Please Help!!!

[aksnugglebunny]

Hi I am 28 years old and been dealing with hypothroidism for 6 years.  I cant seem to get it in control. My TSH level has been up to 29 and is differant every time i go in, even when I have been on the same dose.  I have been taking Synthroid and was up to 300 mcg. Even at that level am still having severe symptoms and I don't know what to do.  I recently went to see an Endoconoligist and he told me if I am falling asleep during the day that I must either have sleep apniea or narcalepsy. But he did do a blood test the results were :
      TSH .004
      T3  209
      T4  2.7
I am not sure what all that means and no one at the endocronolgy clinic will tell me. Please I can barely function it is like if I don't stay moving I will fall asleep. I need help. Can anyone give me some idea of what to do?

[ar1281a]

sorry to hear that you're feeling this bad. Are you sure this is the correct TSH level? 0.004 is too low and points to hyper -you could be on a very high dosis- if it's correct being hyper can also make you really tired. However, please confirm this is the correct TSH....finally, if no one is answering your questions at your Dr's office...get yourself a new Dr that would listen  and return your calls. I don't mean that Drs need to return your phone calls immediately as they're very busy. However -depending on the case- no more than 24-48 hrs is reasonable.

[Jimlow]

Hi, As Ar1281a said, that's a low TSH! Also, that T-3 of "209" is terribly high, regardless of whether it's the total or free T-3!
Hyperthyroidism can result from too much thyroid replacement medication and it can certainly cause fatigue and greatly increased need for sleep.
It is strange though that your TSH was at "29". Was this just before your current dosage adjustment?

[aksnugglebunny]

Yes my TSH was .004 with my medication at 300 mcg. And my TSH level was at 29 with a dose of 150 mcg. What are the normal ranges for T-3 and T-4 levels and what does it mean for my T-3 level to be high? My Doctor has lowered my meds to 225 mcg.

[Jimlow]

Hi, did they give you a copy of that lab report? If so, it should have the normal range on it. You can call and ask for a copy or ask over the phone  for them to read off that range that showed your result being "209".
I do know that "Free T-3" is usually about range of "2.3 to 4.2"
and T-3 Total about "4.5 to 12.0" (approx.). That's why I said your reading sounds really high on that one.
If you get that range, let us know.

[tina999]

Hey you guys,

I don't have my labs in front of me but I did get a free T3 test done this last time around.  It was 149 and the range was something like 100 to 200 maybe.  I bet the difference is that different labs are using different units for the lab report.  

Of course the range on the report will be the ultimate guide

[Jimlow]

Tina999, I bet you are right and that would sure make more sense. If Aksnugglebunny can list that range, we'll probably see that it may be closer to in-range.
I've had thyroid panels done by three diff labs and they do use different sets of numbers but this is the first I've seen using hundreds like that. You guys probably have more up-to-date labs.

[plv]

have your iodine levels checked..eat enough foods with iodine...............i use kelp