Hi Dr. Lupo and thank you in advance for your help. I have Hashi/Hypo, have been taking .75mcg Synthroid that past 2 months (my TSH when dx was 6.43). My current lab results are as follows:
T3, Total 186 High (60-181 mg/dl)
T-4, Free 1.1 (.8-1.8 mg/dl)
TSH 1.75 (.4-5.5)
My doctor told me the levels are okay. I have some minor symptoms of HYPER (i.e., my left eye has been twitching non-stop the past month), however, my BBT has not been over 96.8 the past year. I know some doctors don't look at BBT; not sure if you do.
I don't take anything else other than the Synthroid. (No bcp or vitamins...nothing).
I don't use BBT. The eye spasms may be a sign of too much thyroid but labs look pretty good Your could try decreasing the dose to see if this helps. Are you on any estrogen? -- this would cause the apparent elevated Total T3
Your total T3 really isn't THAT high. But the total isn't the best lab to look at - did your doctor do (or would s/he do) a Free T3? The free test shows how much is available to be used, while the total includes T3 that isn't usable for any number of reasons. Looking at your Free T4, that looks pretty low, you're probably converting as much as you can to T3, but then not being able to use it. There are several reasons for not being able to use the thyroid hormone, including low adrenal function and low ferritin. Maybe your doctor would test those?
Thanks for your reply...I'm going to google the things you mention. I'm not sure if the dr would run anything (though, he's real open to anything I want to try or do), but I don't want him to think I'm a hypochondriac since he told me all was well. Sounds ridiculous, eh?
Also, I have an FSH of 3.3 and LH of 6.5...do you know much about hormones? Thanks again.
Hi Dr. Lupo and thank you. No, I am not taking estrogen (31yo/f) or anything else. I only take the Synthroid on an empty stomach in the AM.
At the time of the lab draw, I asked my GP to check my hormones, too. FSH was 3.3 and LH 6.5 (ranges below if you can help). I have been unable to conceive the past 3 years (and I now know it's probably related to the high TSH I had). Do you think I should ask for more hormone testing? Estrogen/testosterone, etc? CBC was normal.
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