Aa
Thyroid
Hi,
I just had blood work done to check why I have been feeling unwell and lost 15 lbs in the past month with no change to diet or exercise. My TSH test came back as <0.01 and the T4 Free (not really sure what that is) is 2.00. What does this mean? Is this the cause of my fatigue, weight loss and heart racing so fast it feels like it's fluttering out of my chest sometimes? My last doctor's appointment my resting heart rate was 126. Any suggestions or ideas of what's going on?
Thank you for your time and responses
I just had blood work done to check why I have been feeling unwell and lost 15 lbs in the past month with no change to diet or exercise. My TSH test came back as <0.01 and the T4 Free (not really sure what that is) is 2.00. What does this mean? Is this the cause of my fatigue, weight loss and heart racing so fast it feels like it's fluttering out of my chest sometimes? My last doctor's appointment my resting heart rate was 126. Any suggestions or ideas of what's going on?
Thank you for your time and responses
What's the reference range on your FT4? Ranges vary lab to lab and have to come from your own lab report.
Fatigue, weight loss and tachycardia are symptoms of hyper, and your suppressed TSH and high FT4 also indicate hyper.
Is your doctor suggesting meds?
Fatigue, weight loss and tachycardia are symptoms of hyper, and your suppressed TSH and high FT4 also indicate hyper.
Is your doctor suggesting meds?
Hi,
Thank you so much for replying, I am a nervous wreck because I have never had any problems before with my thyroid. I thought all these were just symptoms of menopause which I started going through about 10 years earlier than the average. I have had one friend who had to have her thyroid removed and she didn't even know she had a benign tumor until they felt her throat and it grew fast. I have another friend who had thyroid cancer, again didn't have any problems. They found hers by accident.
The range for the TSH is 0.35-4.00 mcIU/ml and the Free T4 is 0.8-1. ng/dl, does that help? I don't know anything about this stuff. My doctor has not even called to discuss the blood work yet? I am hoping to hear from his office in the next day or two. Since the blood work was just posted late last night. I am sure he didn't get it until today.
Thank you again for replying.
Thank you so much for replying, I am a nervous wreck because I have never had any problems before with my thyroid. I thought all these were just symptoms of menopause which I started going through about 10 years earlier than the average. I have had one friend who had to have her thyroid removed and she didn't even know she had a benign tumor until they felt her throat and it grew fast. I have another friend who had thyroid cancer, again didn't have any problems. They found hers by accident.
The range for the TSH is 0.35-4.00 mcIU/ml and the Free T4 is 0.8-1. ng/dl, does that help? I don't know anything about this stuff. My doctor has not even called to discuss the blood work yet? I am hoping to hear from his office in the next day or two. Since the blood work was just posted late last night. I am sure he didn't get it until today.
Thank you again for replying.
Your FT4, as you can see, is over range, which indicates you are hyper. Next time blood is drawn, insist they test FT3 as well. FT3 is most active form of the thyroid hormones, and it's the test that correlates best with symptoms.
While other things can cause you to be hyper, far and away the most prevalent cause is autoimmune thyroid disease, Graves' disease. You should also request a TSI (thyroid stimulating immunoglobulin) test. That's the marker for Graves'.
Any word from your doctor yet? Don't be afraid to call him.
While other things can cause you to be hyper, far and away the most prevalent cause is autoimmune thyroid disease, Graves' disease. You should also request a TSI (thyroid stimulating immunoglobulin) test. That's the marker for Graves'.
Any word from your doctor yet? Don't be afraid to call him.
No, still no call from the doctor's office. I will call them on Monday. I work nights so it is almost difficult for me to get anything done during the day since I am trying my best to sleep. To say that I get any sleep is ridiculous since at best I get only 4 hrs. For whatever reason my body will not sleep. Tonight I had a friend check my pulse since my heart is beating so spuratic. When checking the pulse, it's like my heart beats anywhere from 4-8 times and then pauses (feels like it is stopping) and then starts again for another 4-8 beats. This does not go on all day. Just several times a day for a good hour at a time. I don't want to bother anyone in the er if it's not necessary but to say I'm concerned is an understatement. Thanks for your insight on the required tests to get resolve. The TSH test in 2013 was 2.01, 2009 it was 1.47, 2007 it was 3.07, and 2006 it was 1.83..so you can see this has never been an issue before. :(
Insomnia is a symptom of hyper.
People in the ER are there to be bothered. If you feel like you need to see someone before Monday, don't hesitate to go in. When you talk to your doctor, be sure to mention your cardio symptoms and impress on him that you need to be on meds. Do you have tachycardia as well?
People in the ER are there to be bothered. If you feel like you need to see someone before Monday, don't hesitate to go in. When you talk to your doctor, be sure to mention your cardio symptoms and impress on him that you need to be on meds. Do you have tachycardia as well?
Yes maam. Last doctor visit, resting heart rate was 128. Had a scope put down my throat just for a check on my chronic heartburn/gerd and they went throughh two iv bags to try to hydrate me because they thought I was dehydrated and I had tachycardia then too they said.
Hello,
also make sure you don't take the thyroid meds on the morning of the blood test,
also make sure you don't take the thyroid meds on the morning of the blood test,
No thyroid meds. Never had a problem with it until now. Blood work was always good. Went to the doctor today and during the visit he was checking my pulse and it was so bad he thought I was in A-Fib. He did an EKG and found out I was not but I was having premature ventricular contractions. They did two more blood tests. A T3 and TSI?? But he is thinking I have Grave's disease. They will do a scan of my thyroid next Thursday and I go back to him the following Thursday. We will see what happens from here. Thanks for caring.
Not on thyroid meds. Never had any thyroid problems before. Blood work was always good. They did the blood work today. Hopefully I'll have some numbers tonight.
They're doing the right things. T3 is the other thyroid hormone. T4 is a "storage" form of the thyroid hormones, but your cells can't use it directly. First, your body has to convert the T4 to T3, which is the "active" form of the hormones, the form your cells use.
TSI (thyroid stimulating immunoglobulin) is the antibody marker for Graves'.
Are they just doing an ultrasound, or is it a nuclear scan?
TSI (thyroid stimulating immunoglobulin) is the antibody marker for Graves'.
Are they just doing an ultrasound, or is it a nuclear scan?
Sounds like they are doing a nuclear scan, I have to go in at 8:30 and then back at 2:30 in the afternoon? The T3 came back as >400 range should be 58-159 ng/dl according to the lab. Still waiting on the TSI.
Not sure what this test is, it's called the Thyroperoxidase Antibody? According to lab should be 2000.00?? I clicked on the link about this test but it just goes over the T3 and T4 thing again? Do you know what this is?
So, your TT3 is very hyper, too. Yes, that sounds like a nuclear scan; it's called an RAIU (radioactive iodine uptake). It actually shows your thyroid in action.
TPOab (thyroid peroxidase antibodies) is one of the markers for Hashimoto's thyroiditis. Hashi's is ultimately hypo, but in the early stages, it can be hyper or swing back and forth for a while. Your result was 2000.00? What's the reference range? It should be something like "less-than 40". (The less-than and greater-than signs don't work right on this site, so I find it easier to just write out the words.)
TPOab (thyroid peroxidase antibodies) is one of the markers for Hashimoto's thyroiditis. Hashi's is ultimately hypo, but in the early stages, it can be hyper or swing back and forth for a while. Your result was 2000.00? What's the reference range? It should be something like "less-than 40". (The less-than and greater-than signs don't work right on this site, so I find it easier to just write out the words.)
Let me just make sure I've got this all right: Your TPOab result was 2000, and the reference range was less-than or equal to 5.5. Correct? In that case, it looks like you have Hashi's and are in a hyper phase. When your TSI comes in, we'll know if you have Graves', too, or not.
Don't panic about the very high TPOab result. On diagnosis, TPOab is often in the thousands.
Don't panic about the very high TPOab result. On diagnosis, TPOab is often in the thousands.
So there should have been a 5th thyroid blood test? I did the TSH, the T4, T3, and the Thyroperoxidase Antibody? I thought the TSI was the same as that last test? No? I don't think they did anymore unless they don't give me the TSI results on line?
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