sorry it's all messed up, was trying to keep it in an orderly way. Any questions just ask. Thanks again
GENERATION 2.25 mIU/L > or = 20 Years 0.40-4.50
T4 (THYROXINE), TOTAL 10.4 mcg/dL 4.5-12.0
FREE T4 INDEX (T7) 3.0 1.4-3.8
T4, FREE 1.4 mg/dL 0.8-1.8
T3, TOTAL 139 mg/dL 76-181
T3 UPTAKE 29 22-35%
Glucose 101 H mg/dL 65-99
BUN 12 mg/dL 7-25
Creatinine 0.83 mg/dL 0.60-1.10
I think the key thing we need to know is how many of the 26 typical hypo symptoms listed in this link would you say that you have currently?
I still have 16 out of the 26.
Since hypothyroid symptoms correlate best with the Free T3 test and don't correlate with Free T4 and TSH, I suggest that you should get tested for Free T3 and also Reverse T3 as well. Even though your FT4 and TSH are midrange, that is not enough info to conclude that your thyroid hormone levels are adequate. If the doctor resists testing for Free T3 and Reverse T3, just insist on it and don't take no for an answer.
Many hypo patients taking T4 thyroid meds find that their body does not adequately convert the T4 to T3, so their Free T3 level is too low in the range. Many of our members, myself included, report that symptom relief for them required that FT3 was adjusted into the upper third of its range and FT4 adjusted to around the midpoint of its range.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting FT3 and FT4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. Symptom relief should be all important, not just test results. If you want to read about clinical treatment, this is a link to a letter written by a good thyroid doctor for patients that he sometimes consults with from a distance. The letter is sent to the PCP of the patient to help guide treatment.
When you go back for the additional testing, you should also request Vitamin D, B12, iron/ferritin, zinc, and selenium. When test results are available, please get a copy and post results and reference ranges shown on the lab report and members will be glad to help interpret and advise further.
Agree with Gimel.
If Dr is insistent on not wanting to test for FT3. Ask him why he would test for a myriad of different things EXCEPT the one single thyroid hormone that is the ONLY one that is active and does all the work?
That is equivalent to a mechanic checking everything and every fluid under the hood of your car to determine the oil level and NOT pulling out the oil level dipstick and looking at it (which is the ONLY thing that tells you the oil level). It is insanity.