I'm 41-year-old lady. My Total T3=1.40, Total T4=10.21 and TSH = 0.01.
Reference Ranges for the Lab where testing was done : Total T3=0.6-1.81 ng/mL, Total T4=3.2-12.6 µg/dL, TSH=0.35-5.5 µIU/mL.
27-Jul-2005: Total T3= 1.02, Total T4= 5.7, TSH=7.18 (No thyroid medication taken),
14-Sep-2005: Total T3= 0.89, Total T4= 6.1, TSH=5.99 (No thyroid medication taken),
23-Nov-2005: Total T3= 0.99, Total T4= 6.4, TSH=4.31 (No thyroid medication taken),
26-Sep-2007: Total T3= 3.56, Total T4= 22.6, TSH=0.01
10-Oct-2007: NEOMERCAZOLE 5 mg tablets STARTED, 1-1-1, 3 times a day,
19-Jan-2008: Total T3= 0.76, Total T4= 3.9, TSH=23.14,
29-Jan-2008: NEOMERCAZOLE 5 mg tablets STOPPED.
29-Mar-2008: Total T3= 0.99, Total T4= 5.9, TSH=4.77 (No thyroid medication taken),
16-Jan-2010: Total T3= 1.13, Total T4= 6.87, TSH=4.19 (No thyroid medication taken),
13-Oct-2010: Total T3= 1.72, Total T4= 13.57, TSH=0.01,
27-Oct-2010: NEOMERCAZOLE 10 mg tablets STARTED, 1-0-1, 2 times a day.
18-Dec-2010: Total T3= 0.61, Total T4= 3.20, TSH=37.44,
24-Dec-2010: NEOMERCAZOLE 10 mg tablets STOPPED and NEOMERCAZOLE 5 mg tablets STARTED, 1-0-1, 2 times a day.
16-Feb-2011: Total T3= 0.98, Total T4= 4.83, TSH=7.26, (NEOMERCAZOLE 5 mg tablets CONTINUED, 1-0-1, 2 times a day.),
30-Jun-2011: Total T3= 1.19, Total T4= 7.60, TSH=3.52, (NEOMERCAZOLE 5 mg tablets CONTINUED, 1-0-1, 2 times a day.),
03-Jul-2012: Total T3= 0.78, Total T4= 7.00, TSH=2.98, (NEOMERCAZOLE 5 mg tablets STOPPED.),
01-Nov-2012: Total T3= 0.88, Total T4= 7.18, TSH=3.45, (No thyroid medication taken.),
27-June-2013: Total T3= 1.40, Total T4= 10.21, TSH=0.01, (No thyroid medication being taken at present.),
What should be the best course of action for me? Is there a permanent cure to my problem?
you likely have autoimmune thyroid disease that may be going between hyper and hypo with times of medication induced hypothyroidism from the neomercazole (which is an anti-thyroid medication). Now you are hyper again and given the years of back-forth, it may be time to consider definitive treatment with I-131 or surgery - would talk to your endocrinologist about this.
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