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HASHIMOTOS DIAGNOSIS/SYMPTOMS????

I went for my Endo appt and he told me that I have Hashimoto's, based on my high TGAB.  He told me that I am not hypo as my TSH is normal and he could not treat me.I went from hyper to where I am now and still have some symptoms of hyper, I guess.   I have horrible fatigue, aches and pains, intolerance to cold, depression (some) more anxiety and just do not feel good.  He also told me that my thyroid was very firm, and he gave a slip to get an ultrasound and get the following tests done. He wants to check my Parathyroid, as my vit D is low, so a PTH and Calcium and he is going to do a morning cortisol test.  He also told me that I would not have any symptoms of Hashimoto's since I am not hypo.  Is that correct?????/ What do you think. I need some direction.
Thanks
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Avatar universal
Thank you for all the information.  My TSH is 1.31 so I am ok for now, I guess.  It will be interesting to see what the ultrasound and other tests say first.  Yes , he did tell me to start taking Vit D, I was not that low.  I actually have been in the sun more, too.
I will let you know when I get other results.
Thanks again
Helpful - 0
161647 tn?1280608163
I was just diagnosed with Hashimoto's. This website is a storehouse for information as well as searching the internet. As I'm reading your symptoms (fatigue, aches and pains, cold intolerance) - these are symptoms of hypothyroidism.

If you can't trick your doctor as AR-10 suggests, maybe it's time for a new doctor.
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213044 tn?1236527460
If you have been hyper recently, then you are probably still feeling the symptoms of that. The symptoms linger for a while.

The tests that he has ordered all sound like a good idea. Did he tell you to start taking a vitamin D3 supplement?

Whether or not your TSH is normal is something I would question.
The test range for TSH is rather broad, and the TSH level that your body needs is narrow. The range varies from lab to lab, but it is often about 0.4-5.0.

The lower end of the range can be between 0.3 and 0.5. The upper end of the range can be between 3.0 and 5.5. If you read that again, you can see there is a lot of variation between various labs.

The one constant in that confusing explanation is this; all labs measure your TSH using the same method. 1.5 is 1.5 regardless of whether the high limit is 3.0 or 5.0.

Where your TSH NEEDS to be is somewhere between 0.8 and 2.0.

The average white female adult has an average TSH of 1.5, statistically. Each person's body is a little different, so it varies from person to person as far as what your body has been used to before you became ill.

So it depends on your doctor, and whether he is aware of this, or if he is just reading the lab report and sees your TSH is within limits. If your TSH is 3.5, you are slightly hypo, and that is enough to give you symptoms.

Unless you have a very skilled and knowledgable doctor, you are going to have to do what most of the people on this board have had to do.

1) educate yourself about Hashimoto's and it's many forms.
2) learn about thyroid tests, test ranges, and what they mean.
3) gently but firmly trick your doctor into treating you properly while making him think it was his idea.
4) get copies of all your tests run and keep a record of them at home. Then, when I say "yes, but is your TSH REALLY normal?", you can look at the lab report and know what your TSH was the day it was tested.

You will run into a similar situation when you start looking at lab reports for Free T4 and Free T3. The lab ranges vary, the test values vary depending on the lab range (unlike TSH tests), and the sweet spot is much narrower than the total range.

On the right side of this page, toward the top, is a heading that says "health pages". Click on that, and you can learn all about Hashimoto's, about tests and what they mean, and about acronyms that pertain to thyroid disease.

There is a lot to learn, and it will lead to many questions that you are welcome to discuss here. It may take months to grasp all of it. I have been reading about it all for two years, and I still don't get some of it.
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