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First Thyroid Test

My test are TSH 2.460, Thyroxine (T4) 8.5, T3 uptake 26% and Free Thyroxine Index 2.2 . What does that mean. Pam
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Avatar universal
I'd say there is definitely something going on.  Just because your thyroid test results fall within the so-called normal ranges does not mean they are adequate for you. The ranges are far too broad for that to be the case.  

In addition, you have not been tested for the most important thyroid hormone test, which is Free T3.  Free T3 is the small portion of Total T3 that is not bound to protein molecule (thus called free).  Free T3 largely regulates metabolism and many other body functions.  Scientific studies have also shown that Free T3 levels correlated best with hypo symptoms, while Free T4 and TSH did not correlate.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important to you, not just test results.  You can gain some good insight into clinical treatment from this 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.

http://hormonerestoration.com/files/ThyroidPMD.pdf

I would suggest that you should go back to the doctor and request to be tested for Free T3 along with Free T4 and TSH.  Forget the T3 Uptake and FTI.  If the doctor resists and makes excuses just insist on it and don't take no for an answer.  You should also request testing for Vitamin D, B12, and a full panel of tests for iron anemia.  

When these test results are available, please get a copy of the lab report and post results and their reference ranges shown on the lab report and members will be glad to help interpret and advise further.

While you are with the doctor, you also should find out if he is going to be willing to treat you clinically as described.  If not, then you will need to find a good thyroid doctor that will do so.
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Avatar universal
Sending you a PM with doctor's name.
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Yes, Austin would be great.
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That Vitamin D level is way too low.  Another thing to discuss with your doctor, along with the other tests you need.

Regarding another doctor, is Austin close enough to consider?
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Avatar universal
I also did not post that my Vitamin D, 25-Hydroxy results were 25.3. I want to say that I'm really glad to have found this site. It's nice to talk to people who have had some experience with this. I will be taking my results to see a doctor. If anyone knows a good one, I live in central Texas. Thanks
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Avatar universal
I have not been diagnosed, but I have quite a few symptoms. I have gained weight and I feel hungry even after what I've just eat has digested. And I wake up at night hungry. I can't lose wait without starving myself or diet pills. I am tired a lot and just want to stay home all the time. I crave sweets and carbs. I wake in the middle of the night and lay there for several hours not being able to go back to sleep. Sometimes its every hour. I have a hard time getting ready to go out because I start sweating and have to stay in front of a fan on high and still will sweat. I am constipated all the time and my periods have always been irregular. I could go on and list many more symptoms that I thougt were just my age or just way it is. I know my test results are not way off, or I don't think they are, but I feel somethinng is going on.
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649848 tn?1534633700
COMMUNITY LEADER
Oops, sorry, I guess since this is your first thyroid test, you would not have been diagnosed yet.

What, if any symptoms do you have?
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649848 tn?1534633700
COMMUNITY LEADER
TSH is Thyroid Stimulating Hormone, which is a hormone produced by the pituitary gland, which tells the thyroid to  produce more or less thyroid hormones.  If TSH is high, it's often assumed that thyroid levels will be low; if TSH is low, it's assumed that thyroid levels will be high.

Thyroxine is one of the actual thyroid hormones. The test for Total T4 is considered obsolete and of little value.  Free Thyroxine Index is another way of calculating T4 in your blood that is not bound by protein (FT4).  Free T4 (FT4) is a "storage" hormone and must be converted to Free t3 (active hormone), prior to use by the individual cells.

T3 uptake is also considered rather obsolete.

What is the reference range for the FTI?  Reference ranges vary from lab to lab, so must come from your own report.

Have you been diagnosed with a thyroid disease?  What, if an, symptoms are you having?
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