please give me an advice

[newyra]

anybody can help me the meaning of my new thyroid result?
newyra
TSH   2.56       ref range 0.4-4.0
FT4    14.92    ref range  10-25.0
FT3    4.52       ref range  2.3-6.3

But i am suffering everyday from extreme fatigue,body aches,tinnitus,nausea,headache,tingling of feet and sensitivity to cold and elevated cholesterol i was having hyperthyroidism last year and had RAI because of grave disease since then i dont have medication because my doctor says my thyroid test is
normal my TPOab is elevated to 96.if my thyroid test is normal i dont know why im having those kind of symptoms everyday thank you so much please give me an advice

[newyra]

Many thanks gimel...

[gimel]

I suggest that you ask the doctor what the ultrasound test showed.  Was there still thyroid gland tissue left?  If so, that may be why you still have some thyroid hormone showing up.  

Ferritin a storage form of iron.   It is probably the best single test for iron.  It is considered a precursor to iron levels.  So try hard to get all those tests done and then post results.

[newyra]

Hi thank you for the answer actuallyi dont know if my doctor try to destroy part of my gland only but ive done my ultrasound last month my doctor says its normal compare to my ultrasound last year.is their any other term for ferritin?is that same with cbc?actually im from philippines i dont know if they knowferritin test and its also puzzling me  after more than 1year of  having my RAI i hav this result even i dont have medicine.thank you for the answer..il post ny result here when its done..godbless

[gimel]

First thing to understand is that just being anywhere within the ranges does not mean they are optimal.  Due to the erroneous assumptions used to establish ranges, they are far too broad, especially to the low end of the ranges.  Given that, your Free T4 is only at 33% of its range, and your Free T3 at 55 % of its range.  In view of your hypothyroid symptoms, your Free T3 being significantly higher in range than your Free T4 indicates to me that your body is trying unsuccessfully to convert enough T4 to the T3 it needs, or else your Free T3 is pooling in your blood, rather than getting into cells where it is needed.  Pooling of T3 is reported to be associated with deficiency in cortisol or ferritin.  So those should be tested.  Also, one of the best measures of thyroid hormone sufficiency at the cellular level is the ratio of Free T3 to Reverse T3.  So I also recommend testing for Reverse T3 and another Free T3 test from the same blood draw.  Since hypo patients are so frequently deficient in Vitamin D and B12, I also suggest testing for those.  

Do you think you can get your doctor on board to do that testing?  If you can get those done and then post results and reference ranges we will be glad to help interpret and advise further.  

One thing that is very puzzling to me is why you have even those levels of thyroid hormone after having RAI, and not taking any thyroid med.  Did the doctor intend to totally destroy your thyroid gland, or only partially?  Perhaps an ultrasound test of the gland area might be in order to see if there is tissue still there that is producing hormone.  Even if there is, with you also having Hashimoto's, it is only a matter of time until you will need full daily replacement dosage of thyroid med.