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Thyroid problem/question

my test results are: free t4 17.0 range 12.0 - 22.0, TSH 5.21 range 0.35 - 5.00, Free t3 4.7 range 2.6 - 5.7.  my doctor says that all my values are normal..........but I am tired.  I live in montreal, qc., can you suggest a good thyroid doctor, I really need a doctor that will treat my symptoms more than a piece of paper.
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Avatar universal
hi,
I got more test done: glucose ac 4.5 range 3.6 - 6.0 mmol/L, free t4 11.3 range 12.0 - 22.0 pmol/L, tsh 1.45 range 0.35 - 5.00 mIU/L, free t3 4.6 range 2.6 - 5.7 pmol/L, Insulin AC 45 range 40 - 190 pmol/L.  is there insulin issue?  thank you
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Avatar universal
hi,
I seem to have computer problem..........I just wanted to ask you how much t3 you think I shouldtake?
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Avatar universal
thank you so much.  sorry what about the last posting?
also, you mentioned that my t3 needs to be up.......at how much you think?
hope you are well.
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Avatar universal
Your last posting????   Don't know what you mean.

I have some doctors for you to consider.  Sending info by PM.  Just click on your name and that takes you to your personal page.  Then click on messages.  
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Avatar universal
hello again,
I do think that I have seasonal allergies..........I am constantly tired.......I search for answers too....health is a big story.  so sorry that you are going through health situation too.  take care of yourself.
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Avatar universal
hello,saliva hormone test, testosterone is above range result 61 range 15 - 45 pg/ml and noon cortisol is high end of range 3.8 range 1.0 - 7.0 ng/mlsample at noon, cortisol hs is within range 0.72 range 0.20 - 1.3 , Cortisol AM 9.0 range 2.0 - 11.0, How do I lower my testosterone?  more test to follow........I also have heart palp in the morning.
I guess you have not got my last posting..........
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Avatar universal
No I did not infer that you should stop taking the T3 med, or reduce the dosage.  Splitting the dose and taking half in the morning and the other half in the early afternoon would be a good idea, in order to even out the effect.  Also, it occurred to me to ask if you took your T3 med before the blood draw for the latest tests?  If so, you could have gotten a false high reading due to how quickly T3 affects blood levels.  

I am a bit surprised that your doctor prescribed only T3.  Surprised only in that it is unusual for doctors to do so, not that it appears to be wrong thing for you.  And no your TSH should not be treated.  TSH does nothing much other than signal the thyroid gland to produce hormone.  TSH itself causes no symptoms.  When already taking thyroid meds  TSH is even less useful.

Any background on thyroid?  Well, I have been hypothyroid for over 35 years.  Most of that time I was either undiagnosed, or later under treated.  As a result I had lingering hypo symptoms, even when taking a large dose of T4 med.  Only after finding this Forum over 5 years ago and learning of the importance of Free T3 did my condition change.  I got my doctor to test my Free T3 and confirmed it as low in the range.  Then I convinced her to prescribe Armour Thyroid, which is T4 plus T3.  Now after some tweaking of dosage my Free T3 is around 3.9-4.0, my Free T4 is around the middle of the range, and I take Vitamin d, B12 and ferritin, and I feel better than I can ever remember.  

Not that all that qualifies me to do anything other than relate my experience.  What I have done the last 6 years is to spend an enormous amount of time searching the net for scientific studies related to hypothyroidism, and then use that info to try and help fellow members.  Further, I have a background in Design of Experiments and statistical analysis, so I am able to read and evaluate the studies.  From all that I have learned what constitutes as adequate testing of hypo patients, how to evaluate their signs and symptoms, how to diagnose their status, and different approaches to treatment, that works.  Anything I say here I can provide you a link to scientific studies that support it.  

So, as mentioned previously, your thyroid tests are not bad at all.  The Free T3 could be tweaked upward a bit, but first I think you need to verify that your Vitamin D, B12 and ferritin are currently at optimal levels.  You might also need to check your cortisol levels.  The best test for that is a four panel saliva cortisol test, which seems to be hard to convince doctors to do.  They only want to do a singe serum cortisol test.  

As for the balance problem, it could also relate to several different things.  Do you have any seasonal allergy problems.  I have experienced a bit of vertigo in the past from allergies affecting my inner ear.  
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Avatar universal
hi,

I am taking  pure T3 17.5 mg, but now you got me worry saying that I should not take this.....or should I reduce the dosage?
other than being tired, I can say that I do not have a lot of balance, but I thought maybe this is from being so tired all the time!

sorry to ask again, but do you have any background on thyroid...?

my tsh is above the range, should it be treated?

thank you
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Avatar universal
Do you have any other symptoms besides being tired?  What thyroid med are you taking and what daily dose?
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Avatar universal
my TPO and Tg raised autoantibodies are in the range 26 range 0 - 35 for top and Tg raised autoantibodies 20 range 0 - 41.Iron 35 range 31 - 300, I do not have the Vitamin D, but it was too high so I discontinued over 50 of the range.......sorry I left the paper at my doctor..my fault.  thank you so much for your help, I know you helped me in the past.....can I ask what is your current knowledge in hypothyroidism?  it is just that I am getting different information that tells me to do something........take divided dose of t3.
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Avatar universal
Your TSH is over the range, but TSH is a poor indicator of thyroid status anyway.  Your Free T4 is midrange, which is adequate for most of us if the Free T3 is in the upper part of its range.  Your Free T3 is above midrange, and could be tweaked upward to help relieve symptoms; however, I have to say that your lab results don't clearly indicate a hypothyroid problem at present.  

There are numerous other factors that can cause the only symptom you mention, tiredness.  So, if you have test results on Vitamin D,  B12, and ferritin, please post those, along with ranges, so we discuss further.  I suggest that if not already done, as the first step you should test for Vitamin D, B12 and ferritin, and a full iron test panel.  Each of these is very important in the process of metabolizing thyroid hormone,  A deficiency in either can cause symptoms that can mimic hypothyroidism.

So, if you have test results on the 3 additional ones I mention, please post those, along with ranges, so we discuss further.


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