Aa
Lab results are in, help
These were emailed to me a couple hours ago but haven't talked to my doctor yet on her take on everything but will call her tomorrow.
How does it look?
TSH: 0.55 (.36-3.75)
FT3: 2.9 (2.18-3.98)
FT4: .9 (0.76-1.46)
Thyroid Peroxidase Autio ab: 1.0 (0.0-9.0)
Thyroglobulin autoantibody: <0.9 (0.0-4.0)
Thyroid Stim Immunoglobulins: 93 (<123%)
How does it look?
TSH: 0.55 (.36-3.75)
FT3: 2.9 (2.18-3.98)
FT4: .9 (0.76-1.46)
Thyroid Peroxidase Autio ab: 1.0 (0.0-9.0)
Thyroglobulin autoantibody: <0.9 (0.0-4.0)
Thyroid Stim Immunoglobulins: 93 (<123%)
Thank you so much. I was not in the greatest mood earlier. You're right, I'll take what I can get now and hope everything turns out well by my next labs. :)
According to her my FT3 is in mid-range, she said my FT4 was "a little low but nothing that would concern me."
Feeling defeated. :(
Doctor said all my labs were within normal range...nothing looked abnormal to her at all. I asked about the TSI she said as long as it's under 123% I'm good. She said 30mg was perfect for me that there was no need to increase. She either had a quick answer to my symptoms or a quick "I don't know."
I did ask her in the end "so you wouldn't consider moving my dose to 60mg?" She said she would but that I'd be experiencing hyper symptoms. I told her I was on it before and never experienced any hyper symptoms. She said she would do it and check in a month to see how my labs were. I warned her that my TSH while on 60mg was .07 she said she didn't mind because "I don't go by TSH anyways." She sent in an Rx to the pharmacy for the 60mg.
Her response to my:
cholesterol: 208 (<200)
LDL: 139 (<100
HDL: 60 (40-59)
"They're beautiful, yes they're in the red but hey they're the new normal."
Don't know if to toss the towel in and give up or look forward to my original appt for June 11th with another doctor. I can print out the labs online so I'll get that done soon. :(
Doctor said all my labs were within normal range...nothing looked abnormal to her at all. I asked about the TSI she said as long as it's under 123% I'm good. She said 30mg was perfect for me that there was no need to increase. She either had a quick answer to my symptoms or a quick "I don't know."
I did ask her in the end "so you wouldn't consider moving my dose to 60mg?" She said she would but that I'd be experiencing hyper symptoms. I told her I was on it before and never experienced any hyper symptoms. She said she would do it and check in a month to see how my labs were. I warned her that my TSH while on 60mg was .07 she said she didn't mind because "I don't go by TSH anyways." She sent in an Rx to the pharmacy for the 60mg.
Her response to my:
cholesterol: 208 (<200)
LDL: 139 (<100
HDL: 60 (40-59)
"They're beautiful, yes they're in the red but hey they're the new normal."
Don't know if to toss the towel in and give up or look forward to my original appt for June 11th with another doctor. I can print out the labs online so I'll get that done soon. :(
Only thing I would say that doesn't line up with hypo that I've had since I was 29 is hot sweats. Which can be frustrating at times when I'll go from extremely cold to extremely hot and sweating up a storm. A year ago my heart rate dropped from 80 bpm to 50bpm. I was on 60mg of Armour and my heart rate went up to 72bpm. Now on 30mg my heart rate is at 64bpm but I'll have every now and then had it go back up to 80bpm which feels fast since I haven't felt my heart go that fast in a while so I panic. Haha!
I've been researching all this and someone suggested to someone else who actually had the same TSI reading to get the TBII test done. Unless my doctor doesn't bring it up, I will.
Will keep you posted though.
I've been researching all this and someone suggested to someone else who actually had the same TSI reading to get the TBII test done. Unless my doctor doesn't bring it up, I will.
Will keep you posted though.
If you do get the increase to 90 mg, you might want your doctor to consider doing that in more than one step. That would be a pretty big jump all at once.
It is confusing. I'm actually really interested to see what the doctor has to say. Of course, if you have TSI antibodies, but your thyroid is not functional and can't produce thyroid hormones, then you are not going to have Graves' (hyper) symptoms because your FT3 and FT4 won't be high.
Did you ever have hyper symptoms? Sometimes, the thyroid can "burn out" after years of overproducing hormones with Graves'.
It is confusing. I'm actually really interested to see what the doctor has to say. Of course, if you have TSI antibodies, but your thyroid is not functional and can't produce thyroid hormones, then you are not going to have Graves' (hyper) symptoms because your FT3 and FT4 won't be high.
Did you ever have hyper symptoms? Sometimes, the thyroid can "burn out" after years of overproducing hormones with Graves'.
Didn't know TSI could suppress TSH. What's confusing is that I don't have any graves symptoms that I know of.
I'm on 30mg, doctor said she is considering putting me on 90mg depending on how my labs look.
I'd definitely want to find out what your doctor's thinking is on the TSI. TSI is going to suppress your TSH. TSI attach to TSH receptors on the thyroid and stimulate it (or try to) to produce thyroid hormones independent of pituitary control. Meds containing T3 often suppress TSH as well, so you could have two issues suppressing TSH.
Technically, you're not considered hypo according to your labs because both FT3 and FT4 are in range. However, given that ranges are very flawed for a number of reasons, we know that the whole bottom half of the range (where you are) is distinctly questionable and should probably be considered hypo. Your symptoms support the fact that you are hypo.
Are you on 30 mg or 90 mg? You say both in different post above.
Technically, you're not considered hypo according to your labs because both FT3 and FT4 are in range. However, given that ranges are very flawed for a number of reasons, we know that the whole bottom half of the range (where you are) is distinctly questionable and should probably be considered hypo. Your symptoms support the fact that you are hypo.
Are you on 30 mg or 90 mg? You say both in different post above.
You're correct, I'm on a low dose of Armour and still have lots of symptoms. My doctor has told me that once my lab results come in she may up. My dose to 90mg. I'm hoping she doesn't fold and freaks out on my TSH
It looks from the numbers that you are not on a high enough dose yet. If I remember correctly from your other posts, you are still symptomatic, no? And you are only on 30mg? That is a very small dose, and it is not surprising to me that you are still feeling poorly. Your numbers were even low when you were on 60mg. If your doctor is hesitant to give you a dose raise, you could emphasize the fact that you definitely still feel hypo, and did even on 60mg, so you think you could really use a raise. Advocate for yourself, and your doctor might see your point of view. Good luck.
I noticed the TSI that it's 30% from 123% so that concerned me but figured since it's under that it's okay.
I still have a lot of hypothyroid symptoms. :(
My appt is in 4 hours so I should find out how my doctor reacts to the results. So based on my labs am I considered hypothyroid? Since I'm only on the lowest dose of Armour thyroid (30mg) I'm not sure where I stand but I guess I'll find this out in 4 hrs. Haha!
Thank you for responding. :)
I still have a lot of hypothyroid symptoms. :(
My appt is in 4 hours so I should find out how my doctor reacts to the results. So based on my labs am I considered hypothyroid? Since I'm only on the lowest dose of Armour thyroid (30mg) I'm not sure where I stand but I guess I'll find this out in 4 hrs. Haha!
Thank you for responding. :)
Both TPOab and TGab are negative, so it looks like you don't have Hashi's. However, your TSI is interesting. TSI is the test for Graves', and it's a tricky one to interpret. The reference range is "less-than 123%", so you are in range. However, 123% represents the level where most people start to have symptoms of Graves'. People who don't have Graves' have TSI of less-then 2%. So, your TSI is in a very gray area.
Your FT4 is at 29% of range, low of the 50% guideline. FT3 is at 40% of range, also low of the 50+% guideline for FT3. However, your balance of FT3 to FT4 looks good.
How are you feeling?
Your FT4 is at 29% of range, low of the 50% guideline. FT3 is at 40% of range, also low of the 50+% guideline for FT3. However, your balance of FT3 to FT4 looks good.
How are you feeling?
Made an appt with my doctor so should find out soon. Anxiety is killing me on what it means. I'm assuming I don't have Hashimoto because my numbers are within range.
I'm on 30mg of Armour Thyroid.
These were my previous labs:
7/8/13 (before treatment)
TSH- 1.1 (.05-4.7)
FT4- 1.18 (0.73-1.95)
FT3- 2.9 (2.3-4.2)
12/16/13 (while on 60mg of Armour Thyroid)
TSH-0.07 (0.04-4.50)
FT4-1.1 (0.08-1.8)
Total T3-71 (76-181)
These were my previous labs:
7/8/13 (before treatment)
TSH- 1.1 (.05-4.7)
FT4- 1.18 (0.73-1.95)
FT3- 2.9 (2.3-4.2)
12/16/13 (while on 60mg of Armour Thyroid)
TSH-0.07 (0.04-4.50)
FT4-1.1 (0.08-1.8)
Total T3-71 (76-181)
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Your cholesterol isn't bad. LDL is a little bit high...maybe not even if you have no history of heart disease. HDL, which is the really important one, is above range, so that's excellent. It's much better to have high HDL and high LDL than have both low.
You got an increase to 60mg, and to tell you the truth, that might just do it for you. Neither your FT3 nor your FT4 is that far off the mark. Obviously "midrange" is open to interpretation...it's not exactly 50% of range. Is 10% higher or lower midrange? Probably. Actually, your FT4 doesn't concern me, either. Most people who take desiccated have a very hard time getting FT4 to 50% of range without getting FT3 too high. It's not unusual at all for them to have FT4 much lower than yours.
Symptom relief is what's important, and she did increase your meds. I don't think you'd want to increase any more than that in one fell swoop. I'd give it another month and see how you feel then and how your labs look.
I really think you got everything out of this appointment that you need. It might be a different story a month from now, but that bridge is best left until you have to cross it.
Don't feel defeated...you're on the next leg of the voyage...