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blood test results
HI I JUST RECEIVED BLOOD TESTS RESULTS FROM MY DOCTOR..I HAVE BEEN EXPERIENCEING HORRIBLE SYMPTOMS FOR QUITE SOMETIME...FATIGUE, DEPRESSION, MUSCLE ACHES, GASTRO PROBLEMS SUCH AS BLOATING, CONSTIPATION, THE DRYEST SKIN EVER, AND A LOT OF WEIGHT GAIN, THESE ARE THE ALL THE SYMPTOMS I CAN THINK OF RIGHT NOW...MY TSH TEST CAME BACK AS 6.88, MY T3 UPTAKE (WHICH I NOW READ IS NOT A GOOD TEST)IS 26, T-4 THYROXINE TOTAL IS 8.6 AND THE FREE T-4 INDEX (T7) IS 2.2...HE NEVER RAN A REGULAR T-3 TEST...ALSO I HAD A THYROID ULTRA SOUND DONE AND I HAVE A NODULE ON THE LOWER POLE OF THE RIGHT TYHROID LOBE...NOW THIS DOCTOR OF MINE DIDN'T THINK ANY OF THIS WAS A BIG DEAL BUT SUGGESTS I GO TO AN ENDOCRINOLGYST..I WAS QUITE UPSET OVER HIS NON CARING ATTITUDE..I AM TIRED OF FEELING THIS WAY...COULD SOMEONE GIVE ME SOME INPUT PLEASE? THANK YOU
No problem.
That is how I understand it. If your TUP, is T3-Uptake, then it would not be the measurement of T-3. However TUP results normally are in percentage and the levels you are giving is not, so its a little confusing and I could be wrong.
Correct, Synthroid has lactate as an inactive ingredient where levoxyl (Levoxin) doesn't. If it has just a teeny amount, its enough to be a problem for some in tolerating it.
If its ok with your GP it should be ok with you, unless or until, you have a special thyroid issue that is out of your GP realm. If you research and learn your thyroid issue, you and your GP can work together in your treatment. You always have the option to go to an Endo and a good doctor while suggest it, if and when, the issue is out of his/her realm.
To figure out the med dose, some times the initial dose is calculated by the patients weight, other doctors will start out at 100. Whatever, it is suggested to start out with small dose and work up so as not to over shoot you optimal level for you to feel your best at. This is to prevent bouncing back and forth with levels and med dose changes, which could be a set back and take longer to reach optimal level(s).
Good Luck!
~~~~~~~~~~
I am not a Doctor or in the Medical field.
My statements are meant as suggestions only
not as a diagnose or treatment,
that is between you and your doctor!
I am so happy to have found this site with all the helpful info and recommendations. I am hoping to get some answers today at my appt. with my PCP concerning my thyroid. I have thought for about the last 8 years something was wrong and now I have hope. Thanks again.
Hi Laurie,
TSH is a little high and is probably why doctor upped med dose, but, 150 I would think is too high for now because your TSH is not that far off and besides its better to go slow, that is, up a little at a time, with that in mind I would go with the doctor on the 137. For T-4 or all the levels, as long as they are in Lab range is good. However they go by the FT-4 which measures the concentration of free thyroxin, the only biologically active fraction, in the serum. The free thyroxin is not affected by changes in concentrations of binding proteins such as TBG and thyroid binding prealbumin. Thus such conditions as pregnancy, or estrogen and androgen therapy and certain drugs, do not affect the FT4, but will the T-4.
From time to time we will need dose adjustments, therefore we need to have Labs done and see doctor at least once a year after we have been stable on the same med. dose for a full year. However until that time, and in the beginning, it will be every 6 weeks to 3 months.
TUP (T-UP or T3U or T-3 Uptake) = Triiodothyronine uptake, however the results are normally given in percentage - Thyroid Hormone Binding Ratio (THBR). An indirect measure of binding protein, the T3 uptake reflects available binding sites (ie, reflects TBG). This is not a measure of T-3.
My Internist dia and treated me, and, I am still seeing an Internist because they believe in surgery as the last resort, and so do I. You can always go to an Endo if ever there is a problem your reg.doc can't handle.
Good Luck!
TSH is a little high and is probably why doctor upped med dose, but, 150 I would think is too high for now because your TSH is not that far off and besides its better to go slow, that is, up a little at a time, with that in mind I would go with the doctor on the 137. For T-4 or all the levels, as long as they are in Lab range is good. However they go by the FT-4 which measures the concentration of free thyroxin, the only biologically active fraction, in the serum. The free thyroxin is not affected by changes in concentrations of binding proteins such as TBG and thyroid binding prealbumin. Thus such conditions as pregnancy, or estrogen and androgen therapy and certain drugs, do not affect the FT4, but will the T-4.
From time to time we will need dose adjustments, therefore we need to have Labs done and see doctor at least once a year after we have been stable on the same med. dose for a full year. However until that time, and in the beginning, it will be every 6 weeks to 3 months.
TUP (T-UP or T3U or T-3 Uptake) = Triiodothyronine uptake, however the results are normally given in percentage - Thyroid Hormone Binding Ratio (THBR). An indirect measure of binding protein, the T3 uptake reflects available binding sites (ie, reflects TBG). This is not a measure of T-3.
My Internist dia and treated me, and, I am still seeing an Internist because they believe in surgery as the last resort, and so do I. You can always go to an Endo if ever there is a problem your reg.doc can't handle.
Good Luck!
Hi!
I had a TT 7 weeks ago. I had "normal thryoid levels" before my surgery. I had tumors with hurtle cells present is why they did a TT. I was on 125 mg of synthroid starting the day after surgery. I just went to my 6 week appointment with my surgeon and he did my labs. I asked the lab if they were testing for T3 and they said yes, but I don't see it.
My blood work came back as:
TSH 4.91 range (0.27-4.20) seems high..
T4 8.6 (5.1-10.8) what is a good level?
FRI free T4 9.6 (4.5-9.5) what is free T4?
TUP 0.09 (0.80-1.30) what is TUP?
First,last friday when I called the office, the nurse told me my labs were in and she upped my Synthroid to 150mg which I filled and have been taking since sunday. Today I got a letter in the mail from my doctor with a presciption for 137mg and he told me I should follow up with my general practioner in 6 weeeks. What's up with that? I have been feeling very tired and low energy so I was glad my dose was 150mg. I'm not so happy to go down to 137 until the next lab reports. And I thought I would be seeing the endo for follow ups, not my GP.
I called the endo office and they said the same about seeing my GP because they only continue to see people with cancer or complications. I am grateful I don't have that, but would be more comfortable seeing an endo. Does anyone else follow up with their GP?
Thanks for your help!
Laurie
I had a TT 7 weeks ago. I had "normal thryoid levels" before my surgery. I had tumors with hurtle cells present is why they did a TT. I was on 125 mg of synthroid starting the day after surgery. I just went to my 6 week appointment with my surgeon and he did my labs. I asked the lab if they were testing for T3 and they said yes, but I don't see it.
My blood work came back as:
TSH 4.91 range (0.27-4.20) seems high..
T4 8.6 (5.1-10.8) what is a good level?
FRI free T4 9.6 (4.5-9.5) what is free T4?
TUP 0.09 (0.80-1.30) what is TUP?
First,last friday when I called the office, the nurse told me my labs were in and she upped my Synthroid to 150mg which I filled and have been taking since sunday. Today I got a letter in the mail from my doctor with a presciption for 137mg and he told me I should follow up with my general practioner in 6 weeeks. What's up with that? I have been feeling very tired and low energy so I was glad my dose was 150mg. I'm not so happy to go down to 137 until the next lab reports. And I thought I would be seeing the endo for follow ups, not my GP.
I called the endo office and they said the same about seeing my GP because they only continue to see people with cancer or complications. I am grateful I don't have that, but would be more comfortable seeing an endo. Does anyone else follow up with their GP?
Thanks for your help!
Laurie
Thank you for your response. I thought you would be able to explain the labs! Just to clarify a little bit,
it sounded like the TUP does not show my T3 levels and it seems like they didn't do my T3.
And are you saying that it seems like I would be fine going to my GP to continue to get my labs ordered and figure out the correct amount of Synthroid.
Also, have you heard that Synthroid may not be tolorated as well if you are lactade intolorant? I read Synthroid has lactade as an inactive ingredient. ANd that Levoxine (I don't know how to spell the other presecip. drug you can take if you aren't taking S. Anyways, I don't do dairy so I was wondering.
I imagine it would only be a teeny amount!
Thanks,
M
it sounded like the TUP does not show my T3 levels and it seems like they didn't do my T3.
And are you saying that it seems like I would be fine going to my GP to continue to get my labs ordered and figure out the correct amount of Synthroid.
Also, have you heard that Synthroid may not be tolorated as well if you are lactade intolorant? I read Synthroid has lactade as an inactive ingredient. ANd that Levoxine (I don't know how to spell the other presecip. drug you can take if you aren't taking S. Anyways, I don't do dairy so I was wondering.
I imagine it would only be a teeny amount!
Thanks,
M
Thank you, the Dr I am seeing only does thyroids so I think I am in good hands. I had my test done first thing in the am. I had had the sanwhich at around 1am.
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