In 2005 I was diagnosed with Graves disease by an uptake scan and lab values. I took tapazol for about 6 months and all symptoms including severe anxiety, panic attacks, vertigo, sweating at night stopped. So I discontinued the tapazol. I was fine until September 2007 I had a severe UTI my symptoms returned and my labs showed slight hyperthyroidism. I am now diagnosed with Hashimotos thyroiditis and still waiting to feel better. My Free T3 and T3 seem to be in the normal high and my FT4 is on the low side of normal. Is this a false conversion problem (TBG is normal)? Or if not could you give me suggestions on how to proceed forward? I know that my normal is not being met just because the labs show "normal limit". I am having symptoms of both hypothyroid and hyperthyroid. I am on no medications at this time. 03/21/08, TSH 18.5 H (.45-4.50), Free T4 0.4 L (0.6-1.6), Free T3 3.50 (2.0-3.5)
Prescribed Synthroid 50 mcg I could not tolerate it seemed to worsen the symptoms also still hyper & sweating at night. MRI was done for a possible pituitary adenoma (most likely the TSH one) and result was negative.
04/10/08 TSH 3.91 (.45-4.50), T4 Free 0.5 (0.6-1.6), T3 (not free) 219 H (60-180), Felt like I was hyper (sweating at night too). 04/22/08 TSH 3.37 (.45-4.5), T4 Free 0.7 (0.6-1.6), T3 Free 3.0 (2.0-3.5), TPO AB 715 (0-35), Still hyper symptoms (sweating at night too) 05/08/08, TSH 7.67 H, T4 Free 1.0 (0.8-1.8), Thyroglobulin antibodies 50 H <20,Thyroid Perioxidase AB 667 H <35 Thyroglobulin 4.4 (2.0-35.0) Test done by DPC Siemens Chemiluminescent method, Hyper symptoms decreased. 05/30/08,TSH 3.7 (0.45-4.50),T3 Free 3.40 (2.0-3.5),T4 Free 0.7 (0.6-1.6) hyper symptoms had returned. Also had ultrasound on 05/09/08 showing enlarged heterogeneous appearing thyroid with increased flow. Findings suggest possible thyroiditis.