Desperate for help

[Dingy222]

I'm really someone can help me understand these results:

I've been not feeling well off and on since the birth of my last child (3yrs).  I've been to doctors, had numerous test and still no answers.  I'm very fatigued, unmotivated, foggy, muscle pains and moody.  Can someone please let me know if they think it's thyroid or something else:

TSH -        .93
FT4 -         .07
FT3 -         322
Vitamin D - 24
ADH          >.05
Ferrtin        24
Estradol      36

Extremly tired, moody, muscle aches, etc.

[goolarra]

Do you have the refernce ranges for your FT3 and FT4?  They should be on your printed lab report, or you can call your doctor or lab to get them.  They have to be from your own lab since all use different ranges, units, etc.

[Dingy222]

Here are the ranges:

TSH -        .93  (.35-4.94)
FT4 -         .07  (.71-1.9)
FT3 -         3.2 (2.3-4.2)
Vitamin D - 24  (30-80)
ADH          >.05  (0.0-4.7)
Ferrtin        24  (10-245)
Estradol      36  (23-170)

[stella5349]

Are you on any meds? How old are you approx?

[Dingy222]

I am not any meds and I'm 36 years old.  Thank you!!!

[goolarra]

Can you recheck the lab report on the  FT4 at .07?  That's extremely low.  However, your FT3 looks really good.  And your TSH, for what it's worth, is in the normal range even by the updated standards of 0.3-3.0.

I'm only commenting on the FT3, FT4 and TSH...other members are much better at vitamins, etc. than I am.

[Dingy222]

The FT4 came in at that....07.  It has an L right next to it.  If you have a low FT4 shouldn't the TSH be raised?  

[goolarra]

Theoretically, the TSH should be elevated.  However, TSH is the least important indicator of what's going on with your thyroid.  It's a pituitary hormone...the one that tells your thyroid to produce more T3 and T4.  T3 and T4 DIRECTLY effect how you feel, TSH is just an indicator, and often not a very good one at that.  TSH doesn't directly effect how you feel.  

I'd have to think that you could benefit from adding some T4 meds (Synthroid, Levoxyl, generic levothyroxine, etc.) to get your T4 up to normal range.  It's almost non-existent. You have no T4 available for conversion to T3.  I'm amazed that your T3 can look as good as it does with that level of T4.  For some reason, your thyroid is compensating by producing lots of T3.  I have no clue as to why this would be so.

I'm also surprised that your TSH is as low as it is.  In order for TSH to be lowered, the pituitary has to convert T4 to T3 for itself.  

Your vitamin D is also low...that gives many thyroid patients problems.

Has anyone done antibody tests to check of autoimmune thyroid diseases?  

[Dingy222]

I have not had any autoimmune thyroid tests.  Do you have a suggestion on which ones I should ask for?  I've been dealing with this for so long I'm at the end of my rope.  Are you familiar with Pituitary issues?  

From some blood work I'm not producing any ADH (Anti Diuretic Hormone).  It should read <0.5 range is 0.0-4.7.  I went to an endo late last year and he said all my test were fine.  If there so fine...why do I feel like a truck keeps running over me?

Thank you so much for your comments :)

[goolarra]

You are in range on the ADH (which I know nothing about...I'm just commenting on the range).  Your result was less than .5, which is in the 0.0-4.7 range (low, but in)  As I said, I don't know anything about this.

Your numbers are so difficult to call.  I'd have "all" the basic antibody tests, just in case...TPOab, TGab and TRab.  These would give a good indication of whether we're looking at any autoimmune disease (Hashi's or Grave's).  

What does your doctor say about the 0.07 FT4?

[Dingy222]

I keep getting everything looks fine.  I know how I feel and I know I'm not fine.  I'm starting to gather some articles from the internet to bring when I make my next appointment.  I'm just at such a loss :(

[mtkst13]

it looks like you're on your way to overt hypothyroidism.  your ft4 is already low.  your ft3 will probably drop next.  then your tsh will skyrocket in response to the low ft3/ft4.  

if the above happens, then you have thyroiditis that is transient or permanent.  you need anitbody testing, AND your ft3, ft4, and tsh need to be retested very soon to see they are going to do.  your ft4 may recover and your tsh and ft3 may remain the same...that's the best case scenario.

in the meantime, you need to get the antibodies tested, and you need to stay on top of this condition that is/may be developing.

[goolarra]

No, I'm sorry, but with an FT4 of 0.07, I don't know how your doctor can say "everything looks fine".  0.07 is WAY below the normal range.  Are you seeing an endo?  If not, I'd ask for a referral or refer myself if your health plan allows that. Your labwork may have changed considerably since you saw the endo last year if you have a developing condition. I suffered for almost a year under a PCP who I doubt knew where the thyroid was.  You can try to educate your current doctor if she's open and you have a good rapport, but she has a long way to go if she can look at your labs and say everything's okay.

[Dingy222]

Thank you for the comments.  I'm going to make an appointment with my doctor next week and bring in some stuff I found on the web.  I know she'll want to run more labs, but I'm not leaving that office without something to make me feel better.

My body aches so bad that I can't even stand for long periods of time.  I've gone to the bathroom 9 times already today and will go at least 3 more and one through the night.  I don't understand why doctors these days don't listen to the patient.  The first response when giving the symptoms is ALWAYS...it's depression.