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Avatar universal

Hello

Hi dr.

Very recently i gained more weight along with headache, lack of concentration, dry skin, hair loss, frequent cold attacks, and fatigueness....had been to a doctor, who prescribed me to undergo thyroid profile tests, in which so called T3 and T4 have been normal, but TSH is ranging 4.56 whereas the upper limits of normal was only 4.2.....is this a serious problems??....hw shd i go about with teh treatment..Please help!!!
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Avatar universal
I'm not sure about the T3 result and range.  I believe it is total T3, not Free T3.  I am sure that the T4 test is for Total T4, not Free T4.  The tests for Totals are somewhat outdated and not nearly as revealing as the tests for the Free portion of thyroid hormone, which is the only part that is biologically active.  

With those symptoms and your TSH being over even the old reference range, I think those are indicators of being hypothyroid.  I suggest that you should also get tested for the thyroid antibodies, TPO ab and TG ab, to determine if Hashimoto's Thyroiditis is involved.  You should also request testing for Free T3 and Free T4, to find out the level of those.  

This is not a serious problem for you if properly diagnosed and treated.  Your biggest problem may be finding a good thyroid doctor that will treat you clinically by testing and adjusting FT3 and FT4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important for you, not test results.  Test results are valuable mainly as indicators during diagnosis and then afterward to monitor FT3 and FT4 results as meds are revised to relieve symptoms.  You can get some good insight about clinical treatment in this link.  The letter was written by a good thyroid doctor for patients he consults with from a distance.  The letter is sent to the Primary doctor to help guide treatment.  

http://hormonerestoration.com/files/ThyroidPMD.pdf
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Avatar universal
Hi...thanks 4 the reply...

My T3 (Thiiodothyronine) level is 1.25 ng/ml, T4 (Thyroxine) level is 7.88 ug/dl, and TSH is 4/56 uU/ml.....Also, the normal reference ranges mentioned in the lab report was 0.70 to 2.0, 4.6 to 11.0, and 0.4 to 4.2 respectively

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Avatar universal
t because your T3 and T4 tests were in the so-called "normal" range does not mean they are adequate for YOU.  The ranges are too broad for that to be true.  If you will please post your T3 and T4 results and their referfence ranges shown on the lab report, members will be better able to assess adequacy of testing and your status.  
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