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It has been observed that health complications continue to plague the patient in the period immediately following a traumatic injury. These complications are clinically, distinctive medical problems. One of the common hormonal complications arising as a result of post- traumatic brain injury is hypothyroidism. Fibromyalgia is the symptom observed in post-traumatic cases. It indicates very limited and poor thyroid hormone regulation of tissues. This could be due to hypothyroidism or thyroid hormone resistance. About 30% of the patients with fibromyalgia symptoms are documented as post-traumatic cases. The symptoms show up immediately after a shock.

There has been under stimulation of the pituitary by hypothalamic hormones documented in post-traumatic, hypothalamic-pituitary, dysfunction cases. These cases recorded a low serum thyroxine and elevated TSH concentration, like that observed in primary hypothyroidism patients. The patients have to be treated with the hydrocortisone therapy, to get back the normal levels of T4 and TSH.

The reason for the post trauma patients showing elevated hypothyroidism symptoms is the excess cortisol released by the adrenal glands. This is a hormone that helps the body to become accustomed to certain cellular needs that rapidly change during stress. The blood cortisol levels rise and momentarily suppress the thyroid system. The result is the slowing down of the thyroid hormone-driven metabolism.

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In patients already with borderline levels of T4 and TSH, the metabolic rate is drastically lowered, leading to a hypothyroidism like manifestation. Some practitioners have diagnosed this as fibromyalgia. The correct diagnosis would be hypo-metabolism, secondary to post-traumatic hypothyroidism.

These cases have to be treated by administering thyroid hormone replacement therapies. Medication is available in the tablet form. There are injections also available. The supplement needs to be taken at least half an hour before a meal. This helps the supplement to be properly absorbed into the blood stream.