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Normal TSH/High Free T4

by kacarcam, Jul 24, 2009 12:48PM
Hi,
I have always had an enlarged thyroid.  As of the last couple months, I have lost half of my hair volume, had a major increase in palps and also some insomnia, feeling hot all the time.  My TSH was withing normal range, but free T4 was high.  T3 was on higher end of range, but not out of range.  I have had pain in my neck with a squeezing sensation.  I have had a treadmill, holter monitor and thryoid antibody tests.  All negative (accept the confirmation of PVC's and PAC's) Ultrasound on thyroid showed enlarged thyroid with 2 small fluid filled cysts that were said to be too small to be suspicious or to cause increased T4.  Doc (nurse practioner) thinks I had a thryoid "burst" or temporary syndrome and wants to retest in a month.  My hair continues to come out in gobs everyday and it is disturbing.  Could I still be hyperthyroid?  Would there be anymore tests that would help pinpoint problem?  Thank you and nice to be here!


This discussion is related to Normal TSH, High Free T4.
Member Comments (3)

by enitsirhc973, Nov 06, 2009 08:52AM
I have the same problem. I have hashimotos and my lab results said normal tsh high t4 and normal t3 but in the higher end of normal. Im super hungry all the time and I feel hyperthyroid sometimes but I'm also gaining weight like crazy. I dont get it!!???

by TamraW, Nov 06, 2009 09:01AM
To: kacarcam
A small number of patients will have thyroid disease and never test positive for antibodies. It would help if you would post the results, so that members of this forum can give you a more informed opinion:

TSH
FT4
FT3
TGab
TPOab

:) Tamra

by TamraW, Nov 06, 2009 09:06AM
To: enitsirhc973
Same as above. Post your labs. Some of us don't lose the weight if our frees aren't treated and the doctors focus on TSH.

We Hashis tend to swing from hypo to hyper as our nodules leak hormone. The key is to get on enough thryoid medication to shrink the nodules, and suppress the TSH, so that the antibodies calm down.

Get a thyroid ultrasound if you haven't already.

Over the counter anti-inflammatory drugs help with swelling, as does one tablet of Selenium daily. Take vitamins at least four hours after taking thyroid meds.

See article about Selenium and antibodies:
http://thyroid.about.com/library/news/blselenium.htm

:) Tamra
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