I am a 21 year old male, 6'3, 215lbs, husky, especially thighs and midsection..Anyway....
On 8/14/07
my GP did some blood work becuase I was depressed, exhausted and I mean very fatigued but couldnt sleep, hair falling out, blurry vision, memory block, loss of motivation, extreme concentration issues. He did a CBC and checked my thyroid (only TSH--which was 1.66) He sent me to a psychiatrist because he felt that I was in crisis and needed some specialized attention. Soon after meeting with the shrink, I was quickly diagnosed with depression/anxiety/adult ADD and put on:
In the morning:
-187.5mg EffexorXR
-10mg Lexapro
-10mg Adderal
To sleep:
-100mg Trazadone
-50mg Seroquel
After nearly 6 weeks of nothing more than side effects that seemed to be making me more depressed/anxious, i began to become more skeptical of my recent dx's. I researched and learned that my issues could be thyroid related. Soooo i met with an endo and he ran the following tests:
On 9/26/07
Thyroxine(t4)- 7.38 (5.1-14.1)ug/dl
T-Uptake- .996 (.8-1.3)TBI
Free thyroxine index- 7.4 (4.8-12.7)ug/dl
TSH- 2.53 (.4-4.9)uIU/ml
T4,free- 1.33 (.73-1.7)ng/dl
Cortisol- 20.56 (6.2-19.4)ug/dl
LH- 4.88 (1.7-8.6) mIU/ml
Testosterone, Total- 5.77 (2.8-8) ng/ml
DHEA- 288 (110-510) mcg/dl
Thyroglobulin AB- <20 (<20)iu/ml
Thyroid Peroxidase AB- <10 (<or=35)iu/ml
This doctor ignored all of my symptoms and told me that I was perfectly healthy based upon my tests and that my issues were not related to the field of endocrinology. I was not satisifed so i began to research more. I was still convinced that i had hypothyroid symptoms so i had some additional tests run.
On 10/3/07
By this time, I had already began weaning myself off of the medication that I was on because I felt that it wasn't doing me any good. Here are my test results:
TSH- 2.87(.4-5)mIU/l
free t4- 1.3 (.8-1.8) ng/dl
free t3- 396 (230-420) pg/dl
ferritin- 225 (20-345) ng/ml
prolactin- 8.6 (2-18) ng/ml
cortisol,total, serum- 18.3 (4-22) ug/dl
cortisol,free,24hr urine- 43.3 (5-50) ug/24hr
ACTH- 28 (7-50) pg/ml
Then about a week went by...I am completely off of the adderal and down to:
-75mg Effexor
-10 mg Lexapro
-1mg clonopin
-50mg seroquel
I had my GP run a thyroid panel plus free t3 and here are my test results:
on 10/9/07 (most recent)
TSH- 1.34 (.4-5) mIU/l
Total T4- 6.9 (4.5-12) ug/dl
t3 uptake- 33.1% (22%-35%)
t4, free, calculated- 2.28 (1.53-3.85)
t3, total- 97 (60-181) ng/dl
free t3- 283 (230-420) pg/dl
I am still weaning myself off the anti depressants and am hoping to be put on Armour thyroid becasue of my low free t3 level. I am still not sure if these tests assume hypothyroidism. My last endo wont help me and my GP bases his diagnoses primarily on TSH levels which seem to be VERY normal. I am searching for another endo or any doctor that will listen to me and hear my symptoms and not jsut look at my labs and treat me like another file in the cabinet. Any response will be greatly appreciated. I am desperate and hope that someone can give me a clearer picture as to what is happening to me. Thanks