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Help Understand My Test Results

Can someone please help me interpret my test results before I go back to my doctor.  They are as follows:  Free T4 1.00 (lab normal range 0.58-1.64), Free T3 2.63 (lab normal range 2.20-4.10), TSH 3.130 (lab normal range .300-5.00), Anti-TPO <10 (lab normal range <35), Anti-TG <20 (lab normal range <41).  I am not sure what this meansand could use some help.  I was tested 30 days ago on 2 things Free T4 0.80 (same lab averages) and TSH 2.821 (same lab averages).
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649848 tn?1534633700
COMMUNITY LEADER
Those symptoms certainly qualify for hypo.  Looking back at your labs, though, my guess is that you might have a hard time getting your doctor to do anything, because they are all within the lab's "normal" reference ranges.  Your doctor probably isn't aware, nor care, that AACE recommended that the levels for TSH be changed to 0.3-3.0, but most labs, and in turn, doctors, still go by old ranges.  If using the new range, yours would be over.

Actually, your FT4 is close to mid range; while your FT3 is quite low in it's range; makes me wonder if you don't convert T4 to T3 properly.  

Free T4 and Free T3 are the actual thyroid hormones, with FT3 being the most important because that's the one the body actually uses "as is".  FT4 must be converted to T3 before it can be utilized by the body.  

There are some doctors who are willing to treat hypothyroidism based on symptoms, but those seem relatively rare.  

I wish you the best of luck.
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Avatar universal
I am not currently on any thryroid medication.  I have been extremely tired, have been slowly gaining weight over the last year, am always cold and have been dealing with plantar fasciatis in my right foot
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649848 tn?1534633700
COMMUNITY LEADER
I agree that your levels indicate that you are slightly hypo. Are you currently on any thyroid med?

Would be good to get antibody tests redone in a while, as the antibodies could still show up at a later time.

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Avatar universal
Your levels show hypothyroidism.
Your antibody testing is basically negative so at least you can say for the time being that you do not have Hashimotos.
Sometimes thyroid levels will be unstable for a number of reasons....stress. illness etc,
But you do need a very small dose of a T4 med to get the FT3 and FT4 up a fraction.
See what your Doc thinks.
Any hypo symptoms?
Coldness, constipation, no appetite, aches and pains?
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