Abnormally high TSH 88

[s_j68]

I'm male 44yrs. My TSH is abnormally high at   88. Pls advise

[s_j68]

My doctor had prescribed Thyroxine Sodium Tab. 25mcg, CCM & Ferrous Abscorbate & Folic acid Tab.

Pls. advise.

[blsdnsvvd]

Seems as if you are low in Vit D, Vit B and  Iron....You will need prescribed supplements to help in those areas. Most people who have thyroid issues will also have low vitamin levels. Your TSH level is way out of range and therefore i am sure that you have some hypothyroid symptoms. You can google "hypothyroid symptoms" to see which ones apply to you. Are you seeing a Endocrinologist for your thyroid issues (high TSH)?? I would start there because something is causing your elevated TSH level.

[gimel]

First, do you have the reference ranges for the Vitamin D, and B12 from your lab report?  Based on ranges that I see frequently I think both are too low.  

As previously mentioned, your TSH is very high, an indicator of being hypo.  Even though it would be far better to have tested for Free T3 and free T4, your Total T3 and Total T4 results are also indicative of hypothyroidism.

Your mild hypochromia is indicative of a low iron problem, which is confirmed by the iron test result.

What, if any, symptoms are you having that would relate to being hypothyroid?

From here, as previously suggested, you should request to be tested for Free T3 and Free T4 each time you go in for more tests.  Also request the TPO ab and TG ab tests to rule in or out the possibility of Hashimoto's being the cause for your hypothyroidism.  You need supplements to raise your levels of Vitamin D, B12 and iron.  And you need to find out if your doctor is going to be willing to treat you clinically as I described, or if you will need to find a good thyroid doctor that will do so.  

[s_j68]

Thanks for the reply.
Test Results are as follows :

Test Name                 Value               Reference range
T3                               78ng/dl             60-200
T4                               4.2 ug/dl            4.5 - 12
TSH                             88.45uIU/ml       0.3 - 5.5
Vitamin D                     6.63 ng/ml
Vitamin B-12                 227 pg/ml
Iron                              41.8ug/dl            59-158
Mild Hypochromia

Please advise

[gimel]

Please start with the understanding that TSH is a pituitary hormone that is affected by so many variables that, at best, it is only an indicator, to be considered along with more important indicators such as symptoms, and also levels of the biologically active thyroid hormones, Free T3 and Free T4 (not the same as Total T3 and T4).  With that said, a TSH of 88 is high enough to be a strong indicator of being hypothyroid.  Also, if you will please tell us what symptoms you have noticed, that will help in confirming if you have hypothyroidism.  

Since the most common cause of diagnosed hypothyroidism is Hashimoto's Thyroiditis, you should test for the thyroid antibodies to rule in or out, the possibility of Hashi's.  The specific tests for the Thyroid Peroxidase and Thyroglobulin antibodies, are TPO ab and TG ab.  With Hashi's the autoimmune system produces antibodies that attack the thyroid gland and eventually, over an extended eriod, destroy the gland's function.  Knowing if Hashi's is involved is important, in order to best understand how treatment will proceed.  

In addition, you need to be tested for Free T3 and Free T4, in order to know  where those hormone levels fall within their reference ranges.  Free T3 and Free T4 levels below the midpoint of their range are frequently associated with being hypothyroid.  If the doctor resists testing you for Free T3 and Free T4, then you should insist on it and don't take no for an answer.  Free T3 is the most important because it largely regulates metabolism and many other body functions.  Scientific studies have also sown that Free T3 correlated best with hypo symptoms, while Free T4 and TSH did not correlate at all.

Since hypo patients are frequently low in other areas I also suggest testing for Vitamin A, D, B12, and ferritin.  

Going forward, the most important consideration for you will be to find a good thyroid doctor that will treat you clinically by testing and adjusting free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief has to be all important for you, not just test results.  So when you see your doctor next, it would be good to discuss clinical treatment, rather than strictly by test results, and especially not by TSH alone.  That doesn't work.  

If you will get those test results and post results and their reference ranges shown on the lab report, members will be glad to help interpret and advise further.