The first thing we usually do in these cases is to repeat the thyroid function testing and because the TSH was low in addition to the T4 and T3 being low we would screen for pituitary dysfunction. This is typically done with additional labs including prolactin, ACTH and cortisol as well as taking a complete history.
I also wanted to add under my urine dip results my glucose level in my urine is 250 when it should be negative. I am not pregnant and i do not have diabetes... None of these things have EVER been mentioned to me! In the note the er dr wrote to the nurse practioner he wrote " Urine,pH was 6.0, specific gravity 1.025,250 of glucose, which makes no sense with normal serum glucose and negative for ketones, blood, nitrite and leukocyte esterase. Urine hCG was negative as well" I just dont understand. Its looking like i have more than one thing working against me.