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Thyroid  (Expert Forum)
 | 
T3, T4 and TSH Levels
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).

T3, T4 and TSH Levels

by brandie32, Apr 24, 2006 12:00AM
In August 2005, I had the left side of my thyroid removed for a tumor and a spot of cancer and the right side was killed due to Thyroiditis.  I have absolutely no function on my own.  I have to have blood work every 6 months. I am on .050 of Synthroid. I have been telling my Dr. that I do not feel like myself.  I am either extremely cold or will have hot flashes.  My skin is very dry and itchy, my hair is falling out more than normal, mood swings from angry to very down.  I am also having trouble losing weight, in that I either lose none or gain.  I am also having more pains in my legs and hips.  He tested my blood and the results were T4 - 7.9(range 4.5 - 12) T3 - 1(range 0.6 - 2.2) and TSH - 2.229(range .350 - 5.50).  In December my TSH was 1.222 and I felt better.  I am extremely tired all of the time.  I have read that a TSH of 2.5 is too high.  What would you recommend to me with the test results that I have?  I have a nurse prac. that says I need to up my Synthroid.  I am just looking for relief. Thanks.

by Mark Lupo, M.D., Apr 24, 2006 12:00AM
I would try a higher dose to keep the tsh around 1.0
Member Comments (8)

by Tracy615, Apr 25, 2006 12:00AM
That is an extremly low dose of Syn. for someone w/o thyroid function according to all I''ve ever read.  Also, you may be needing to at least supplement w/T3 (Cytomel).  I never do well w/just Syn.  Have to have T3 (I'm on Armour). Even 100 is low of Syn. for alot of people.  You have classic hypo symtoms, go to thyroid sites (if you havn't already) and dig in...there's alot to learn about levels, and treating symptoms instead of just going my lab results.  Alot of people only feel good w/ "belown norm TSH levels".  Don't increase meds on your own, but once you start digging around about thyroid, you'll see you are most likely quite underdosed and you need to get out of being hypo.  It's no way to live, so start fighting back to get your quality of life restored.  It's all about achieving balance w/meds.  Don't settle for living hypo. You will be blown away how good you can feel when properly dosed. Good luck.

by brandie32, Apr 25, 2006 12:00AM
Tracy615 thanks for your information.  Do you have any sites that you like to go to that would be more beneifical?  I am having a difficult time with getting my doctor to listen instead he wants to go by the results only.  When I had my Thyroid removed, I started having problems with my heart rate in that it was slow, 42 to be exact.  My heart also starting skipping beats.  My cardio. dr. said that I was probably not getting enough from the Synthryoid, but would not up it.  He did not want to go against my regular dr. so he put me on 1/2 of a blood pressure pill a day to help control the skipping.  I never knew there were so many things linked to your Thyroid.

Thanks again.  I am just glad to know that there are other people out there like me.  Sometimes I think it is just me.

by Tracy615, Apr 29, 2006 12:00AM
Brandie-Sorry it took so long to respond.  The following is a testimonial site to T3 and how it's significantly changed lives:

http://www.altsupportthyroid.org/t3/t3exp3pr.php

Also, Mary Shomon, author of the 'bible' for thyroid people, called "Living Well with Hypothyroidism", ( I strongly suggest you read and refer to this book)-she has a site, I forget what exactly it's called.  I personally belong to an on-line group, I can't remember the name right now, but it's just thyroid people constantly communicating with one another about meds, symptoms, unsympathetic docs, etc.

I sure hope you change docs, Armour even has compiled a country-wide list of docs willing to prescribe Armour, you just put in your zip code.  Docs willing to prescribe Armour, I have found as a rule, are more into listening to symptoms than just going by the numbers.  It is an on-going grueling process to find a good doc.  Your symptoms are what matters, and w/in that the numbers matter.  If you'd like, I'll find the name of the group I belong to, it's so helpful to communicate with others, and there are thousands out there who have a story to tell. Let me know, and start fighting back, and you will regain the quality of life you deserve.

by Tracy615, Apr 29, 2006 12:00AM
Brandie-Sorry it took so long to respond. The following is a testimonial site to T3 and how it's significantly changed lives:

http://www.altsupportthyroid.org/t3/t3exp3pr.php

Also, Mary Shomon, author of the 'bible' for thyroid people, called "Living Well with Hypothyroidism", ( I strongly suggest you read and refer to this book)-she has a site, I forget what exactly it's called. I personally belong to an on-line group, I can't remember the name right now, but it's just thyroid people constantly communicating with one another about meds, symptoms, unsympathetic docs, etc.

I sure hope you change docs, Armour even has compiled a country-wide list of docs willing to prescribe Armour, you just put in your zip code. Docs willing to prescribe Armour, I have found as a rule, are more into listening to symptoms than just going by the numbers. It is an on-going grueling process to find a good doc. Your symptoms are what matters, and w/in that the numbers matter. If you'd like, I'll find the name of the group I belong to, it's so helpful to communicate with others, and there are thousands out there who have a story to tell. Let me know, and start fighting back, and you will regain the quality of life you deserve.

by brandie32, May 02, 2006 12:00AM
Sorry I took so long to answer, but my kids have started their baseball season so we are extremely busy.  Thanks so much for the link and yes I would like to know the name of the group you belong to.  Sometimes it is just good to have someone who knows how you feel.  My sister and myself both have had the thyroid surgery so she knows how crazy it makes you feel.  I am just so ready to feel like myself again for me, my husband and my 3 children.  Again, thank you so much for the information.

by Tracy615, May 02, 2006 12:00AM
Hi Brandie-Here you go:



the Mary Shomon site is : www.thyroid.about.com



the site I feel has lots of info (strongly in favor of Armour):

www.stopthethyroidmadness.com



And finally, the group I belong to is:

***@****



Hope to hear from you on there!  Best of luck to you, and if you need to you can email me personally at: ***@****, I'll be happy to help if I can.

by medoc, May 23, 2006 12:00AM
Just a question for anyone out there who knows more about this than I do.



I am less than 30 years old and was just told that my Thyroid was underactive. Specifically my TSH levels are at 41 when it should be less than 5!!



I was put on 50 micrograms of synthroid to start of the prescription and my doctor plans to monitor it from thereon.



I am pretty lost because everything that I am reading says that even a level of 5 is too high. I have no clue as to how this has affected me to date and what this means.



I am not looking for medical advice, rather I just would like to know what a level this high means.. and how could this have been affecting me in the past 2 years.



Thank you,

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