Help Needed With Interpretation of Lab Results

[Sunna7]

TSH (0.50-5-20 ) 6.26

Calcium Level (8.5-10.5) 9.6

Estradiol Level (14.5-167.5) 129.7

Cortisol Level (4-27) 14.1

DHEA Sulfate Level (35-341) 222

Prolactin Level (<18) 26.8

Lutenizing Hormone Level (1.6-76.7) 3.3

FSH Level (1.8-20.4) 2.9

Hepatic Function Panel:
T Protein (6.4-8.6) 8.1
Albumin (3.5-5.1) 4.7
Globulin (2.2-4.0) 3.4
A/G Ratio 1.4
Alk Phos (30-110) 68
Ast (SGOT) (19-45) 13
Alt (SGPT) (8-37) 17
Tot Bili (0.3-1.2) 0.7
Dir Bili (0-0.3) 0.2

Insulin Like Growth Factor Level (114-492) 205

Free T4 Level (0.8-1.8) 1.0

Free T3 Level (2.3-4.2) 3.3

Anti Thyroid Peroxidase Level (<35) <10

Vitamin D Level (25-80) 36

ACTH Level (5-46) 10

Thyroglobulin Level (<55) 7.6

Thyroglobulin Antibody Level (<20) <20

Thyroid Autoantibodies Panel:
Thyroid Peroxidasse AB (<35) <10
Thyroglobulin AB (<20) <20

17 Hydroprogesterone Level (<150) 109

Free Testosterone Level (1.0-3.0) 1.7

Total Testosterone Level (<35) 17



I have a few concerns.  One, is it normal for the Free T4 and Free T3 levels to be normal, but the TSH to be hypo?  Second, are there any indications of pituitary or adrenal issues based on these labs?  My endo is not concerned with the prolactin level at this time because he says the slightly raised level could be caused by my hypo state, or because of taking adavan.  He plans to check them again when my TSH levels are stable and around a 1-2 range.  Thirdly, how can I have autoimmune thyroid disorder when there looks to me like there are no indications of antibodies?

Thank you very much for any help.

[Mark Lupo, M.D.]

The TSH seems to be the only abnormality.  No evidence of pituitary/adrenal disease.
Would repeat Thyroid levels in 6-8 weeks to re-evaluate.
10-15% of Hashimoto's patients have negative antibodies.
A slightly high TSH with normal T4 and T3 may be a transient abnormality or the initial manifestation of early hypothyroidism.

[Sunna7]

I wanted to add that I was not on any thyroid meds at the time of testing