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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Lab Results
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.
Lab Results
by ital35, Apr 13, 2006 12:00AM
Im new to this. These are my lab results. My endo said she never seen results like this before. How long do you think it should take for the synthroid to kick in so i can schedule surgery to remove the goiter? Have you ever seen results like this?
Anti-Thyroid Antibodies Thyroid Perioxidase - 10139 (result)
Antithyroglobulin Ab - 245071 (result)
TSH - 273.236
Thyroxine (t4) 0.6 (result)
Triiodothyronine (t3) 32 (result)
My endo told me that she does not know how i am functioning. Please let me know what you think about these labs. They are correct. How long do you think it will take so I can have the surgery. I go for the sonogram today and have to schedule an appt with the surgeon. My endo said that no surgeon will touch me with labs like this until they are regulated.
Anti-Thyroid Antibodies Thyroid Perioxidase - 10139 (result)
Antithyroglobulin Ab - 245071 (result)
TSH - 273.236
Thyroxine (t4) 0.6 (result)
Triiodothyronine (t3) 32 (result)
My endo told me that she does not know how i am functioning. Please let me know what you think about these labs. They are correct. How long do you think it will take so I can have the surgery. I go for the sonogram today and have to schedule an appt with the surgeon. My endo said that no surgeon will touch me with labs like this until they are regulated.
Doctor's Answer
by Mark Lupo, M.D., Apr 13, 2006 12:00AM
, Apr 13, 2006 12:00AM
I have seen results like this. What is the indication for surgery? I would treat with synthroid to get the TSH normal (around 1.0) and likely the goiter will shrink. If surgery is unavoidable, however, I would wait until the thyroid labs are normal if possible. However, there is a good chance that the thyroid will shrink considerably with proper treatment. It may take 2-4 months to see such a decrease in size, but you should start feeling better within 2-3 weeks. If you are otherwise young and healthy your dose should be 100-125mcg/day.
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TSH are .55
T4 total are 5.7
T4free 1.0
The doctor told us the reference range is .70-6.40 for TSH
Upon further review I seem to find the normal range to be
.40-5.0 for TSH
The doctor wants her to see a specialist.
WHAT DO YOU SUGEST WE DO?
Thank you,
KEVIN
The reference range from this lab of .70-6.4 seems to be higher
then the normal ranges of .3-3.0
She is not on any other meds. .55 falls within the normal range??? The Dr. said it is hyper not hypo.
Thany You