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thyroid confusion

Hii.. im 24 years old my height 5.5" and weight50kg. I tested for Thyroid disorder

THYROID STIMULATING HORMONE (TSH) 0.57
0.5 - 5 uUI/ml
Euthyroid 0.25-5,
Hyperthyroid  7
I can't understand.. plz help me
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Avatar universal
Thank you very much Gimel. I'll try.
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Avatar universal
So your ferritin and cortisol are okay.  The only things found so far that were a concern were the extremely low Vitamin D and the borderline Free T4 and Free T3.  The low TSH is not a concern, it only indicates the possibility of central hypothyroidism.  What I suggest at this point is to continue with the supplements and get your Vitamin D level optimized to above 50 and then see how your body responds to that.  Obviously you are not going to get your current doctor to do anything about the thyroid issue, so I suggest that you try to find a good thyroid doctor that will treat clinically, by testing and adjusting Free T4 and Free T3 as needed to relieve hypo symptoms.  Do you think there is any possibility of finding such a doctor?
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Avatar universal
Dr gve me bio d3 max x 1000 per day
Cholecalciferol tablets IP every sunday one (60000)
For 3 months
She said no need any testing. My TSH will   increase automatically eat nutritional foods
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Avatar universal
After 12:30 noon
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Sorry, I don't understand what time of day the sample was drawn for the cortisol test.  You show 00:00.  
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CORTISOL. MORNING .SERUM : COLLECTED ON 23/07/2016 00:00

VITAMIN B12 : 325 range 211 - 911 pg/mL

S. Calcium: 9.9 range 8 to 11 mg/dL

S. Phosphorus: 4.0 range 3 to 5.5 mg/dL

They said everything is Normal except Vitamin D. And no need other testing
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So the range is consistent with 5 -23.  What time of the morning was blood drawn for the test?
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It's ug/dL
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When I looked for typical ranges for morning serum cortisol, I found this:

5-23 micrograms per deciliter (mcg/dL) or 138-635 nanomoles per liter (nmol/L)

Which measurement units were shown for your cortisol result?
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Avatar universal
I forgot to check b12. Now what test required
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Hi
FERRITIN result 140.10 range 22.00-322.00

CORTISOL result 12.3
There is no range found
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Avatar universal
No, that is Total T3.  

Your D is terribly low.  You should consider taking about 4000 IU daily of D3 to optimize to 50 min.  

From your thyroid tests, your Free T4 of 1.31 is at 48% of its range, which is not a concern by itself.  Your Free T3 was at 44 % of its range, which is a bit low.  Before going further I want to see the ferritin and cortisol results.

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Avatar universal
TRI-IODO THYRONIN(T3) result 93.5 range 60.0 - 181.0 ng/dL

I think it is reverse T3 result
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What was the Reverse T3 result?
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Avatar universal
Hi .
FREE TRI-IODOTHYRONINE(FT3) SERUM result 3.41 range 2.10 - 4.40 children n adults
*
TRI-IODO THYRONIN(T3) result 93.5 range 60.0 - 181.0 ng/dL
*
25-HYDROXY VITAMIN D result 9.6
Range
Low <20.0 deficiency
20.0 - 30.0 insufficient
30.0 - 100.0 sufficiency
*
Technician said vit D is very low . And reverse T3 and FT3 is normal. I didn't get my ferritin and cortisol result. It will get tomorrow. They said may be they are retesting these tests thats y its late

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Avatar universal
Your Tests for the antibodies related to Hashi's were both negative, meaning Hashi's was not confirmed.  TSH is affected by so many things that at best it is only an indicator to be considered along with more important indicators such as symptoms and also levels of the biologically active thyroid hormones, Free T3 and Free T4.  So a low level does not always indicate hyperthyroidism.  

Before discussing further I would like to wait to see the results of your additional tests.  Also, please try to get the TSI test done.  
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Avatar universal
My TSH is low . It means hyperthyroidism. How its hypo? And high TSH causes hashimotos . Right ? Can i get hashi's with low Tsh ?
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Avatar universal
Gimel thank u very much for ur advice.
Vitamin D,
B12 and
ferritin,
Reverse T3 and also Free T3 from the same blood draw
cortisol

These test results will get tomorrow.

What Test for Hashi's ?
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Avatar universal
So, your Antibodies tests were not conclusive for Hashi's.  

Looking at your Free T4, it is at 1.31, which is 87% of its range.  Your Free T3 was 3.11, which is only 44% of its range.  That is a bit lower than optimal for many people.  Since your FT4 is much higher in range than your FT3, that is an indication of inadequate conversion of T4 to T3 in your body.  Poor conversion can be the result of many variables, chief among them are selenium, and much more often ferritin.  

Since hypo patients are so frequently low in the ranges for Vitamin D, B12 and ferritin, I suggest testing for all three and then supplementing as needed to optimize.  D should be about 50 min., B12 in the upper end of its range, and ferritin should be about 70 min.  Also be aware that low cellular T3 levels causes hypo symptoms, and also that serum Free T3 does not always correlate well with cellular levels.  So it would also be a good idea to get tested for Reverse T3 and also Free T3 from the same blood draw.  


In addition your low TSH makes me wonder about your pituitary function.  It is also possible that you could be low in cortisol due to a weak pituitary signal.  So I suggest that you test for cortisol also.  

With those tests done, the cause for your symptoms should become clearer.  
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Avatar universal
Hi i got my result now.
ANTI THYROID ANTIBODIES PANEL
THYROGLOBULIN ANTIBODY (ANTI TG), SERUM result <15.0 range upto 60.0 unit IU/mL

THYROID PEROXIDASE ANTIBODIES (ANTI TPO, SERUM) result <28.0 range upto 60.0 unit U/mL

Lab technician said it's normal. No need other tests

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Avatar universal
I'll post my thyroid antibody test result the day after tomorrow
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/
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Avatar universal
I checked  result 1.31
Range 0.89 - 1.76  unit ng/dL

Thyroid profile free (FT3,FT4,TSH- ULTRASENSITIVE)
METHOD: CHEMILUMINESCENCE (CLIA)

they didn't test TSI
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Avatar universal
Please check the reference range you listed for Free T4.  Could it have been .89 - 1.78?  Did they test for TSI also?
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