My thyroid results..normal or not please?!

[MJo66]

Hi there, i posted this somewhere else i need as many opinions as possible..i believe i have a very serious thyroid disorder which is being completely overlooked and ignored by my doctors..just want a comment whether my tests are normal or not

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hi there..ok so i came here for a second opinion..someone told me based on my thyroid test results the doctor completely missed a glaringly obvious sick thyroid..i was told it looks pretty clear my case is hypothyroid..

can someone please tell me if they see a fairly obvious sick thyroid based on these results? i am terribly sick and believe i'm a victim of terrible malpractise and misdiagnosis

i am constantly hungry, its not a case of me lacking certain vitamins or minerals something inside me is wrong on a mollecular level..i eat very healthy food yet i constantly feel sedated and this year i began to feel disoriented a lot and i fall over out of weakness

here are my thyroid test results


TSH - 1.37 (0.30-5.60)

t4 free - 10.5 (7.2-21.0)

free t3 - 3.5 (attention it says on the result sheet) (3.8-6.0)

thank you

[MJo66]

wow you folks sound like you know exactly what you are talking about, which is way more than i can say about any endo i've seen in my life..thanks for sharing you knowledge

i wish i could print this up and show it to the doctor and have him follow it and prescribe me on the  meds accordingly..i'm not sure how i can get the doctor to prescribe me when they all treat me like a loon

i think the consensus so far is that it is pretty clear based on the numbers that something is off which explains my symptoms..i literally have one mystery of a condition where 99% of food makes me sleepy and does not fuel me whatsoever..i can go into detail about my problem but i already got my answer

i am in the middle of trying to find a competent endocrinologist where i won't have to wait 8 years to see him..i actually hope to see a female because i feel male doctors have massive egos and are hard to interact with from a patient perspective
..i stress to them that they should pay more attention to my symptoms but i think they all go to the same school where they teach that whats on paper comes first

anyway i had in mind a while back to ask if they can prescribe me some meds just so i can sample and see which one has a positive effect..i will definately print this up and use as a reference..


again thank you so much

[flyingfool]

Warning.

Having test results within the "normal" range for both TSH and Free T4.  You will likely find it difficult to find a Dr willing to treat you.  At least do not be surprised if that is the case.

However be relentless in your pursuit of getting and finding one who does or is willing.

I agree that you may have a Pituitary issue OR you may also have some trouble converting T4.  If that is the case, you will know or find out if they do medicate you on a straight T4 med that while the T4 number rises the free T3 won't rise in correlation.

Many people start to feel OK when their free T4 is at least mid range and the Free T3 are in the UPPER 1/3 of the range.  You are on or even below the Free T3 normal range.  This is why I'm suggesting that you MAY have a conversion problem.  The combo T3.T4 drug may be the best bet.  But you could try a straight T4 and see what happens.  I would bet that it would not move your T3 up much.  But maybe enough to get in the BOTTOM of the range.  At which point if the TSH, Free T4 are in normal range followed by (although very low) the Free T3 in range, many Dr's will not recommend further increase in dosage.  So I agree with Gimel that a combo drug right off the start may be the way to go.  A little more T4 will one would think allow some additional conversion along with the T3 to get you further up in the Free T3 range.

Again symptom relief is most important.

[gimel]

If you have a  look at this link I think you may find even more hypo symptoms that you have.  

http://endocrine-system.emedtv.com/hypothyroidism/hypothyroidism-symptoms-and-signs.html

That low FT3 level is consistent with having hypo symptoms.  Your FT4 level is not optimal either, but the FT3 is your biggest problem area.  FT3 largely regulates metabolism and many other body functions.  Scientific studies have shown that FT3 correlated best with hypo symptoms, while FT4 and TSH correlated poorly.

A good thyroid doctor will treat a 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.   You can read more about clinical treatment on this link

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

Short term you need to find a doctor that will at least start you on thyroid meds, preferably  a T4/T3 combo type such as Armour, or Nature-Throid, or Erfa.  Longer term you need a good thyroid doctor that will treat you as I described above.   Also, you are going to need to have some additional testing done.  In view of your relatively low TSH in combination with the FT3 and FT4 results, you should ask about having your pituitary function tested.  Also, many hypo patients find that they are low in Vitamin a D, B12, iron/ferritin, zinc, magnesium, and selenium.  So would be a good idea to test those also.