Second Opinion

[FrostyDarci]

Hi Dr.
I have just had my TSH checked by my PA. She said that it was normal. When I asked her what the number was she said 3.2 or 3.02 ( not sure which). I asked her what range she was using and she said .5 to 5. I know that the range has been changed to .3 to 3. I have gained 30 lbs in the last three years and I am tired a lot. I do not sleep at night and I have sore muscles. I also have trouble getting enough air at times. I have melasma. Up until three years ago I was able to work out five days a week and lift weights. My PA said I am depressed and gave me effexor and ativan. My question is, is my THS high enough to warrent a second opinion? I really do not want to start taking a bunch of anti depressants if I do not need them. I get up and go to work every day and I play softball and I play golf. I am usually a pretty happy person. Aside from being achy and tired I am very healthy. I have called in sick to work only once in the last year. Please tell me if I should get a different Dr. or just take the drugs and shut up?

[Mark Lupo, M.D.]

This is not likely to cause symptoms, but some patients benefit from thyroid hormone with these borderline TSH levels.  Would usually check thyroid antibodies and repeat TSH in 6 weeks and re-evaluate at that point.  There is not compelling evidence that treating a TSH at this range is necessary for most patients, but again, the occassional patient does feel better.

[FrostyDarci]

Thanks for the info. What range would someone who feels healthy usually be at? Darci.