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Thyroid disease possible with normal TSH, T3 & T4?

Is it possible to have a thyroid disease with normal TSH, T3 & T4?  I have a positive ANA, muscle twithches, extreme fatigue (comes and goes like flare-ups), aches and pains.  I have just recently started feeling a little pressure in the front of my throat- not problems swallowing or anything, just a sensation that something is pushing on my lower throat.  In the past I have also suffered from palpatations and chest discomfort which all checked out okay with the cardiologist.  The neurologist says the muscle twitches are benign and was thinking thyroid until he saw my TSH, T3 & T4 were all normal.  Now to the rheumatologist to see what he can come up with.  I don't really have lupus symptoms such as mouth sores, malar rash, etc.

Any ideas?  Thanks in advance!
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Avatar universal
My TSH is 7.12, t4 is.7, t3 is 3.6.  Is this normal even though tsh is high. Currently taking 60 armour thyroid.

Increased armour to 75, TSH was 5.12 t4 stayed at .7, t3 went up to 4.1.  Felt hyper and sick so doc recommended to come back down to 60.  

Just concerned that the tsh is always on the high end and it is considered hypo.  But I feel hyper and the less I take the better I feel.  Any suggestions.
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649848 tn?1534633700
COMMUNITY LEADER
Just to keep from having reneg7 keep posting the same things, here's an ongoing thread, with labs, reference ranges, etc.  Feel free to jump in with us.

www.medhelp.org/posts/Thyroid-Disorders/OTC-Desiccated-Thyroid-Supplement/show/2127173
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Avatar universal
Before commenting further, please post the reference ranges shown on the lab report for those results.
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Avatar universal
Thanks for the informative and well researched information regarding optimal thyroid levels. I currently have a preliminary diagnosis of Hashimoto's thyroiditis, based on appearance of multiple small nodules on ultrasound. However, my TPO and TGB antibodies are negative.
I also have a very strong family history of hypothyroidism, as well as a child who had transient neonatal hypothyroidism.
I have a long standing personal history of alternating hypo and hyper symptoms... Extreme drowsiness, fatigue, coldness, and bradycardia, alternating with insomnia, (also with fatigue), tachycardia, palpitations, and hyperhidrosis. Along with variable orthostatic intolerance, muscle spasms, tremors, widespread peripheral neuropathy, brain fog, hypoglycemic episodes (with LOW insulin levels), elevated LH and testosterone, allergy symptoms,  and intermittent, severe, exercise induced vasomotor rhinitis that will not respond to any type of antihistamine.
I also have GI symptoms with alternating constipation, diarrhea, and bloating.
I have also had unexplained lymphadenopathy, and multiple symptoms suspicious for some type of subtle autoimmune disorder.
I have also had irregular menstrual cycles, with severely heavy bleeding, and 3 early miscarriages.
I have been diagnosed with ADHD (inattentive only) and depression. And have been on Adderall and an SSRI for several years. They help, but I have to be very careful. A little too much Adderall and not enough sleep, and I have severe side effects. And how much is too much varies from one day to the next. I often cut my adderall in half and go slow. Other times it simply will not work. I can take a full dose and still have a very difficult time staying awake, much less focused.
In recent years, the hyPER spells have dwindled, and fatigue has gotten progressively worse.
My primary care physician has started low dose levothyroxine to see if it would help. However the endocrinologist is very opposed. Declaring that my levels are "just perfect". She DOES think I have Hashi's (and that son's transient hypo state was probably due to gestational hypothyroidism), but insists that there is absolutely no benefit in treatment unless levels are out of range, and that it will likely be ineffective or throw me into a hyPER phase. (I also have a family history of severe osteoporosis, and personal history of stress fractures).
After doing some extensive research, I am reasonably convinced that I might find some relief from both extremes by taking enough replacement therapy to lower my TSH and thereby suppress my own unruly thyroid gland. I also do not believe that my levels are anywhere near "perfect".
TSH 2.1 (has been over 3 within past year)
FT4 0.9
FT3 2.61
I am seriously considering taking an OTC desiccated thyroid product such as that available from http://www.nutri-meds.com/
Does anyone have any experience with this?
Thanks!
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Avatar universal
You've attached your post to a very old thread.  You will get lots more response if you will start a new thread under your own name.  Just click on the orange Post a Question button at top of page and enter your post again.
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Avatar universal
My husband needs help...he has so many symptoms pointing to thyroid problems.

Here are his lab results...
12/9  TSH 5.98  (.27-4.20)
12/16 TSH 2.16
     FT4  1.25  (.93 - 1.70)
     FT3   3.6   (2.0-4.4)
Can anyone please help us figure out what is wrong with him?
He is getting the run around...told he is just lazy and fat...only 10-15 lbs over.
His symptoms are so bad...he is getting depressed.
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