Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Thyroid profile
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Thyroid profile

My Thyroid profile is as follows: T3 2.60, T4 1.16 and TSH level is 6.39. The report indicates that my TSH level is outside the normal range. Is it a serious cause of worry? Do I need to start treatment immediately and if yes what treatment do I need to take?
Tags: Thyroid
97953_tn?1193367871
This is a modest increase and if an incidental finding (without symptoms, goiter, etc), then we usually repeat TSH and T4 in 6 weeks along w/ TPO antibodies.
6 Comments
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97953_tn?1193367871
clarify -- this is done prior to committing to treatment (which is not mandatory in cases of mild hypothyroidism).
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Avatar_m_tn
No I have not started any treatment as yet. Have experienced weight gain in last one year and have started to develop a double chin despite an exercise routine. Also feel lethargic during the day. So a doctor advised me to undergo these tests
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97953_tn?1193367871
Yes - I usually wait 6 weeks to make sure it is not a transient lab problem that would self-correct.  With these symptoms, if the mild hypothyroidism persists, it may be worth a trial of treatment w/ levothyroxine - however the symptoms are non-specific so documenting that this is a thyroid problem is important prior to starting treatment.
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Avatar_m_tn
Thank you so much for the help
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Avatar_m_tn
Dr Lupo,
I am 46 years old and had a begnin tumor and what was called a partial thyroid removal approx. 10 years ago. Afterwords I had no need for meds with fairly annual level checks. The tumor had been present for a couple of years and then went through a very rapid growth period and after removed I was told it was significantly larger than the US had shown. Over the last couple of years I have developed symptoms of difficulty swallowing, both liquid and solid, sharp pain in thyroid area as well as fairly consistent ache, episodically shortness of breath, feeling of strangulation and sudden on set hoarseness and voice loss, all with progressing onset. I have had a tremor in my left hand that has gotten pretty consistent and often have palpitations. The first three have become pretty worrisome and prompted me to see an ENT yesterday that scoped me and found no issues with throat or vocal cords. I feel strongly  there is an issue, initially thinking neurological then thinking this morning that possibly my tumor has returned on my thyroid. Is this possible?
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This Forum's Experts
97953_tn?1193367871
Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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