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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
thyroid 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.
thyroid results
by lisacanto, Jul 03, 2007 12:00AM
I am a very active 44 year old woman. Well, I used to be, I have no energy at all!I went to an endo last week for the very first time. I think I need an second opinion.
blood calcium 11.6
urine calcium 388.7 (24 hour)
TSH 2.225
T4, T3 and PHT all are in the normal range.
I am so frustrated, all I read about says my parathyroid needs to be removed. My doctor is not concerned. Am I over reacting? help!
Lisa
blood calcium 11.6
urine calcium 388.7 (24 hour)
TSH 2.225
T4, T3 and PHT all are in the normal range.
I am so frustrated, all I read about says my parathyroid needs to be removed. My doctor is not concerned. Am I over reacting? help!
Lisa
Doctor's Answer
by Mark Lupo, M.D., Jul 05, 2007 12:00AM
, Jul 05, 2007 12:00AM
The PTH is likely 'inappropriately normal' - esp if the level is >40 (assuming the usual range of 10-65). This sounds like primary hyperparathyroidism, which is treated surgically.
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As far as being tired - I wonder how is your life style? Hashimotos - if that is the case - can make you very tired and having low energy. What about investigtating the symtomps of Fibromalagia (fibromyalgia) and Chronic Fatigue syndrome? What about hormonal inbalances - menapause? How is the stress level in your life? You might want to further investigate with blood work. Since your TSH is higher than 2 you might be hypothyroid - or beginning to be. Further checking your thyroid will give you extra answers. Basically you could possibly benefit from a low dose of thyroid hormone if you find a doctor who is willing to prescribe it - since most believe that up to 5.5 it is OK (as the lab range says) and ignore patient symptoms or listening to them. I am curious what the DR will anwer to your question. Good luck!!!!!
If your doctor has not ordered a PTH (Parathyroid blood test) on you ask for this. If this is high and your calcium is high, you very well may have a parathyroid tumor. Go to parathyroid.com and read up on this. Elevated calcium levels can produce the symptoms you are describiing and more. Good Luck to you.
Lisa