Aa
I believe my Thyroid has issues, but blood tests come back normal?
I posted about this some time ago, and I have some results from various tests I've taken. I really hope someone here can assist me in finding what could possibly be wrong. I've seen multiple doctors.
I've had numerous blood tests and here are the results. The doctors all say everything is normal, but there is no way what I'm going through is normal.
IGF I, LC/MS 153
Z Score -0.5
Metanephrine <25
Normetanephrine 85
Total Metanephrine 85
Because of those results, I did a blood test since they were suggestive of a pheochromocytoma, but everything turned out fine.
Cholesterol 188
HDL Cholestoerol 60
Triglycerides 57
LDL-Choloestorol 117
Chol/HDLC Ratio 3.1
Non HDL Cholesterol 128
Glucose, Plasma 72
Hemoglobin Alc 5.4
Same type of blood test at a different date
Cholesterol 180
HDL Cholestoerol 67
Triglycerides 66
LDL-Choloestorol 100
Chol/HDLC Ratio 2.7
Non HDL Cholesterol 113
Glucose 88
Hemoglobin Alc 5.5
Results from another blood test.
Red Blood Cell Count 5.97
T4 6.8
T3 3.7
MCH 24.9 L
MCV 79.1 L
MHCH 31.5 L
TSH W/Refelx to FT4 1.00
The other blood tests didm't have anything out of range, but one did say I may have a pheochromocytoma. I did a urine test for that and everything came back fine.
For the past 3-4 years, I've had an incredibly bad excessive sweating disorder. I've seen multiple doctors, including an endocrinologist, taken various blood tests, and everything has come back normal. This issue did arise when I gained around 20-30 lbs due to inactivity. I'm a 6'0 male and weight around 190 lbs. I am attempting to lose weight
Any type of activity, even walking in freezing weather, results in sweating. I haven't gone a single day without sweating in years. When I'm anxious, I sweat even more across my face and back.
In all, the sweating affects my chest, back, and face, so I can only wear black clothes to hide it. Anyone experience this or think they can help me?
I've taken anti anxiety meds and they haven't worked, along with some over the counter stuff that's supposed to stop/reduce sweating.
I've had numerous blood tests and here are the results. The doctors all say everything is normal, but there is no way what I'm going through is normal.
IGF I, LC/MS 153
Z Score -0.5
Metanephrine <25
Normetanephrine 85
Total Metanephrine 85
Because of those results, I did a blood test since they were suggestive of a pheochromocytoma, but everything turned out fine.
Cholesterol 188
HDL Cholestoerol 60
Triglycerides 57
LDL-Choloestorol 117
Chol/HDLC Ratio 3.1
Non HDL Cholesterol 128
Glucose, Plasma 72
Hemoglobin Alc 5.4
Same type of blood test at a different date
Cholesterol 180
HDL Cholestoerol 67
Triglycerides 66
LDL-Choloestorol 100
Chol/HDLC Ratio 2.7
Non HDL Cholesterol 113
Glucose 88
Hemoglobin Alc 5.5
Results from another blood test.
Red Blood Cell Count 5.97
T4 6.8
T3 3.7
MCH 24.9 L
MCV 79.1 L
MHCH 31.5 L
TSH W/Refelx to FT4 1.00
The other blood tests didm't have anything out of range, but one did say I may have a pheochromocytoma. I did a urine test for that and everything came back fine.
For the past 3-4 years, I've had an incredibly bad excessive sweating disorder. I've seen multiple doctors, including an endocrinologist, taken various blood tests, and everything has come back normal. This issue did arise when I gained around 20-30 lbs due to inactivity. I'm a 6'0 male and weight around 190 lbs. I am attempting to lose weight
Any type of activity, even walking in freezing weather, results in sweating. I haven't gone a single day without sweating in years. When I'm anxious, I sweat even more across my face and back.
In all, the sweating affects my chest, back, and face, so I can only wear black clothes to hide it. Anyone experience this or think they can help me?
I've taken anti anxiety meds and they haven't worked, along with some over the counter stuff that's supposed to stop/reduce sweating.
COMMUNITY LEADER
I agree that you could have an iron issue, but you could also have a problem with vitamin B-12 or folate, so you need to get those tested, as well.
Reference ranges vary from lab to lab so you always have to post them with lab results, as des900 noted for the T4 and T3, but that also applies to the other labs, as well, such as the IGF I, LC/MS, Z-score, Metanephrine, Normetanephrine and Total Metanephrine. Those are not parameters that go along with thyroid testing/conditions, so they aren't tests we see on a regular basis.
It also appears that your T4 and T3 might be Total T4 and Total T3, which are not the same or as useful as Free T4 and Free T3... Please confirm whether your lab report specifies Total or Free for the T4 and T3.
Since you indicate that you've already posted about this previously, it would be helpful if you could link to your previous thread, so we can see your past history, as well.
Reference ranges vary from lab to lab so you always have to post them with lab results, as des900 noted for the T4 and T3, but that also applies to the other labs, as well, such as the IGF I, LC/MS, Z-score, Metanephrine, Normetanephrine and Total Metanephrine. Those are not parameters that go along with thyroid testing/conditions, so they aren't tests we see on a regular basis.
It also appears that your T4 and T3 might be Total T4 and Total T3, which are not the same or as useful as Free T4 and Free T3... Please confirm whether your lab report specifies Total or Free for the T4 and T3.
Since you indicate that you've already posted about this previously, it would be helpful if you could link to your previous thread, so we can see your past history, as well.
2 Comments
Thank you. I didn't know that the ranges differed. My T4 is Total and T3 is Free.
Only my red blood cell count, MCH, MCHC, and MCV have been out of the reference range, and my doctors all said everything was fine anyway. I was thinking maybe the issue could be my weight. My BMI is around 25
Z SCORE (MALE)
-0.5
-2.0 - +2.0 SD
METANEPHRINE
<25
< OR = 57 pg/mL
NORMETANEPHRINE
85
< OR = 148 pg/mL
TOTAL METANEPHRINE
85
< OR = 205 pg/mL
Only my red blood cell count, MCH, MCHC, and MCV have been out of the reference range, and my doctors all said everything was fine anyway. I was thinking maybe the issue could be my weight. My BMI is around 25
Z SCORE (MALE)
-0.5
-2.0 - +2.0 SD
METANEPHRINE
<25
< OR = 57 pg/mL
NORMETANEPHRINE
85
< OR = 148 pg/mL
TOTAL METANEPHRINE
85
< OR = 205 pg/mL
Your Metanephrine, Normetanephrine and Total Metanephrine are all within the normal ranges, so there is no concern with those.
Your T4 is a bit on the low side at 31% of the range, but since that's Total T4, we don't know what your Free T4 is. It's recommended that Free T4 be about mid range.
Your Free T3 is at 74% of its range, so it's adequate, since it's recommended that Free T3 be in the upper half to upper third of its range. It's possible that your thyroid function is beginning to decline, since the thyroid produces more T4 than it does T3 and that your body is currently converting most of the T4 to T3. I'd recommend that you have regular blood tests done to monitor levels in case your thyroid function is declining.
You could also ask your doctor to test for Hashimoto's Thyroiditis, which is an autoimmune condition that destroys the thyroid, causing it to produce less hormones. Hashimoto's is progressive over time. The tests you need to determine if you have Hashimoto's are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb).
The thyroid control metabolism, so if you're having a weight problem, it's a very real possibility that problems are beginning. It's possible for symptoms to start before labs actually go out of range.
Another thing that affects metabolism is insulin use. I see that your blood sugar levels were well within the normal ranges, but have you had hemoglobin A1c levels tested? This shows an average of blood sugar levels over a period of 3 months, not just a single blood test when you're fasting. If your body isn't using insulin properly, you won't be able to lose weight like you should.
In this case, a diabetic diet would be in order.
Your T4 is a bit on the low side at 31% of the range, but since that's Total T4, we don't know what your Free T4 is. It's recommended that Free T4 be about mid range.
Your Free T3 is at 74% of its range, so it's adequate, since it's recommended that Free T3 be in the upper half to upper third of its range. It's possible that your thyroid function is beginning to decline, since the thyroid produces more T4 than it does T3 and that your body is currently converting most of the T4 to T3. I'd recommend that you have regular blood tests done to monitor levels in case your thyroid function is declining.
You could also ask your doctor to test for Hashimoto's Thyroiditis, which is an autoimmune condition that destroys the thyroid, causing it to produce less hormones. Hashimoto's is progressive over time. The tests you need to determine if you have Hashimoto's are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb).
The thyroid control metabolism, so if you're having a weight problem, it's a very real possibility that problems are beginning. It's possible for symptoms to start before labs actually go out of range.
Another thing that affects metabolism is insulin use. I see that your blood sugar levels were well within the normal ranges, but have you had hemoglobin A1c levels tested? This shows an average of blood sugar levels over a period of 3 months, not just a single blood test when you're fasting. If your body isn't using insulin properly, you won't be able to lose weight like you should.
In this case, a diabetic diet would be in order.
You have'nt mentioned the lab reference range for T4, T3. Anyway from your given results seeing low MCV and MCH you have iron deficiency anemia which might be the reason for many of the symptoms you are experiencing.
You can do ferritin blood test and hemoglobin test to confirm this.
You can do ferritin blood test and hemoglobin test to confirm this.
3 Comments
I've taken iron supplements after doing one of these tests and they didn't change anything. My doctor asked me to take them.
The reference range for T4 was 3.5 -12 and I had 6.8.
The reference range for T3 was 2.3 - 4.2 and I had 3.7.
The reference range for MCH was 27.0 - 33.0 pg. My score was a 24.9
The range for MCHC was 32-36 g/Dl. My score was a 31.5 L.
The range for MCV was 80.0 - 100.0 fL. My score was a 79.1 L.
The range for red blood cell count was 4.20 - 5.80 million/uL. My score was a 5.97H
The reference range for T4 was 3.5 -12 and I had 6.8.
The reference range for T3 was 2.3 - 4.2 and I had 3.7.
The reference range for MCH was 27.0 - 33.0 pg. My score was a 24.9
The range for MCHC was 32-36 g/Dl. My score was a 31.5 L.
The range for MCV was 80.0 - 100.0 fL. My score was a 79.1 L.
The range for red blood cell count was 4.20 - 5.80 million/uL. My score was a 5.97H
Not sure my why previous comment didn't show up, but my doctor did tell me to take iron supplements, but when I did they didn't help with anything.
Range for T4 was 4.5 - 12 and I had 6.8.
Range for T3 was 2.3 - 4.2 and I had a 3.7
Range for my red blood cell count was 4.20 - 5.80 and I had a 5.97.
Range for T4 was 4.5 - 12 and I had 6.8.
Range for T3 was 2.3 - 4.2 and I had a 3.7
Range for my red blood cell count was 4.20 - 5.80 and I had a 5.97.
Your RBC count is high, it could be due to some other reason like lung disorders. In smokers, those who live in high altitude, athletic people etc used to have such high value.
Seeing the thyroid results it seems more like normal so it would be due to some other reason especially related to blood, lung issues.
Seeing the thyroid results it seems more like normal so it would be due to some other reason especially related to blood, lung issues.
Have an Answer?
You are reading content posted in the Thyroid Disorders Community
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
