Latest Labs With t3 and antibodies

[dreeftwppd]

Hey everyone here are the three tests that I have taken.
My previous post was bout wether  I really needed to take meds or not.  SO it was decided I should take the other two tests. So what do you folks think? Should I be on 50mcg of Levo? Also I have not seen anything positive written about Levo on these boards and that scares me.

10/16/2010

tsh - 6.20 ref (0.35-5.09)

freet t4- 1.3 (0.8-1.8)

total t3- 118 ( 80 -190)

antibodies TPA- 9.1 (below 9)


10/20/2010
TSH REFLEX = 7.72 (using a reference range of .5-6.)
Free t4 = 1.59 (using a reference range of .71-1.85)
9/16/2010


TSH REFLEX = 6.15 (using a reference range of .5-6.)
Free t4 = 1.37 (using a reference range of .71-1.85)

[dreeftwppd]

Goolarra -Well that's how I got here. It was not normal for me to feel like this for eight months. I am very athletic and have had a ton of injuries and never felt like this. Ever. This feels sickly if that makes any sense. I have never thought a muscle injury could do that. SO after trying everything and not getting better - this seems to be it - and then if that is not it then it is all mental I suppose.

ShelleyN720 - (I don't mind the Mommaing ;)
I take Vitamin D everyday for sure now and honestly it has made some difference already so that is good. But that ahcy tired, fluish like deal is still there. I try to eat healthy and was actually in the best shape of my life before this injury. I eat chipotle (fast foodish) for lunch often but always cook a home meal when I get home.

I know the intern took 5 viles of blood and did full  and found those two things.

Yes I am alittle uncomfortable taking the meds but if it will make it all better then I am for it. It just seems like I am in this grey area.

But I also get the sense from this forum that it is hypo symptoms...

[ShelleyN720]

You know, maybe put-off the thyroid meds a while longer if you are not ready yet. And just because some of us did not do well on synthetic levo doesn't mean you would not. However, I would definitely start supplementing with the Vitamin D3!! your result of 28 is pretty low and start the magnesium (remember the calcium too) This you must take religiously every day to have it make any difference.
Do you eat well, healthy foods? (I feel like your momma!) I'd consider more blood work, like an auto-immune panel ANA etc.
How about a ferratin test for Iron levels? Liver function blood work?
Long term inflammation from injury can make you feel miserable and depressed.
BUT! The tinnitus, fatigue etc sure does sound like thyroid...
Stay in touch!

[goolarra]

It is hard to sort out.  Chronic pain can certainly cause your symptoms, but you also have to ask yourself if the injury you suffered nine months ago "should" be still causing you pain, etc.  When we're hypo, it takes a lot longer to heal than it does when thyroid hormones are optimal.  

Would your internist agree to a low dose trial of thyroid hormones to see if it made you feel better and resolved some of the lingering symptoms from your injury?  

[dreeftwppd]

Well I am not sure why the endo did not do a free t4 and why she did the total. I asked her to! :( ugh.

To be honest with you I think I do but am not so sure. From what I have posted on this forum it seems that I do (judging on the feedback I have gotten.)

The endo did not seem to think I had symptoms, the internist  I think seems to think it would help.

My current situation is that I had an injury 9months ago that is still causing me problems. I do have fatigue/tiredness but I think it's from the constant back and neck aches.

So after having tried everything to get better I seemed to have lulled into this tired/achy/sleepless/paranoids/anxiety/ and general I feel old can't do much state.

I know just don't know what to do.

[goolarra]

From your labs, it's kind of a tough call.  Your TSH indicates that you are hypo.  Unfortunately, that's total T3, which is considered an obsolete test and of limited usefulness.  FREE T3 tells you the available T3 in your blood, and that's what you want to know.  Your FT4 is exactly at midrange, which is the target for FT4, so it looks good.

TPOab is distinctly "borderline".  Those of us with autoimmune disease often have results in the hundreds or even thousands.  Did they test TGab?

Do you have symptoms?  

[dreeftwppd]

Goolarra,

yes, most recent - haven't started the meds. Am trying to decide if I need to.

[goolarra]

I'm a little confused.  The last set of numbers (with TSH 6.15) is from 9/16/10.  Top set is from 10/16/10 (your most recent?).  When did you start meds?

I take levo and do just fine on it.  It doesn't work for everyone, but remember, we only hear from people dissatisfied with their treatment.  We're kind of the bottom of the barrel here on the forum...not testbook cases.  Give it a fair trial...it's arguably the easiest to control and use.