Your April, 2014, FT4 is quite low. It's at 25% of range, and most of us find that FT4 has to be close to 50% for symptoms to be relieved. Your doctor should also be testing FT3, which is the test that correlates best with symptoms. Just being in "normal" range is often not sufficient to make us feel good.
Do you have the results of the labs done a month ago?
Please list your current symptoms. Many symptoms cross over and can be symptoms of both hypo and hyper.
Have you delivered a baby in the last few years?
Thank you for your response.
Here are my labs from March 2014:
T3: 128 ng/dL (range: 80-200).
FT4: 1.2 (range: 0.9-1.7)
TPO Ab: 420 IU/mL.
Thyroglobulin Ab: 83 IU/mL.
Very dry skin
Pale skin and dark circles around my eyes
Puffiness under eyes
Constipation (this one is relatively new)
I sleep a lot (more than I used to. 9-10 hours per night) and wake up very tired.
Extremely inflexible muscles.
I also have attention, procrastination and memory problems but these may be related to my ADHD. Back in March I also had muscle/joint pain in the middle of the night. This symptom went away a few weeks ago.
Unexplained heart palpitations.
Very frequent dehydration (I drink a lot of water and gatorade). I drink 2X the amount I used to drink in the past and still stay dehydrated.
Possible skin thinning.
I have hair falling out from (scalp, eye lashes and eyebrows).
I've never been pregnant.
I think a comparison of those two labs speaks volumes about what your doctor is looking at. FT4 was absolutely stable at 1.2, so that didn't change his decision about meds. The only thing that changed was your TSH, from 3.8 to 1.7. So, we know he pays little attention to anything but TSH or his decision on meds would not have changed.
TT3 is fairly useless, but it was on the low side, too. TT3 tells the total amount of T3 in your blood, but most of that is chemically bound and unavailable to your cells. FREE T3 tells what's available.
TPOab and TGab are both elevated, so we know you have Hashi's.
Heart palps and hair loss can as easily be hypo as hyper. Brittle nails are typically hypo.
Dehydration isn't a typical thyroid symptom, either hypo or hyper. Have you had glucose tested? Could other meds be contributing to this?
I think it would be fair to say that your symptoms are almost all hypo at this point.
We know you have a thyroid disease. It's only a matter of time before you're on meds. I think you'd feel much better on meds now. Do you think your doctor would consider a trial dose based on symptoms?
Thank you for your informative response. It really helps me understand what is going on. Unfortunately, I doubt that my endo would agree to put me on meds now.
He told me the tests were great and pretty much ignored all the symptoms that he believed I had the week before, as if I never had any symptoms. Then he said that I'm simply one of those people who have thyroid fluctuations with "no symptoms" and told me to come back in 4 months or if I experience thyroid symptoms, such as unexplained weight gain or weight loss.
In reality, my thyroid levels were super stable before all this started (3 years ago) and I did get symptoms when my thyroid started fluctuating. I lost 10+ lbs without trying back when I was hyper.
My endo also said that hypothyroidism doesn't typically cause palpitations and that putting me on thyroid meds was only going to make them worse. I'm thinking of getting a second opinion but I don't know if I should even bother.
My sugar levels are normal and have never been elevated and I have no family history of diabetes.
No, don't give up! A second opinion is definitely worth it.
While it's often difficult to get treatment with numbers "in range", you have two very much out of range...the antibodies. Some doctors feel that you should wait until numbers are out of range before treating Hashi's, others will treat earlier, depending on symptoms.
There's a doctor out there for you. You just have to find him.