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My Test results. Nervous
I was diagnosed Hypo a year ago after getting sick and just not feeling well at all. So my doctor sent me in for a full blood panel.
He started me on 80mg of Levothyroxine. After a few months he sent me back in for another thyroid panel. This was in January 2016.
TSH 16.08
Thyroglobulin antibodies 4
thyroid peroxidase >990
t4 total 5.7
t4 free 1.64
t3 uptake 28%
TSI 95%
This month I went again after he upped my dosage to 125mg in January. These are my results.
TSH .20 900
t4 total 8.7
t4 free 2.64
t3 uptake 30.3%
TSI 96%
I had an ultrasound and they stated there were nodules and they didn't think they are cancerous. That's the part that bothers me. He wants me to keep on the current dosage for a few more months and check it again around June.
My symptoms haven't changed much at all. I feel tired and lazy quite often and it isn't like me. I have no drive for the most part to do anything and have to force myself to get things done. My throat hurts and feels like I have something lodged in there quite often. It comes and goes and doesn't feel like that all the time.
So the reason for finally posting and not lurking is I feel literally sick and Im curious to hear what others think of my results and if I should request a second opinion. Thanks
Chris
He started me on 80mg of Levothyroxine. After a few months he sent me back in for another thyroid panel. This was in January 2016.
TSH 16.08
Thyroglobulin antibodies 4
thyroid peroxidase >990
t4 total 5.7
t4 free 1.64
t3 uptake 28%
TSI 95%
This month I went again after he upped my dosage to 125mg in January. These are my results.
TSH .20 900
t4 total 8.7
t4 free 2.64
t3 uptake 30.3%
TSI 96%
I had an ultrasound and they stated there were nodules and they didn't think they are cancerous. That's the part that bothers me. He wants me to keep on the current dosage for a few more months and check it again around June.
My symptoms haven't changed much at all. I feel tired and lazy quite often and it isn't like me. I have no drive for the most part to do anything and have to force myself to get things done. My throat hurts and feels like I have something lodged in there quite often. It comes and goes and doesn't feel like that all the time.
So the reason for finally posting and not lurking is I feel literally sick and Im curious to hear what others think of my results and if I should request a second opinion. Thanks
Chris
T3 uptake is an obsolete test.
As is the Total T4 that was tested.
While Total T3 was not tested, it too is outdated test.
you really want Free T4 and Free T3 tests. So make sure and DEMAND and do not take no for an answer for BOTH of the free hormone (meaning unbound by protein and therefore "free").
As is the Total T4 that was tested.
While Total T3 was not tested, it too is outdated test.
you really want Free T4 and Free T3 tests. So make sure and DEMAND and do not take no for an answer for BOTH of the free hormone (meaning unbound by protein and therefore "free").
2 Comments
Agreed. It's the most accurate parameters for proper treatment.
I will order a free t3 as well. Thanks
COMMUNITY LEADER
What is the reference range for the Free T4? That's the most important of the tests done.
5 Comments
T4 Free
Low 3.8 High
Low 3.8 High
t4 free 3.8 high
Ranges are as follows.
TSH .4 - 4.5
Thyroglobulin High >1.0
Peroxidase ab high > 9.0
TSH .4 - 4.5
Thyroglobulin High >1.0
Peroxidase ab high > 9.0
COMMUNITY LEADER
What are the reference ranges for the Free T4's? Reference ranges vary from lab to lab and have to come from your own reports.
Your TPOab indicates that you have Hashimoto's Thyroiditis, which is an autoimmune thyroid condition, in which the body determines that the thyroid is foreign and produces antibodies to destroy it. Many of us on the forum have Hashimoto's, as it's the most common cause of hypothyroidism in the developed world.
Instead of doing T3 uptake, which is obsolete, your doctor should be ordering Free T3, which is the hormone that's actually used by individual cells in the body. Free T3 correlates best with symptoms.
Free T4 is a "storage hormone" and must be converted to Free T3 prior to use; it's entirely possible that you aren't converting adequately, which could be the reason your Free T4 continues to rise with med increases, but so does your TSH and your symptoms are not resolving.
I'm not sure why the doctor is ordering TSI every time there's blood work, since that's the definitive test for Graves Disease and there's no reason, whatsoever, to believe you have that.
From the tests your doctor is ordering, it appears that s/he might not be well versed in thyroid and it could be in your best interest to find a different doctor.
Your TPOab indicates that you have Hashimoto's Thyroiditis, which is an autoimmune thyroid condition, in which the body determines that the thyroid is foreign and produces antibodies to destroy it. Many of us on the forum have Hashimoto's, as it's the most common cause of hypothyroidism in the developed world.
Instead of doing T3 uptake, which is obsolete, your doctor should be ordering Free T3, which is the hormone that's actually used by individual cells in the body. Free T3 correlates best with symptoms.
Free T4 is a "storage hormone" and must be converted to Free T3 prior to use; it's entirely possible that you aren't converting adequately, which could be the reason your Free T4 continues to rise with med increases, but so does your TSH and your symptoms are not resolving.
I'm not sure why the doctor is ordering TSI every time there's blood work, since that's the definitive test for Graves Disease and there's no reason, whatsoever, to believe you have that.
From the tests your doctor is ordering, it appears that s/he might not be well versed in thyroid and it could be in your best interest to find a different doctor.
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