Help with Thyroid Test Numbers

[Bjm0360]

Hello all....
So, I have had on again off again "flares" of problems for 4 years. Headaches, fatigue, nausea, dizziness, muscle pains, heart rhythm issues.
I have taken a TON of bloodwork and all my Drs swear they are in range but I have seen many sites saying that within range doesn't mean you aren't sicky. Here are my numbers. If anyone sees anything let me know!

First number is value second are ranges

PTH - 80 - 11-79
Calcium - 9.7
Vitamin D- 30 - 30-100 (has been as low as 16)
TSH - 1.7 - .350 - 5.50
Free T3 - 2.6 - 2.3-4.20
FREE T4 - 1.0 - 1-1.8
B12 - 578 - 199-985
B6 - 151 - 20-125
Folic Acid - 10 - 8.7 - 24
Iron - 50 - 50-212
Ferritin - 265 - 24-336
TIBC - 295 - 250-450
Iron Saturation - 17% - 20-50%

[Barb135]

I see quite a few red flags there, but I'm not surprised your doctor didn't pick anything out.  

First off, your PTH is not "in range"... 80 is clearly higher than 79, though your calcium is good, so I'm not sure the PTH being slightly over is too much concern.

Your vitamin D, at 30 is way too low.  Vitamin D should be at least 60-80 to be optimal and anything lower than that can cause symptoms of deficiency.  If you aren't supplementing, I'd strongly suggest that you do so.

Your Free T3 and Free T4 are both lower in the range than we, typically, recommend.  Most of us find that we feel best with Free T4 at about mid range and Free T3 in the upper half to upper third of their ranges.  Your Free T4 is only at 20% of its range and your Free T3 is only at 16% of its range.  Typically, with thyroid levels as low as yours, we'd expect TSH to be higher than yours and since it isn't, I'd suggest you have your doctor look for Central hypothyroidism, which indicates an issue with the pituitary/hypothalamus axis rather than a problem with the pituitary gland.

Without adequate TSH to stimulate your thyroid, it can't produce enough hormones to satisfy your body's needs.

Your vitamin B-12 isn't "horrible", but it could stand to be higher.  I find that my B-12 has to be at the very top of the range in order to avoid symptoms of deficiency.

Your folic acid is also way too low and low folate can cause similar symptoms as low B-12. You should be supplementing with a "body ready" folate, not folic acid.

Your iron is too low in the range, also, as is the TIBC and % saturation... You should be supplementing iron.  

None of the supplements require prescriptions, but replacement thyroid hormones for hypothyroidism, do.  If your doctor isn't willing to look into Central, also called secondary, hypothyroidism, you should be prepared to find a different doctor.

Because the pituitary is called the "master gland", there's also a possibility that you could have other endocrine issues, besides thyroid.  Along with thyroid, the adrenals, pancreas, and reproductive system are part of the endocrine system.  You should ask for additional testing to make sure you don't have other deficiencies.