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Thyroid Disorders Community

This patient support community is for discussions relating to thyroid issues, goiter, Graves disease, Hashimoto's Thyroiditis, Human Growth Hormone (HGH), hyperthyroid, hypothyroid, metabolism, pituitary gland, cancers, thyroiditis, and thyroid Stimulating Hormone (TSH).
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Normal T4, High TSH, hyperthyroid symptoms

by becky72, Jul 23, 2008 05:59PM
For several months, even years I have had increasing symptoms of hyperthryroidism--rapid heart rate, trouble sleeping, unexplained weight loss, tremor in my hand--recently I had blood work done to check my thyroid.  My TSH level is high 10.301, my T4 level was .96, in the normal range according to the lab work.  My doctor wants me to take synthroid and has diagnosed hypothyroidism, but I have none of those symptoms.  I have read about "secondary hyperthyroidism" which could actually be a pituitary issue, perhaps an adenoma.  Has anyone come across this scenario before?


This discussion is related to High TSH,Normal T4 T3.
Member Comments (6)

by Rite760, Jul 24, 2008 05:16AM
To: becky72
Hi, I just wanted to say, I am exactly like you with symptoms. My TSH keeps swinging from high to low and back again. But even when it's high, indicating hypothyroidism, I still have all the symptoms of hyper. I've lost nearly a stone over the last few months, I get awful palpitations, sweating, trembling, like you say all associated with hyperthyroid as opposed to hypo! However, the docs always stick to the text book definitions for symptoms don't they. But since coming on this forum, I've been told by a lot of experienced people that often all the symptoms get mixed up and you can suffer hyper symptoms even when hypo! So wait for some replies from the experienced ones here, they will explain it much better for me. Look out for Stella, she is the person who particularly explained this situation to me and is real good on it.

by becky72, Jul 24, 2008 07:37AM
To: Rte760
Thanks for your input.  It helps to know I am not the only person who has had this experience!

by estrelinha, Jul 24, 2008 08:10AM
In second secondary hyperthyroidism your TSH would be much higher (if because of adenoma), and your T4 would be much higher too, your free T4 is in the lower side of normal range. Need to check free T3 ant thyroid antibodies (TPO AND ANTI-tG) too. Your right about your symptoms. Ask Dr. Lupo about this.

by estrelinha, Jul 24, 2008 08:11AM
Your TSH is about 10, is it right????

by becky72, Jul 24, 2008 11:28AM
To: estrelinha
Yeah--it was 10.301.

by becky72, Jul 24, 2008 11:34AM
To: Rt760
By the way, have you taken synthroid and if so did it help?
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