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Medical Forum / Diseases and Disorders / Arthritis / July 2005

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thyroid and mtx

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Becky - 29 Jul 2005 05:50 GMT
Does anyone know if being on methotrexate can cause your thyroid to become
low?  My tests came back  low and it might be the answer for the weight gain
now, also wondering if mtx, since it works on suppressing the immune system
can cause problems with the thyroid gland?
Becky
Alice Faber - 29 Jul 2005 16:28 GMT
> Does anyone know if being on methotrexate can cause your thyroid to become
> low?  My tests came back  low and it might be the answer for the weight gain
> now, also wondering if mtx, since it works on suppressing the immune system
> can cause problems with the thyroid gland?
> Becky

Various kinds of thyroid problems are auto-immune based. When I was
diagnosed with diabetes, a year or so after my hyperthyroid diagnosis
(I've now swung over to HYPOthyroid), my GP warned me that we'd have to
be alert for other autoimmune problems. So it could just be a
combination of your immune  system being wacked out with the fact that
the diagnostic cut off for hypothyroid has changed (tightened up) in the
past few years; levels that used to be considered within the normal
range no longer are.

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AF

Newsgroup Spambuster - 30 Jul 2005 21:24 GMT
Actually, Becky, the low thryoid is more likely the culprit of all the
other things you have been asking about than the mtx is.  

Low thyroid may very well be because your RA is not well controlled yet
and like Alice said, it often comes along with other autoimmune
processes.  

Low thyroid (hypothyroid) can cause weight gain, moodiness, depression,
anxiety, hair loss, fatigue, a tendency to be cold all the time,
sometimes a feeling of fullness in your neck/throat, itchy skin, muscle
pain, etc. to name but just a few of the symptoms.   This sounds far
more plausible than all the things that you have been thinking were mtx
induced.  

Perhaps the thyroid condition was just beginning at the same time you
started the mtx?   Hopefully once you get your thyroid condition better
controlled, you should notice an improvement in a lot of the things you
have been struggling with.

Good luck!

Donna G

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