Levothyroxine and BC risk?
Hi All,
I stumbled across some articles implying that taking levothyroxine (synthroid) increases breast cancer risks. That concerned me as I was diagnosed with Hashimotos and hypothyroidism 6 months before I was diagnosed with breast cancer. I take levo and certainly don't want to increase my risk for BC returning!
Problem is, I can't tell from what I read if it's a true connection or junk science. Lots of the info was on suspect websites, but it seemed to be inferred on some more reputable ones as well. Just enough to make me concerned.
So, just reaching out to see if anyone has additional info? Thanks!
Comments
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A quick search seems to only show "alternative" health sites and not reputable medical sources implying that
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Thanks Melissa. I sure hope it’s just bunk!
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I was dx'd with hyperthyroidism and Grave's Disease and Hashimoto's back in 1990. My thyroid was treated with radioactive iodine which basically wiped out my thyroid so I became hypothyroid. I've been on Synthroid ever since. If there was a connection (Synthroid to BC), I think I would have developed BC much earlier.
Sometimes I wonder if just having thyroid (or autoimmune) issues means a greater chance of BC...My mother had 3 sisters. Only one had thyroid issues (hyperthryoidism). Years later, that one sister also developed BC. (My mother and her other sisters didn't develop BC.) Now I'm the only niece to have thyroid issues and/or BC. So it makes me wonder. On a positive note, that aunt is a 30 years survivor!
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Bellasmom-I have heard tales here and there about a connection between thyroid and breast problems as well. I do think there may be something to at least some of it. Getting into this crappy BC journey sure has shown me the vast amounts of information we still just don’t have. We are still so in the dark about so many health issues!
Thanks for sharing your aunt’s success-that is always hopeful to hear and I’m glad she is well!
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Since large portions of rhe female population have thyroid disease there is a lot of overlap
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I had half my thyroid removed a month before diagnosis because of a suspicious nodule (pathology showed it to be benign). I have taken levothyroxine since then so this interested me when I heard about it a while back.
I just received a report from Promethease analyzing my 23andme genetics. What was interesting is that one gene will put you at increased risk for a disease and another gene will put you at lower risk. It was fascinating to see just how many genes there are and how much things really do have to line up to make something actually happen. So after all the research and analyzing I come back to it being a crap shoot.
I do think there are things we can do to help counteract proclivity or genetic lean by having generally good health with diet, exercise and decreasing stress but worrying about this stuff makes it really hard to decrease stress. My current focus is meditation or mindfulness to try to chill a bit. :-)
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Melissa that’s a good point.
wrenn, you’re so right. It’s really impossible to know all the risks and how they are different for each individual. Maintaining as healthy a lifestyle as possible and trying not to worry about it is probably the best and most beneficial stance we can take. How I wish I could consistently succeed at this!
I’m only 7 months out from diagnosis, so I hope it gets easier with time. Thanks for your insight.
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Colleen, It’s been 5 years for me and I still worry but I think it could be a personality thing that I am trying to correct. I think the worry definitely decreases the longer you are ‘ok’. :
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Yes, there is a connection, but not the one stated namely that the hormone increases the cancer risk.
It is the other way around, having abnormal cells in the body producing protein isomers (slightly modified proteins), may triggers an autoimmune reaction. These abnormal cell don't have to be malign to do this, but sometimes they are...that's why when one has an autoimmune disease the risk for developing cancer increases significantly.
Most often are nodules in the thyroid triggering Hashimoto. However, the breast tissue also produces TPO or thyroglobulin, and breast cancer cells, or instance, have been shown to produce TPO isomers. Once such modified protein is present in the body the immune system may attack other cells producing similar protein including thyroid, digestive tissue, muscle etc. Thyroid produces it in the largest amount so it is hit the hardest.
All these are understood in medical reserch circles...I don't know why they didn't make in clinical practice. Maybe to avoid sending everyone with autoimmune diseases in a scan frenzy.
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morning everyone, interesting thread. I remember reading through a few of the others in the past. I've been on levothyroxine for 15 years for hypothyroid, also have Crohn's. Now breast cancer. Triple whammy? There has to be a connection.
What is baffling is by looking at me you would never guess. I have my labs done regularly for thyroid and have needed no adjustments. Get this, diagnosed with Crohn's in the mid 80's. Surgery in 1990. Since then no meds no nothing. No diarrhea, ever. Healthiest Crohn's person I know. Now breast cancer. Caught "early". But my guard will never be down as we all know.
So here I am. Even with these autoimmune diseases I'm symptom free. Healthy weight. Lift weights. Yoga. Run, eat healthy, active at work, in good spirits etc. Zero chemo side effects. Maybe it goes back to what Wren said about stress and mindfulness. Definitely important and can be so difficult at times.
Now that I'm "done " with BC treatment other than that little pill I catch myself worrying more than I'd like. Just not sure if there is an autoimmune specialist out there that can offer any ideas at keeping things at bay since I have so many things going on?. Or I just keep doing what I'm doing and keep on living while waiting for the other shoe to drop?. I welcome any suggestion and thanks for listening.
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ColleenS8:
Hypothyroidism is very common and many many people are on thyroid hormone for it. My understanding is that being hyperthyroid by any means increases one's risk of cancer in general while being hypothyroid by any means decreases it. When a person is hyperthyroid, their metabolism is sped up so I am guessing that ultimately increases cell proliferation and chances of errors but I think it ultimately might be more complex than that in some instances, as another poster pointed out.
I did find one study that found that in women with breast cancer and hypothyroidism, low T3 was a associated with an increase in mortality...I have hypothyroidism and apparently don't convert T4 to T3 well on top of that so it was a concern for me but I've misplaced the link to the study and my T3 went up when I had to cut back on the synthroid due to weight loss from the chemotherapy. Apparently there can be a temporary increase in T4/T3 conversion when people cut back on synthroid which may be why some people report feeling great when they go off their synthroid, think they do better off thyroid hormone replacement, and then crash.
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I had taken Levothyroxine for decade's for Hypo. Started having problems with numbers about 2 yrs ago,asked my Edocrinologist about Armour he put me on it my numbers got normal again! THIS February 2018 had lumpectomy /Triple negative BC, now taking Chemo on my second cycle !Grrr! AFTER 2nd chemo treatment my thyroid went hyper causing Heart Paputations, thought I was having a heart attack, very scary. AFTER 8 WKS Of Feeling like Heck my NUMBERS ARE FINALLY UNDER CONTROL. No Family history of BC , Thanks for sharing this may be my cause!
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DATNY, thanks for that info! I guess it would be understandable not to send everyone into a frenzy, but also frustrating for those of us that have reason to worry! Ugh.
Deb-I so get what you’re saying. That “waiting for the other shoe to drop” is the WORST and it’s my life right now. All my own doing; I just can’t relax. Id say it wouldn’t hurt to talk to a good endo dr if it would ease your mind! Mine is my very favorite...I wish he was on my cancer team lol. I hadn’t read about all this before the last time I saw him, but I do plan to ask his opinions on it all next time I see him. Just curious what he thinks. He did know about my diagnosis last time I saw him but did not mention anything about autoimmune connections.
WC3, thanks for your input as well. All so interesting and frustrating at the same time, that we sometimes see connections, but just can’t get to the root of things.
Lola, so sorry you’ve had those troubles. I have a friend with Graves and I know those symptoms can be so scary!
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colleen, I've been under the care of GI for over 25 years. I'm in limbo as to a specialist that deals with autoimmune in general that may have suggestion for keeping things in check.
I looked at your stats and we are diagnosed around the same time. I hope with time you will find yourself with periods of time where you do "forget," if that makes sense. It may only be for an hour but hey, it's an hour. If you feel you need medication then ask for it. For me, keeping busy helps a little. It makes my days go faster. Maybe one day breast cancer wont be the first thought when I wake up and the last thought before I go to bed. Only time will tell there. Have you considered yoga or meditation? Take care. You are not alone!
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Ah deb, I see what you’re saying about an autoimmune specialist. I hope that if you decide to pursue one, you can find a great one to give you valuable feedback!
I’ve actually been on Zoloft since my mid-twenties. I started seeing a therapist three weeks ago and I think it will really help. Since I already don’t deal with anxiety well (hence the Zoloft haha) it became evident to me after I finished chemo that I just wasn’t going to get through it without talking to a professional.
It’s still at the forefront of my mind 24/7, but I am hopeful that with time I will learn to give it a less important space in my life. God forbid I did go stage four one day, id sure hate to look back and see that my preceding years were spent in fear and angst instead of joy and happiness.
I also started a meditation app and I like it so far!
Thank you for your support! I hate that others are on this road, but so thankful for the support of others who get it.
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Very interesting discussion. I also have Hashimotos thyroditis and have been on Armour for 4 years. No family history of any autoimmune disorders and nobody else has had BC. However, I still think my breast implants (which I had implanted 10 years ago) caused Hashimoto's which then caused BC
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Hey moongirl,
I’m sorry you’re here. Wouldn’t it be nice if there were a test that could tell us where our personal bc came from, and how to stop it from coming back? All these possible risk factors and so many very different people that develop it...it’s all so complicated.
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ColleenS, you are welcome. One potential good news is that if the autoimmune disease is triggered by cancer, the likelihood of metastasis of that particular cancer seems to decrease. For instance vitiligo developing in conjunction with melanoma is documented to be associated with a significant drop in the metastasis rate of melanoma. So it looks like having an autoimmune response to cancer is better than having an immune system completely oblivious to cancer.
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DATNY that’s so encouraging! Thanks for sharing-I’ll choose to believe it in my case.
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One thing is sure and that we who suffer from hypothyroidism would be feeling pretty dreadful without snythyroid so there is not much choice in the matter and if bc is associated there is nothing one can do to prevent it. Autoimmune complaints appear to be idiosyncratic and until further research provides the answers we would all like, it is best to ignore it and focus on living happily.
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ColleenS you are welcome. If your thyroid continues to appear completely normal in all imaging tests, free of any nodules or other morphological changes, chances are that the autoimmunity was indeed started by the breast cancer and it should help in this case.
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Gemma-indeed!
DATNY-fingers crossed
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Can anyone share their experiences of hypothyroidism and chemo? I have central/secondary hypothyroidism due to a benign pituitary adenoma. I've taken synthroid for 18 years and I've always been very sensitive to small changes and drug interactions. I'm also not good at converting from T4 to T3. My thyroid gland essentially doesn't do anything (because my pituitary doesn't tell it to), so I am wholly dependent on synthroid to feel normal. I'm worried that chemo is going to throw me out of whack for 6 months and there's not going to be a lot I can do about it. Any and all input appreciated!
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My GP told me that my TSH would be elevated temporarily after chemo. I had half my thyroid removed just before being diagnosed with breast ca but the other side functioned fine for almost a year. When TSH went up and I started on thyroxine my GP told me it would be temporary but I am still taking the levothyroxine 5 years later so I am not sure whether the other side of my thyroid would have decreased function without chemo and it was just a coincidence since I only had one dose of chemo.
I would just keep a close eye on TSH levels to see if you need adjustments. If you google thyroid function and chemo there is some information from others in case this thread is missed.
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beeline, my levels stayed fine during chemo. I would suggest following more closely with your endocrinologist while going through chemo. Best wishes to you!
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My TSH plummeted close to zero and free T3 went above normal. I ended up monitoring them every 3 weeks, and kept adjusting the medication. But in my case, there is strong evidence the autoimmunity has been triggered by the breast cancer.
In your case they might stay the same, unless the treatment somehow will also help adresa the pituitary tumor. Best wishes!
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Thanks to everyone who replied. I am loathe to add yet another set of appointments and monitoring, but it is no doubt the smart thing to do!
DATNY, it hadn't even occurred to me the treatment could address the pituitary tumour. How interesting that would be!
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Bee, I arranged with my onc to monitor along with the rest of the blood tests he ordered. All blood work was reviewed in his office and results passed to me. When needed to adjust the hormone dose, I called the endo, report the TSH, free T3 and free T4, and decide what to change over the phone. Basically, I didn't have any extra doctor appts for this.
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Thanks DATNY, that sounds ideal. I’ll bring it u my MO!
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You are welcome and good luck! Would be great if you could come back and let us know what happened to the thyroid tests.
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