GREAT answer to this question, Ho.  Thanks a lot.

How are you doing, btw?  You had said that IM caused you a lot of fatigue
and brain "fuzziness;" has this improved at all?

Best,
Richard R

>    Date: Mon, 17 Jan 2005 21:38:34 -0800 (PST)
>    From: Ho-Leung Ng <[EMAIL PROTECTED]>
> Subject: Re: IM, feeling cold - Ho
> 
> Hello Cheryl-Anne,
> 
>      It is possible that the thyroid is working fine
> but that the response to thyroid hormone is awry. This
> is analogous to type 2 diabetes where insulin is
> produced but the body responds poorly to it. However,
> when this happens to cause hypothyroidism, it is
> usually a general resistance throughout the body,
> including the pituitary gland which controls the
> thyroid by secreting TSH (thyroid stimulating
> hormone). If the pituitary is also resistant, the
> normal negative feedback mechanism that maintains
> homeostasis/equilibrium is broken, so the pituitary
> secretes extra TSH which causes the thyroid to produce
> extra thyroid hormone. Ironically, this type of
> functional hypothyroidism is associated with higher
> levels of TSH and thyroid hormone.
> 
>     However, if the resistance occurs only in certain
> cell/tissue types but NOT the pituitary - TSH and
> thyroid hormones will remain normal. I performed a
> superficial PubMed search and learned that this is
> called "selective peripheral resistance to thyroid
> hormone" and has only been observed in one patient.
> However, Gleevec has such a specific mechanism of
> action that it would not surprise me that it could
> cause such a specific physiological failure by
> blocking a kinase involved with responding to the
> thyroid hormone signal.
> 
>      Note that this is primarily speculation on my
> part, but it is speculation that is testable in a
> research laboratory.
> 
>      I apologize in advance for being long winded.
> 
> 
> ho




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