Are my levels worth seeing a professional endocrinologist

[helpcjplease50]

TSH 1.574
T3 93
T4 (free() .83
Vitamin D 21.5

of course blood tests given at gynecologist and told "normal".  Went to get bioidentical hormonal therapy, testosterone and estrogen and still not right.  Feel better except still gaining weight!  Really need some guidance on who to go to and are these levels out of the NORM.  i feel out of the norm.

[Barb135]

Please post the reference ranges for the T3 and Free T4.  Ranges vary lab to lab and have to come from your own report.  Also, your doctor ordered Total T3, which is considered obsolete and of little value.  You should try to get Free T3, which is the hormone actually used by individual cells.

According to ranges we, typically, see for FT4, your level is very low in the range.

Your vitamin D is too low.

What symptoms are you having?

[Red_Star]

Not sure of your T3 and T4 reference ranges. Surely your gyno didn't say your vitamin D was normal. O_o SMH. :)

Excerpt from Dr Mercola's article Optimum Diagnosis and Treatment of Hypothyroidism With Free T3 and Free T4 Levels...

"In order to optimize the hormone replacement, the Free T3 and Free T4 should be above the median but below the upper end of the laboratory normal reference range. The goal for healthy young adults would be to have numbers close to the upper part of the range, and for cardiace and/or elderly patients, the numbers should be in the middle of its range."

Excerpts from the American Society of Clinical Oncology - How I Treat Vitamin D Deficiency...

"Because increases in intestinal calcium absorption continue until 25(OH)D reaches a minimum of 30 ng/mL, and PTH continues to decrease until this level is reached, a 25(OH)D serum level of 30 to 32 ng/mL is considered sufficient and levels of 20 to 29 ng/mL insufficient."

"Garland et al suggest that increasing 25(OH)D to a range of 40 to 60 ng/mL from the current US average could reduce risk of breast cancer by 25% and colon cancer by 27%."