Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
I have a TSHPituitary and tsh Tsh level just inside the low-normal range for my testing lab and a Free T4T4 test level just below the low-normal range. I have ALL the symptoms of hypothyroidism....that is why I got tested. I'm menapausal and using bio-identical HRTHormone replacement therapy. What could these test results indicate? What further testing might I need? Thank you so much for responding!
Could you post the actual test results with ranges please?
TSHPituitary and tsh Tsh is a pituitary function test. Free T4T4 test and Free T3 are the actual active thyroid hormone in the body. You NEED to have the Free T3 test done to see if maybe you are a fast converter, etc.
Are you on thyroid meds now?
This would likely indicate secondary hypothyroid (originating from pituitary not producing enough TSH to stimilate the thyroid).
You would need thyroid meds to bring your thyroid hormone levels up (probably mid to upper half of the reference range, depending on how you feel).
In some cases a raised TSH may lag well behind the symptoms.
In any case you should be monitoring and adjusting based on FT3 and FT4 results, ignoring TSH.
What did your doctor say? If the doctor says all is normal and doesn't want to medicate, maybe you can ask for a trial of thyroid meds to bring your FT4 up and see if it helps your symptoms. Else, get a second opinion.
TSH is a pituitary function test. Free T4 and Free T3 are the actual active thyroid hormone in the body. You NEED to have the Free T3 test done to see if maybe you are a fast converter, etc.
Are you on thyroid meds now?
You would need thyroid meds to bring your thyroid hormone levels up (probably mid to upper half of the reference range, depending on how you feel).
In some cases a raised TSH may lag well behind the symptoms.
In any case you should be monitoring and adjusting based on FT3 and FT4 results, ignoring TSH.
What did your doctor say? If the doctor says all is normal and doesn't want to medicate, maybe you can ask for a trial of thyroid meds to bring your FT4 up and see if it helps your symptoms. Else, get a second opinion.
Take it from there. Let us know how you go.