starting to worry it's all in my head

[nicole419]

I've been seeing a new doctor that I'm not really comfortable with but I haven't been able to get in with someone else yet so I've not been able to discuss my last set of labs yet.  Any thoughts on my lab would be appreciated. I'm getting to the point I'm HOPING to have a thyroid issue so that there's a reason for me feeling the way I do. Otherwise, I'm going to start thinking I'm just losing my mind.

-25 yo wf, obese now

-family history of primary hypothyroidism

-----meds and health issues
albuterol (asthma- well controlled)
sertraline (depression, anxiety)
frova (migraines)
birth control (had heavy irregular cycles)
melatonin (insomnia)
loratadine (seasonal allergies)
metrogel (rosacea)

----other problems
cold all the time (need temp between 75-85 degrees to be confortable), fatigue, persistent weight gain with approx 6 pounds over just the past 3 months (up 30-40 over past 2 years total), orthostatic hypotension, constipation, mitral and tricuspid murmurs, palpitations and chest pain (attributed to anxiety, dr is aware of. ekgs normal), forgetting things (not normal)

---labs
cbc, cmp, lipids all normal each time

12/08
tsh        1.39   (0.35-5.5.0)
free t4   1.19   (0.76-1.79)

7/09
tsh       4.22
ft4        0.90

7/09 repeated a week later
tsh      1.77
ft4       0.75 (LOW)
free t3  2.7 (2.0-4.4)
thyroid peroxidase auto abs   <10 (0-40)

thanks

[Mark Lupo, M.D.]

The thyroid tests appear normal.  Would not interpret the one slightly low T4 as significant -- some of these tests (Free T4 assays) run slightly low and this is not an indication of a thyroid problem.

[majella3]

meant to say went to chemist and got echinacea and floradix liquid iron and vitamins...do you think these will help

[majella3]

i have not been well for a month vertigo symptoms plus heat
intolerance and weakness, and loose bowel movements....saw doc he said i had thyroiditis, sent me for blood tests and thyroid function and liver function.....said my tests where normal have viral infection...went back yesterday still have sick feeling in pit of stomach, get a feeling of weakness now and then legs turn to jelly feel to hot inside...feel hungry then don't want to eat when food in front of me....also have pain on left side of left breast.. doc says just mastitis.....it feels like a sickly feeling in breast....doc said nothing he can do and infection can last six months....please advise anything i can do to make life bearable