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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Can't get answers.. PLEASE help
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 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.
Can't get answers.. PLEASE help
by worriedude, Jun 18, 2007 12:00AM
I have had radiation therapy treatment for Hodgkin's Lymphoma in Dec 2005. I got my yearly Thyroid profile and here are the results:
T3, FREE: 3.24 (normal 2.3 to 4.2 pg/mL)
T4, FREE: 1.25 (normal 0.89 to 1.76 ng/dL)
TSH, Ultrasensitive: 5.6 (normal 0.350 to 5.500)
These testes were taken Fasting at 10 a.m.
What to interpret?
I feel extremely fatigued, have a slightly dry skin, appetite is poor, I do have moderate hair loss, and i dont feel energetic at any time of the day. Also, my concentration is poor, cannot socialize, and there is always the fear of fatigue in any activity i undertake (which comes to be true)
T3, FREE: 3.24 (normal 2.3 to 4.2 pg/mL)
T4, FREE: 1.25 (normal 0.89 to 1.76 ng/dL)
TSH, Ultrasensitive: 5.6 (normal 0.350 to 5.500)
These testes were taken Fasting at 10 a.m.
What to interpret?
I feel extremely fatigued, have a slightly dry skin, appetite is poor, I do have moderate hair loss, and i dont feel energetic at any time of the day. Also, my concentration is poor, cannot socialize, and there is always the fear of fatigue in any activity i undertake (which comes to be true)
Doctor's Answer
by Mark Lupo, M.D., Jun 19, 2007 12:00AM
, Jun 19, 2007 12:00AM
This looks like the beginning of post-radiation hypothyroidism. Given the symptoms, would consider thyroid hormone treatment.
Radiation exposure increases thyroid nodules and cancer -- particularly in children/adolescents who receive it. There may be some risk for adults, but not as great.
Radiation exposure increases thyroid nodules and cancer -- particularly in children/adolescents who receive it. There may be some risk for adults, but not as great.
Some more inputs from my side:
I am male, 24.
I have had my PET scans which were clean. I am presently in remission.
Ironlady, what do you mean by "extremely" hypo? I thought 5.6 is just borderline. Another thing which i dont understand, most doctors here recommend TSH around 1.0, so why do then labs give normal values as upto ~ 5.0 ?