TT and results in the UK

[Laurakb]

Hello doctor. I had my thyroid removed in August 07. Could you please look at my test results and let me know your thoughts. I have graves and I have noticed one my of eyes seems to be pushed forward of it may be lid retraction, I have been referred to have my eyes checked but I would like to know if my results could have anything to do with it. I feel quite well, I am a little tearful and I get tired but I have been tired for so long now I just think maybe thats the way I am made.

T4 - 24.6 (range 11 - 260
T3 - 5.3  (RANGE 3.9 - 6.8)
TSH - 0.19

I look forward to hearing from you.

[Mark Lupo, M.D.]

The TSH is a little low (too much thyroid hormone replacement), but not to the point I would expect thyroid-eye disease.  Would test TSI and TBII - the immune system markers of Graves as the eye involvement can occur any time -- even after treatment (although the risk is much lower with surgery than after RAI).  A careful eye check is appopriate.

[Laurakb]

Thank you for this information, I have asked my doctor to refer me to see someone about my eyes and I am also going to try to see someone about the TSH results and TSI & TBll test.

thanks