HELP WITH RESULTS

[jena64]

I went to the doctors on Tuesday.

Adrenal Stress Index (saliva test)

7:00            0.310                0.025 - 0.600
12:00          0.010             < 0.010 - 0.330
4:00            0.019                0.010 - 0.200
11:00       < 0.010             < 0.010 - 0.090

Ultrasound of the thyroid
right lobe measures 4.5 x 1.5 cm
left lobe measures 4.3 x 1.2 x 0.8

There is hypoechoic solid nodule in the mid pole of the right lobe measuring 0.7 mm with a calcified wall.  Tiny
hypoechoic non calcified solid nodule is seen in the lower pole of the right lobe.

Small hypoechoic nodule is seen in the left upper lobe anteriorly.  The isthmus is slightly measuring 4.0 mm.

Thyroid results from August months ago.  The doctor did not order new ones yet because I have not received any meds yet.  He did order RT3

T4, Free Direct                  1.02             ng/dL             0.61 - 1.76
TSH                                 0.942           uiU/mL           0.450 - 4.500
Free T3                             2.7              pg/mL              2.3 - 4.2

And he said I have a high reverse T3.  I will get that result from the lab because he didn't give me a copy of that test.  

I asked him if he was going to give me T3 meds (Cytomel) and he said I have too much T3.  But right before he said that he said my T4 is not converting to T3.  So how do you get the T3 to convert?

I have many symptoms hair loss, tired, can't sleep, brain fog, dizzy, sinus problems, stomach problems and more.

He told me to go on a gluten free, no dairy, only fruit, vegetables and high quality meat diet and  I could wait until after the holidays to do this.  But I did start the gluten free diet.  The only problems is I'm so hungry to the point of worse brain fog and can not funtion.  Is this common?  I did buy a few gluten free products like bread, crakers, and pasta.  I'm not without carbs, but I'm starved.

He didn't prescribe anything yet, he is going to talk to the compound pharmacy in my area so I have no idea what he might be prescribing.  Also, he is on vacation next week so he said it would be awhile before I get anything.  

I've been really sick for well over a year and now I still have to wait.  I'm so upset and disgusted.  

Please help,  Jena

[jena64]

Thanks so much.  I really appreciate all the suggestions and help that I've been getting from this forum.

Jena

[magpieannie]

No, mine does not charge. He has been such a help to me when I have doubts or am confused. The next time I'm in to get suppliments, I'll print this and run it by him. I should be going in sometime this week. He has a good handle on all this and I trust his opinions very much!

[jena64]

The doctor is a regular MD (family doctor).  I found him through my local compounding pharmacy.  I was told he treats the thyroid by symptoms and Ft3, Ft4, and RT3.

Does your compounding pharmacy charge for a consult, because mine does.  I forget what she charges but it is over $100.00.  I just can't afford that right now.  But the doctor is supposed to consult with her to figure out what I should be taking.  

I didn't get the RT3 results yets.  I have to call the lab again tomorrow because I should have received the results a few days after I had the tests done November 11.

Reading about Rt3 is very confusing to me, I can't conscentrate long enough to take it all in.  

  

[magpieannie]

What type of doctor is this? (Endo., MD, DO. Naturalpathic, Internal, Chiro. etc.) Can your pharmacist consult with you on this? My compounding pharmacist does thyroid consults. He knows more than most doctors in my experience. I can bring my labs to him for review. In the complicated world of thyroid, I like to get all the opinions that I can! Remember, those reference ranges are very broad. Just because you are in "Normal" range does not mean you are optimal. It does matter where in the range you fall. Everyone is different, but many people feel best when their Free T3 and FreeT4 are kept higher in the normal range with TSH at the polar opposite (Low normal, around 1 or even lower) You must not ignore symptoms. As long as you have them then you are not OPTIMAL! Do you have the reverse t3 labs in yet. It can "block" the t3 (google to read more) It's pretty complicated. This post will be BUMPED back to the top. Let's hope that someone else will jump on for advice!

[jena64]

Thanks for replying.  This is the forth doctor I have been too in the past years and I never got this far with a doctor.  First, I was put on all kinds of meds, anti depressants, sleep meds, statins, acid reflux meds and more.  All the other doctors tested was my TSH.  

I found this forum and I then insisted on other tests, but I was told eveything is normal. So, I thought this was the doctor that would help me.  I was told he treated by symptoms and he took into account FT3 and FT4.  There aren't any others to go to unless I pay out of the pocket and I can't do that.  I've searched everywhere.  This one was recemended by a Compound Pharmacy.

But I don't understand why he said what he said.  I agree with you that I do need T3.  

[magpieannie]

His statements contradict each other. You cannot both have a conversion issue and too much t3. If you are not converting enough of the t4 into t3 then you would not have enough available t3 in the body , thus causing your hypothyroid symptoms and your low level of free t3 on your labs. You do need t3 in some form in my opinion. I'd definitly get a second opinion on your doctor's views.