied by Mama To Many Tennessee, Usa 12/02/2013 Glad to hear that the ACV (apple cider vinegar) and coconut oil are helping. I find them helpful, too. Regarding kelp versus potassium iodide....well, I have tried both in my family. The thing is that if you are truly deficient in iodine, which so many of us are, you would need a lot of kelp to get the amount needed. I don't personally notice much difference when I take kelp. But some do. I was diagnosed with hypothyroidism a few years ago. I took a very small dose of levothyroxine and it made me feel much worse. Well, I ended up going off the medication and trying natural stuff. It took some time but I did find things that helped me. ACV and coconut oil being some of them. But potassium iodide made the biggest difference for me. I take Iodoral (the pill form of Lugol's.) I take 1 12.5 mg tablet a day (12.5 iodine/potassium iodide.) Iodine supplements should be taken with Selenium and B-complex. Some also include vitamin C. You may find that you need less of your thyroid medicine if you supplement with iodine. It might be helpful to try Lugol's iodine (the liquid form) as it is easier to take less and build up to more.) Replied by Bill San Fernando, Philippines 12/03/2013 Hi Dee...If you have a hypothyroid condition, then this is a condition that occurs when you have low iodine levels in the body and perhaps a lack of certain critical minerals in your body as well. Most people are low thyroid these days but if you lack certain mineral anti-oxidants in your body -- like magnesium, zinc or glutathione peroxidase -- this can even cause or aggravate hypothyroid and thyroiditis problems. The protocol that you should be using is the full Lugol's Iodine Protocol with Companion Nutrients. Never take Lugol's Iodine just on it's own for reasons that are all explained here in this link. http://www.earthclinic.com/cures/hypothyroidism.html

joyce, will you see an endocrinologist please and not treat your thyroid with a family practice doctor... The hair loss sounds more like hyper than hypo to me...I've had hyper (Graves) and feel pretty strongly that treatment and medication should be in the hands of an up-to-date endo. It doesn't have to be complicated. He/she will know what to do to get things leveled out - your energy up, spirits back, your hair healthy again. If the hair loss has increased dramatically in the two weeks since you've been seen, I'd have to wonder if you were given the right med in the right dose because unless its coincidental, what you've taken seems to be having a significant effect on you and your hormones....While the hair loss is upsetting, some other things could be going on you may not notice yet, like decrease of bone density and an experienced endocrinologist will oversee all of that, all things that could be affected. Please consider getting that referral to an experienced endo. And don't panic, this will work out and the right treatment will have you back to your normal self....its going to be OK.

The problem about actually going myself is coverage. I am an attending in a teaching clinic and with no doctor on the premises 14 people cannot see patients. I can get coverage if I can get another Dr. to cover for me, which means I need to know in advance. I technically have compensated sick or personal days but I can't use them because I am there or I have to have someone covering for me. I can take off from private practice, but then I have no income, and since patients are scheduled months in advance, they need to be rescheduled. Patients reschedule and cancel regularly but when the doctor does it to them, some people get furious. One of my practices is 25 miles from where I live so its a matter of taking 4 hours off for a single appointment in that practice. In the practice I am in in the city, I could take off but my physician is not in the practice that day. I know those are excuses but its not like working in corporate and calling out or taking personal time. It really throws a lot of things out of balance. The First Phone call I made when my mother died was to try and get coverage for my next clinic.