Could this indicate pituitary gland problems?

[nslope]

I recently had my thyroid levels checked and I have low Free T4 level (.72) and low FreeT3 (1.9)?
My TSH is on the low end of normal at .83. This does not seem to follow any normal pattern for Hypo or Hyper thyroid. I might note that I also have a low Anion Gap level of 4.4 (6-18 being normal range) and very low Vitamin D. I had a bout with hyperthyroid last fall. I am off all meds since spring and have been feeling fine. I am frustrated because it is hard to get ahold of my Endocrinologist to get her make on these results. So I am hoping someone out there can give me some advise. Thanks!

[rumpled]

Can you find another endo?

Antibodies can fluctuate, but that is strange - especially untreated. Which ones were elevated - Graves or Hashimoto's?

Can you get your GP to run more tests?

[nslope]

No I am not on any meds and yes i have had antibodies checked- 6 month ago they were elevated but this time within normal range. My TSH has been fluctuating from .017 when I was hyper to .93- never over 1.0.  I am very concerned about the anion gap but cannot get a return call from my Endocrinologists office- they have only had the results since Monday but I am very impatient.  I feel fine just a little tired but that could be from my crazy buzy life :)

[rumpled]

Are you taking thyroid meds? Have you taking any antibody tests?

Your TSH is low, but does it change? Mine used to change all the time.

I would be concerned about the anion gap - have they identified why?
"The Anion Gap is decreased by free radical pathology due to overproduction of alkaloids. Other causes that have been reported associated with a reduced anion gap are

·         Alkalosis for any reason

    * Hyperchloremic acidosis (excess chloride)
    * Multiple Myeloma
    * Hyponatremia (low blood sodium level; see appropriate lab finding webpage)
    * Hypoalbuminemia  (see albumin; can increase the amount of free blood calcium)
    * Bromide Ingestion (displaces chloride)
    * Uncalculated blood cations (calcium, magnesium)

·         Lithium toxicity (can be due to effects on sodium)

·         Primary hypothyroidism

·         Kidney disease (due to the loss of the cations sodium and or potassium)

·         Polymyxin B "