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high TSh normal T4

HIgh tsh and normal t4 is called euthyroid? or not?
only high  12.0 tsh and normal free t4 can be associated with abortion?
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Avatar universal
Hi, I had a partial thyroidectomy 3 months ago, since then I started getting  very sick and experiencing hypo symptoms , I had 4 blood tests in 6 weeks and my doc keeps telling me that I do not need any thyroid meds. After the last test my doc tells me that what he is seeing  is not normal and he has no answer for me, I then asked for my blood test result and my T4  was 14.00 and my TSH 4.35. What does this mean? I feel horrible and can't take the hot flashes, increase of heartbeat, fatigue and weakness feeling  any more
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Avatar universal
That is the kind of misinformation that you are going to have to fight.  Make sure the T4 and T3 tests are Free T4 and Free T3, not Total T4 and Total T3.  
When you have all those test results, please post them along with reference ranges and we will be glad to help interpret and advise further.  
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Avatar universal
Thanks Dr said my labs were all normal. Very Frustrating. I will see about the T4, T3, D, B12 and ferritin  I try my best to get up and do things but I feel like I need to lay down and sleep all the time. My sleep is disturbed most nights. The endless tiredness is hell.
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Avatar universal
In order to assess your thyroid status you need tests other than the ones listed  The biologically active thyroid hormones are Free T4 and Free T3.  Both of those should be tested, not Total T4 and Total T3.  Then they can be compared to their reference ranges; however, since the ranges are far too broad to be functional across their entire breadth, having Free T4 and Free T3 in the lower half of their ranges is typically associated with hypo symptoms.  Many of our members say that relief from hypo symptoms required Free T4 at the middle of its range, at minimum, and Free T3 in the upper third of its range.  

In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin.  Low levels of these can cause symptoms.  Also, D and ferritin are important for metabolizing thyroid hormone.  So you should get these tested as well.  D should be about 55-60, B12 in the upper end of its range and ferritin should be about 70 minimum for men.

If your doctor contends that your TSH is in the normal range.  Tell him that you likely have central hypothyroidism, which is a dysfunction in the hypothalamus/pituitary system characterized by relatively low TSH and Free T4 and Free T3, along with hypo symptoms.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and free T3 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.  So that is what you need from your doctor.  

You can get some good info from this link written by a good thyroid doctor.  

http://www.hormonerestoration.com/Thyroid.html
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Avatar universal
My TSH was low at 0.48 ((0.34-4.82) TT4 was 7.1 (4.5-12.0) and total testosterone was 601.60 (240.23-870.67)

What does this tell me? My symptoms are Hypo-thyroid, and in the past my testosterone was low. I've been on Clomid for that.

I feel like crud, NO energy, forgetful, most of the signs of hypo.
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Avatar universal
Im similar to your readings and my doc wanted me to start on synthoid. I have decided to investigate further before starting any medicines. My TSH was 6.579 and my T4 free dir is 0.96
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Avatar universal
Thanks for info.
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Avatar universal
This is a very old thread.  It would be best if you went to the top of the page, clicked the orange "Post a Question" button and started your own new thread.  You can just copy and paste the above information into the new thread.  If you do that, we'll be better able to address your individual concerns.  When you do, please list all your symptoms.
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Avatar universal
Recently I have had blood report for Thyroid. Can you please suggest what is results. Currently I'm experiencing some symptoms of Hypo like sleeping disturbance, anxiety, frequent bowl etc.

T3  93   (60 - 200)

T4  8.3  ( 4.5 - 12.0)

TSH  6.50 (0.30 - 5.5)

FT3   3.19 (1.7 - 4.2)

FT4  1.16 (0.70 - 1.80)

ANTIBODY  7 IU/mL (Negative : <34)

Can any one please analyses the results.
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649848 tn?1534633700
COMMUNITY LEADER
You need also, to have a Free T3 tests.  FT3 is the hormone that's actually used by the individual cells.

Adequate thyroid hormones are critical for the growth and development of a fetus. Your FT4 is too low in the range, your TSH is too high (accepted range is actually 0.3-3.0 rather than the one used by your lab); this indicates that your FT3 is probably too low, as well.  

In my opinion, you should follow your doctor's advice.
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Avatar universal
I have TSH of 5.75 when normal range is 0.45 - 4.5 uIU/ml. My free T4 is 1.18 with range of 0.82-1.77 ng/dl. Thyroid peroxidase is 10 with range of 0-34 IU/mL. Vit-D is 18.7 range of 30-100 ng/ml.  I am planning to get pregnant now so my doctor advised me medication for thyroid. Is it really needed or I might be causing more harm. Wat are the side effects of taking the medication when it might not be really needed.
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Avatar universal
Thank you Barb.  I reposted here http://www.medhelp.org/posts/Thyroid-Disorders/High-TSH-normal-FT3--FT4-Looking-for-your-thoughts-on-my-Labs/show/1966166  and added a little info.

And no I am not on any meds.  they want me to come back and retest in Aug.
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649848 tn?1534633700
COMMUNITY LEADER
Forgot to mention that your blood glucose indicates "pre"-diabetes, but since your A1c is not high, you haven't had a blood sugar issue for very long.  

Normal is 65-99, 100-125 indicates "pre-diabetes"; over 125 indicates diabetes.

You should try to maintain a low glycemic diet, in order to avoid raising blood sugar levels. That would include high protein and lots of veggies; no junk food, such as french fries, chips, candies, pastries, etc and other things made from white sugar and/or flour.  Also limit white potatoes.  Opt for lower sugar, higher fiber fruits such as apples, pears, berries.  Opt for whole fruit vs juices.

Low thyroid hormones doesn't cause the blood sugar issues, but they often go hand in hand.
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649848 tn?1534633700
COMMUNITY LEADER
You've attached to a very old thread, here, it might be better if you start a new one of your own, so your situation gets the attention it deserves.  You can start a new thread by clicking on the orange "Post a Question" button at the top of this page, type your comments, then click on "Post a Comment" button.  You can do that from this page or you can access the home page of the forum via the following link:

http://www.medhelp.org/forums/Thyroid-Disorders/show/73

That said, both your labs and symptoms indicate hypothyroidism.  Has your doctor started you on thyroid replacement hormones, yet?


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Avatar universal
Just looking for input on my labs and symptoms.  What are your thoughts?

Symptoms:  Tired all the time, Can't concentrate, forgetful, always cold, cold sweats, brittle nails, thinning of hair at temples, dry hair, not sleeping well, puffy and a little dark under eyes, whiskers on chin,  anxiety, depression, aching legs at night at times, dizzy/lightheaded, low libido , out of breath at times, no energy, and new to list tinnitus and light stabbing feelings around heart.

TSH 5.20 (0.45-5.10)
FT3 2.7 (2.3-4.2)
FT4 1.1 (0.7-1.5)
Thyroglobulin Autoantibody <0.9 (0.0-4.0)
Thyroid Peroxidase Auto AB 0.3 (0.0-9.0)

The test below is looking at possible diabetes.  I am wondering if thyroid would mess this your sugar too.
Glucose was also high 123 (65-99)  
AC1 5.4 (4.0-5.6)
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649848 tn?1534633700
COMMUNITY LEADER
There are no doctors on this forum; we're all fellow patients, trying to help others through what we've been through.

Could you please post your "normal" T3 and T4, and verify that they are Free, not Total.  Also please let us know which antibodies were at 165.  There are 3 different thyroid antibodies and positive results of each, could mean different things.

Have you been diagnosed with Graves Disease?  If so, on what basis?

It's possible that your symptoms result from the uterine myoma/fibroids rather than from thyroid.  Have you had reproductive hormone levels tested?  Are you at an age where peri-menopause or menopause is likely?  I had a lot of those symptoms, just before I had my hysterectomy, in 1996, then I had them again in 2007-8 when I was very hypo.

"Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than do normal uterine muscle cells."

Since you've attached to a very old thread, here, it might be better if you start a new one of your own, so your situation gets the attention it deserves.  You can start a new thread by clicking on the orange "Post a Question", type your comments, then click on "Post a Comment".  You can do that from this page or you can access the home page of the forum via the following link:

http://www.medhelp.org/forums/Thyroid-Disorders/show/73



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Avatar universal
Back in 2008 I was diagnosed with hyperthyroid (super hight T cells symptoms extreem heat,tremble, fast heart and tiered when walking/climbing stairs short distance, slight blurred vision) was put on thyroid meds and betta blocker in 6mths everything disapeared. As of Oct. 2012 I've had reacurrence episodes on certain days particularly before and after my period (extreem heat, blurred vision, tremble,fast heart, dry skin, brital hair, extreem body aches, muscle spasms)  per blood work my T3 T4 TSH are normal but antibodies are 165. (normal is max 6.) I was put on small daily dosage of steroids and contraceptives. This has diminished the frequency but not taken it away. Last month May was the only month I didn't get it. Not sure if its relative that I had Uterine mioma surgery last month. This month extreem body ache and slight heat symptoms have slowly arrised again and new blood work is exactly the same.

Has this happened to anyone else? What has your Dr said and done?
Any Dr's that can better explain what's going on?
Helpful - 0
Avatar universal
Back in 2008 I was diagnosed with hyperthyroid (super hight T cells symptoms extreem heat,tremble, fast heart and tiered when walking/climbing stairs short distance, slight blurred vision) was put on thyroid meds and betta blocker in 6mths everything disapeared. As of Oct. 2012 I've had reacurrence episodes on certain days particularly before and after my period (extreem heat, blurred vision, tremble,fast heart, dry skin, brital hair, extreem body aches, muscle spasms)  per blood work my T3 T4 TSH are normal but antibodies are 165. (normal is max 6.) I was put on small daily dosage of steroids and contraceptives. This has diminished the frequency but not taken it away. Last month May was the only month I didn't get it. Not sure if its relative that I had Uterine mioma surgery last month. This month extreem body ache and slight heat symptoms have slowly arrised again and new blood work is exactly the same.

Has this happened to anyone else? What has your Dr said and done?
Any Dr's that can better explain what's going on?
Helpful - 0
Avatar universal
Back in 2008 I was diagnosed with hyperthyroid (super hight T cells symptoms extreem heat,tremble, fast heart and tiered when walking/climbing stairs short distance, slight blurred vision) was put on thyroid meds and betta blocker in 6mths everything disapeared. As of Oct. 2012 I've had reacurrence episodes on certain days particularly before and after my period (extreem heat, blurred vision, tremble,fast heart, dry skin, brital hair, extreem body aches, muscle spasms)  per blood work my T3 T4 TSH are normal but antibodies are 165. (normal is max 6.) I was put on small daily dosage of steroids and contraceptives. This has diminished the frequency but not taken it away. Last month May was the only month I didn't get it. Not sure if its relative that I had Uterine mioma surgery last month. This month extreem body ache and slight heat symptoms have slowly arrised again and new blood work is exactly the same.

Has this happened to anyone else? What has your Dr said and done?
Any Dr's that can better explain what's going on?
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
This is a very old thread; you'd get more attention if you start a new thread of your own.  

Your TSH of 24.46 is higher than normal, indicating that you need an increase in your medication.  In addition to TSH and Free T4, your doctor should also be testing Free T3, which is the active hormone used by the individual cells.  It's very possible that you aren't converting the Free T4, which is a storage hormone, to the usable Free T3.......
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Avatar universal
Just got bloodwork back and my TSH is extremely high at 24.46, and T4 Free is "normal" at 1.13...my current dose of Levoxyl is 112mcg, I feel super sluggish, muscle crampy, very poor digestion, the list goes on. Any advice I could gain would be great before I go to see my endo, so that I can have some concrete questions for him. This thyroid thing is feeling a bit all over the place with hard to pinpoint answers. I just want to feel GOOD.
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Avatar universal
I've been having trouble with sleep (all started with my first pregnancy 4 1/2 years ago).  I have two young boys now & the sleep loss accumulation is really starting to interfere with everything everyday.  I'm determined to get to the bottom of it all & get back to my normal sleep patterns without having to take meds for it.  

About 3 months ago, I experienced what I felt was a spiritual/religious awakening in the middle of the night (felt light as air when a "spirit" would enter me & extremely heavy when it would leave...many more feelings on top of this).  It was scary & prompted us to take immediate action.  The first doctor said I might have had an anxiety/panic attack.  My husband felt that we needed to get me sleeping better right away & I started taking Lunesta 2mg (sleep aide) & Clonazepam 0.5mg (anti-anxiety).  They helped me sleep, but I still feel the symptoms of that night.  I awaken with those feelings of numbness & tingling in my hands & feet, cool air at my face & fast pulse suddenly at night about every 1-2 weeks since that night.

I just had some blood work done to find out what is going on inside at the request of a neurologist.  The only high readings were for the TSH which was 9.340 uIU/mL (range was 0.450-4.500, also did a Thyroxine (T4) Free, Direct, S & range was 0.82-1.77 with my result as 1.06 ng/dL) & Vitamin B12 which was 1338 pg/mL (range was 211-946).  Do you have any ideas as to what is going on?!  I'm a bit confused after reading all of these posts & would appreciate any ideas you may have.  Thank you!
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Avatar universal
You obviously need your thyroid meds.  Your TSH is very high, and more importantly, T4 is very low in the range.  Most people have to be about the middle of the range before they feel well.

The tests your doctor ordered, total T4, T3 uptake and FTI are all considered obsolete tests and of iimited use.  Next time, ask him for FREE T3 and FREE T4 instead.  

If you've been off your meds for 3-4 weeks, you might actually want to start out a little lower than 100 mcg for a week or two, then increase as tolerated.  Ask you doctor is you can take 50 for a couple of weeks, 75 for a couple more, then 100.  Some of us get hyper symptoms when we start out too high or with big increases.

I think you should start back on meds as soon as you can.  How did you feel when you were on 100 mcg?  If you felt well, I'd go back to that dose (after starting lower as I suggested above), then retest 4-6 weeks after starting 100 mcg.  That's really the only way to know if 100 mcg is the proper dose.  
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Avatar universal
I wanted to find out what is the best thing to do for my Thyroid. I dont have health insurance so i was just taking my same prescribed Levoxthyroid of 0.100(brown colored pill). I then ran out of my prescription for 3-4 weeks and stopped taking the pill.
I went to the doctor and got tested for A1C and thought i would also get the TSH test done. Here are my results
TSH 24.79 (0.45 - 4.50) range
Thyroxine T4 5.9 (4.5-12.0)
T3 Uptake 27 (24-39)
Free Thyroxine Index 1.6 (1.2-4.9)
WBC 4.3 (4.0-10.5)
RBC 4.91 (4.14-5.80)

Do you think i should continue the 0.100 or should i go higher?
Do you think i should get some of these more tests done first?
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