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Normal T4, Free but elevated TSH
Last week I found that my my TSH was 5.73 mIu/L and shortly after that, that my Thyroid Peroxidase AB was 393 Iu/mL. My T4, Free came back at 1.3 ng/dI which I believe is in the normal range. I am currently waiting on my Thyroglobulin AB. Has anyone has an evelvated TSH and Thyroid Peroxidase AB but a normal range T4 and still been diagnosed with a Thyroid problem?
A ferritin of 11 is terribly low. You need to supplement with a good form of iron like ferrous bisglycinate, ferrous fumarate, or ferrous sulfate. You probably will need to start on about 25 mg daily for a week or so and see how your body accommodates it. It would be good to also take some Vitamin C or magnesium to prevent stomach issues. You will likely need to increase by 25 mg several times to get up to about 70, which is optimal.
Yes, you do need Vitamin D and B12. Also the Free T3, and Reverse T3 if possible.
Yes, you do need Vitamin D and B12. Also the Free T3, and Reverse T3 if possible.
I will request those labs (Vitamin D, B12), right now the only one I have is Ferritin 11 ng/mL. Range being: 10-154ng/mL, so my doctor said that was low.
Hi Gimel,
Thank you for responding. My symptoms are as follows: extreme fatigue, tachycardia, severe hair loss, also it is like I have lost my short term memory - I can't remember things soon after they happen or they are said. My weight hasn't really changed, I am at 120. I had to be hospitalized last week as I had a headache and was very dizzy. I am get cold easily and shiver, it has been in the 70's and I wear a shirt and a long sleeve sweater.
Thank you for responding. My symptoms are as follows: extreme fatigue, tachycardia, severe hair loss, also it is like I have lost my short term memory - I can't remember things soon after they happen or they are said. My weight hasn't really changed, I am at 120. I had to be hospitalized last week as I had a headache and was very dizzy. I am get cold easily and shiver, it has been in the 70's and I wear a shirt and a long sleeve sweater.
You haven't mentioned the most important consideration, which is symptoms. What, if any, symptoms do you have?
The high TPO ab is an indication of Hashimoto's Thyroiditis. The TG ab test will really reveal nothing further. Yes, people with Hashi's, but thyroid hormone levels within range can still be diagnosed with a thyroid problem. It all depends on symptoms and the position in the range for Free T4 and Free T3, because the ranges are far too broad to be functional across their entire breadth. You listed a Free T4 test, but you should always make sure they also test for Free T3, because it correlates best with hypothyroid symptoms.
The high TPO ab is an indication of Hashimoto's Thyroiditis. The TG ab test will really reveal nothing further. Yes, people with Hashi's, but thyroid hormone levels within range can still be diagnosed with a thyroid problem. It all depends on symptoms and the position in the range for Free T4 and Free T3, because the ranges are far too broad to be functional across their entire breadth. You listed a Free T4 test, but you should always make sure they also test for Free T3, because it correlates best with hypothyroid symptoms.
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If you have to see your doctor to get those done, while you are there, I suggest that you should emphasize your symptoms and inquire whether the doctor is going to be wiling to treat you clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms, rather than just by test results only. Also ask if the doctor is willing to prescribe T3 meds like Armour thyroid or Cytomel, if needed. If either answer is no, or if you have trouble getting the suggested tests done, then you are going to have to find a doctor that will do all of those things.