Confused about results

[bopsytop]

I have symptoms of hypothyroidism but my TSH shows normal rage at last test was 1.49, but my gyno checked free t4 also and it shows to be .87.  I also have a goiter on my thyroid that doctors can't tell me why its there or why it is slowly growing.  Just want to feel normal and I don't.

[Barb135]

You should always get B-12 tested away from getting a shot... for instance, I'm due a shot today, but if I were having a test done on Mon or Tue of next week, I'd put off the shot in order to avoid false high readings.  You don't have to be fasting to have a B-12 shot; your food wouldn't have had enough B-12 in it to matter and you wouldn't have absorbed it that quickly.  The shot just prior to the blood draw is what would have skewed the result.  Do you get B-12 shots on a regular basis?

[bopsytop]

Thanks Barb,
  Had b12 test done when got the b12 shot and it came back high.  But I take a multivitamin with b12 in it plus had the test done mid day after eating breakfast and lunch already.  From what read online this should done fasting.  So not sure how accurate the test was.   Annoyed by this because asked  doc to test it and he didn't even know there was a test for it,   Found it in there test and ordered it for me.  Had blood draw done and tech never asked if I had eaten.  Plus had the b12 injection like 20 min prior.  So I think they just wasted my insurance dollars.  

[Barb135]

I think you've had about all the necessary tests.  The only thing I might recommend is that you try to get an FT3 and FT4 done from the same blood draw (stress FT3).  Might also be good to get a B-12 done, along with a ferritin.  

Both vitamin D and iron are necessary for the production of thyroid hormones and we already know your vitamin D level is too low, so it's possible your iron level is, too.  Ferritin is an iron storage hormone, so if that's low, you'll need to get a full iron panel done.

Your multi-vitamin, most likely, doesn't have enough vitamin D in it to bring your levels up.  They should be somewhere between 50 and 100.  

[bopsytop]

So any recomendations on test I should ask doc to run?  

[bopsytop]

Thanks ladies for the info.  
Should I ask the endo to do the Doppler flow study.
Barb hoping the b-6 doesn't cause me to have bad dreams.
So hoping doc will look at ft4 and not just tsh.

[Barb135]

Sorry, I didn't get back to this... the FT4 of 0.87 is way too low in the range, indicating that you might benefit from thyroid medication.  FT4 may fluctuate slightly during the day, but not so you'd notice it.  TSH, on the other hand can fluctuate as much as 75% over the course, of a day; of course, you won't notice that, either.

Elevated cholesterol is symptom of hypothyroidism.

While B-12 injections are common, B6 injections are not.  Vitamin B6 causes me to have very vivid dreams aka nightmares.