Confused About what is going on with my body & contradicting labs

[AV1987]

I have been feeling like I am 60 when In fact I am 28. It fist strayed a year ago when my weight began to plateau. I am a very fit person who eats ideally. Protein fresh veggies and fruit everyday lots of water no soda or processed junk Etc. I have always been tiny 5'2 100/110 lbs. eve after having both of my babies my weight went back to normal. With my second child I had a harder time was the weight was coming off( breastfed both kids till age 2). I weened my daughter and about after a year noticed things were quite as normal but chalked it up to the fact that maybe my hormones still thought I was beeSt feeding and needed a little more time to adjust. I noticed I was eventually gaining weight regardless of what I did. Then the fatigue came along which I thought was from too main excercise and not enough down time. So I tried alternating, coming Joe. After dropping the kids off and taking a nap to why some extra z's. Then I strayed noticing droid milky residue in my be and occasionally my breast would leaks very minimal. Or I have breast tenderness and I am not one to have that close to my cycle. Sometimes I need a heat pack. Then came the swelling which I contributed to the working out. But I soak drink a gal of water and nothing. Then I had gout like stamp toms where one of my big toes would ache severely and they would switch off. My hands swell so badly that my thumbs a grand you can visibly see how I swell even in my ankles (as if I was pregnant). Now I am losing the ends of my eyebrow hair. The weight gain continues. I feel exhausted everyday even when I get 8 or more
Hours of sleep. I am  even having trouble with my memory and thinking quickly. I finally saw a primary who had my bloodwork done and a ultrasound of my thyroid. I have slight swelling on one side of my
Thyroid and a small module less than 1cm on the other. Still too small to biopsy.  I have Borland high cholesterol (possibly genetic?) and low vitD. I am not anemic. She referred me to n Endocronologist. They ordered more blood work. As far as my humble understanding of the labs everything seems "normal". But what I have come to understand  with a of this is that "normal" is some what relative. I am just so confused and frustrated with everything. I feel like I am crazy. I am happy to paint my results for some
Outside help and opinions. Thank you!

[AV1987]

Thank you for your help!

[gimel]

I would not just ask about Free T4 and free T3 tests, I would insist on them being done.  Along with Vitamin D, B12 and ferritin,   Just sent you a PM with info.  To access, just click on your name and then from your personal page, click on messages.

[AV1987]

Not in addition to my multi I take. My primary had me hold off on anything just yet. I will ask specifically if I should take some my next visit with the Endo as well as ask about being Tested for Free T3 & FT4.

[gimel]

For B12 , just being in the normal range is inadequate.  It is best in the very upper end of the range.   Are you supplementing for the low D.  D should be 55 minimum.

[AV1987]

I was tested for my D levels which were low but my B12 was normal. Hopefully my insurance will let me find another doc. At the moment my only option is a doc that is 2 hours away. Crazy I know. Thank you for the help.

[gimel]

The first 3 tests are outdated and not very useful.  Likewise TSH is a poor diagnostic, unless it is over 10, which indicates overt hypothyroidism.  When you have hypothyroid symptoms and TSH is low in the range, that may indicate central hypothyroidism, which is a dysfunction in the hypothalamus/pituitary system that results in relatively low TSH levels that are not able to adequately stimulate the thyroid gland.  If you can get tested for Free T4, Free T3 and they are in the lower part of their ranges that is strong evidence of being hypothyroid, even though some doctors would ignore it.    Also good to test for Vitamin D, B12 and ferritn, if possible.  

Personally I would not bother any longer with an Endocrinologist that ordered those tests.  You need to find a good thyroid doctor that will treat clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.  You can get some godo info from this link written by a good thyroid doctor.  

http://www.hormonerestoration.com/Thyroid.html

[AV1987]

I'm sorry about all of that  jumbled mess. I just thought if you had all the lab info it would be better. I see it did not paste in the correct order. This is what I have as far as anything titled "thyroid"  would the "Free" be under any other name on the labs? There is nothing listed that specifically says Range so I am assuming that is what the numbers on the far right are?  

T3 uptake 29%.      25-38
Total T4     6.5ug/UL.   4.0- 11.0
T7 calculated.   1.9 calc    1.1-4.6
THS.              1.867 uU/ml.    0.5 - 4.500

[gimel]

If you can make out any specific thyroid test results and  reference ranges, please post them.  I see T3 Uptake, Total T4, T7 calculated  and TSH listed, but can't make out any results or ranges anyway.  Plus those are not the important thyroid tests.  You need to know Free T4 and Free T3, FPO ab, TG ab (if TSH is high and TPO is negative).  It is also good to test for Vitamin D, B12 and ferritin.  

You are right about intuition not being very accurate, but you have numerous symptoms that are frequently related to being hypothyroid.  You also will need further tests as related above, in order to help convince a doctor.  

[AV1987]

I also forgot to mention that my mom has Rhuemetoid arthritis, congenital kidney failure  and Alzheimer's runs in the woman in my moms side as well.  

[AV1987]

Well a lot of time looking stuff up. But not every single listing on here, just the averages of stuff like T3, T4 ... TG antibodies, cortisol levels Etc but it seems like some docs say that anything up to 5 UL is normal others say. Anything over 2.0 is abnormal and so on.  I just know my body and not that I want something to be wrong I just know I am not myself. The fact that my thyroid is swollen and has a module which I cannot physically notice I jaunt had a feeling sow thing wasn't right with me and went in. I understand intuition does not hold up next to science/Labs. I just don't think that this should be my normal because I know it's not. But they won't give me any kind of help bc of the labs.

[gimel]

How did you come to a "humble understanding of these labs"?  I can't make heads or tails out of them so far.  LOL

[AV1987]

Here is the first round of labs done by the Endochronologist

Tests: (1) COMPREHENSIVE METABOLIC PANEL (350)
GLUCOSE
BUN
CREATININE SODIUM POTASSIUM CHLORIDE CO2/Bicarbonate
eGFR by MDRD-IDMS traceable
91 mg/dL
18 mg/dL 0.87 mg/dL 139.0 mmol/L 4.0 mmol/L 102.9 mmol/L 28.8 mmol/L
77.5 mL/min 10.2 mg/dL 6.8 g/dL 4.7 g/dL 0.55 mg/dL 33 U/L
14 U/L 12 U/L
PreMENOPAUSAL:
PREGNANT WOMEN:
PostMENOPAUSAL: --------------------------------------------------------------
CALCIUM
TOTAL PROTEIN ALBUMIN
TOTAL BILIRUBIN ALK. PHOS. (ALP) AST (SGOT)
ALT (SGPT)
[L]
Tests: (2) THYROID PANEL (4010)
T3 UPTAKE TOTAL T4
T7 calculated TSH
Tests: (3) CBC W-DIFF (2000) WBC
29 %
6.5 ug/dL 1.9 calc. 1.867 uU/mL
8.0 K/uL 4.4 M/uL 13.5 g/dL 41.1 % 94.2 fL 30.9 pg 32.8 % 11.7 % 248 K/uL 0.0 K/uL 0.1 K/uL 0.5 K/uL 1.6 K/uL 5.8 K/uL 5.8 %
0.2 % 1.3 % 72.1 % 20.6 % 8.3 fL
RBC HGB HCT MCV MCH MCHC
! RDW PLT
! BASO
! EOS
! MONO
! LYMPH
! NEUT
MONO% BASO% EOS% NEUT% LYMPH%
! MPV
[L]
Tests: (4) PROLACTIN (4235) PROLACTIN
CHILDREN:
MALES
<10
<6.1 2.8-11.0
CORTISOL (4260)
AM: 5-25 PM: 2-12
TANNER TANNER TANNER
I
II - III IV - V
Tests: (5) ! CORTISOL
9.2 ug/dL
4.3 ng/mL 3.0 - 30.0
10.0 - 209.0 2.0 - 20.0
Note: An exclamation mark (!) indicates a result that was not dispersed into Document Creation Date: 04/01/2016 4:25 PM _Tests: (1) Tg ANTIBODY (595)
! TG ANTIBODY <20.0 IU/mL
<
Tests: (2) TPO ANTIBODY (598)
! TPO ANTIBODY <10.0 IU/mL
<
Tests: (3) VITAMIN B12 (100005) VITAMIN B12 890 pg/mL
0.0-29.0 *1
0.0-10.0 *2
200-1000 *3____________________________________________




__________________________

[gimel]

Please post whatever tests have been done for you, along with reference ranges shown on the lab report.  You have a lot of symptoms that are often related to being hypothyroid.