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Hi my friend has been having problems gaining 30 lbs and some other symptoms. She had to insist on teswting and has been diagnosed with Hyperparathyroid. I think that is what is it call. Here are her numbers, I have another one but I am not good at this copy and pasting so will come back with the rest
Test Name In Range Out Of Range Reference Range Lab
T4 (THYROXINE), TOTAL 8.2 4.5-12.0 mcg/dL NL1
FREE T4 INDEX (T7) 2.1 1.4-3.8
T4, FREE 1.1 0.8-1.8 ng/dL NL1
T3, FREE 3.0 2.3-4.2 pg/mL NL1
T3, TOTAL 128 76-181 ng/dL NL1
T3 UPTAKE 25 22-35 % NL1
PERFORMING SITE:
Test Name In Range Out Of Range Reference Range Lab
T4 (THYROXINE), TOTAL 8.2 4.5-12.0 mcg/dL NL1
FREE T4 INDEX (T7) 2.1 1.4-3.8
T4, FREE 1.1 0.8-1.8 ng/dL NL1
T3, FREE 3.0 2.3-4.2 pg/mL NL1
T3, TOTAL 128 76-181 ng/dL NL1
T3 UPTAKE 25 22-35 % NL1
PERFORMING SITE:
Best Answer
COMMUNITY LEADER
2 Comments
Hi Barb, thanks so much, yes I forgot. In trying to remember everything, her TSH was 1.31
Her vitamin D was 10. She has been placed on prescription Vitamin D and can tell a difference in just a couple of weeks. The awful sweating is much better.
She has been placed on it for 6 weeks
She has been placed on it for 6 weeks
Dear Barb you have been a huge help.my,sister sees specialist next month. Now my cousin is getting her thyroid checked. The doctor only wanted to do TSH, finally agreed to free t3 and 4 if my cousin would be responsible for cost if insurance denied. Ugh with these doctors. Thanks again, I'll let you know when I find out
Thank you, my Aunt was diagnosed with both Haishimito and Graves disease. All of these people are on my Mom's side of family and I just found out my Grandmother on Dad's side had thyroid problems. Thank you again. I appreciate.
Dee
Dee
COMMUNITY LEADER
The low vitamin D could very well be the cause of the high PTH, however your sister needs to have them both rechecked in a few weeks to make sure levels are normalizing.
Vitamin D is also necessary for proper thyroid hormone metabolism, so getting her level up "might" improve her thyroid function, but I wouldn't count on it...
With her low thyroid hormone levels, we'd expect to see a higher TSH than that, so it's possible she could have central hypothyroidism, which means the thyroid, actually works fine, but there's a problem with either the hypothalamus or the pituitary gland. It's also possible that her levels just haven't gotten low enough to "disturb" the pituitary gland and cause it to start cranking out TSH...
Just to be on the safe side, you might want to tell her to get tested for thyroid antibodies, Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb) to rule out/confirm Hashimoto's... Nodules and swollen thyroid are very common with Hashimoto's.
It doesn't sound silly to tell someone they have to advocate for themselves... if they don't do it, no one will. Thyroid nodules and low vitamin D levels, etc are "not" just things that happen when we get older... some people make it sound like once we reach a certain age our body automatically starts falling apart or certain things go wrong... that's hogwash and just totally upsets me.
Vitamin D is also necessary for proper thyroid hormone metabolism, so getting her level up "might" improve her thyroid function, but I wouldn't count on it...
With her low thyroid hormone levels, we'd expect to see a higher TSH than that, so it's possible she could have central hypothyroidism, which means the thyroid, actually works fine, but there's a problem with either the hypothalamus or the pituitary gland. It's also possible that her levels just haven't gotten low enough to "disturb" the pituitary gland and cause it to start cranking out TSH...
Just to be on the safe side, you might want to tell her to get tested for thyroid antibodies, Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb) to rule out/confirm Hashimoto's... Nodules and swollen thyroid are very common with Hashimoto's.
It doesn't sound silly to tell someone they have to advocate for themselves... if they don't do it, no one will. Thyroid nodules and low vitamin D levels, etc are "not" just things that happen when we get older... some people make it sound like once we reach a certain age our body automatically starts falling apart or certain things go wrong... that's hogwash and just totally upsets me.
Dear Barb thank you very much for answering my question. She is being sent to a specialist. This is actually for my sister.
At first no one would help her. I told her she has a family history of thyroid problems. My Grandmother, Mom, Aunt's and I have all had problems. I had a problem which my GP said I didn't for a few years. I gained weight, I felt like I was dragging all the time. My hair was falling out. I started having panic attacks, that was when a very kind doctor tried me on Cytomel that I lost over 30 lbs. Then my GP took me seriously and tested more than the TSH. This will sound silly but I told my sister she had to be her own advocate, she had to insist on the tests. I could see something was wrong with her neck. I am grateful to you and can't wait for her to see the specialist. They did an ultrasound and found nodules on her thyroid as well. I don't know what that means yet, I am just glad someone finally listened. They kept trying to tell her she was now in her 50's and these things happen. UGH! I will keep in touch and let you know what happens, if you would like to know.
Thank you again, and once again, you are brilliant, yes you are!!
At first no one would help her. I told her she has a family history of thyroid problems. My Grandmother, Mom, Aunt's and I have all had problems. I had a problem which my GP said I didn't for a few years. I gained weight, I felt like I was dragging all the time. My hair was falling out. I started having panic attacks, that was when a very kind doctor tried me on Cytomel that I lost over 30 lbs. Then my GP took me seriously and tested more than the TSH. This will sound silly but I told my sister she had to be her own advocate, she had to insist on the tests. I could see something was wrong with her neck. I am grateful to you and can't wait for her to see the specialist. They did an ultrasound and found nodules on her thyroid as well. I don't know what that means yet, I am just glad someone finally listened. They kept trying to tell her she was now in her 50's and these things happen. UGH! I will keep in touch and let you know what happens, if you would like to know.
Thank you again, and once again, you are brilliant, yes you are!!
This is the test that is out of range, I don't know much about this but her calcium looks good. Her vitamin D is 10. I really appreciate anyones help with this. Thank you Dee. Sorry if I am giving too much information
Test Name In Range Out Of Range Reference Range Lab
PTH, INTACT AND CALCIUM
PTH, INTACT NL1
PARATHYROID HORMONE,
INTACT 83 H 14-64 pg/mL
Interpretive Guide Intact PTH Calcium
------------------ ---------- -------Normal Parathyroid Normal Normal
Hypoparathyroidism Low or Low Normal Low
Hyperparathyroidism
Primary Normal or High High
Secondary High Normal or Low
Tertiary High High
Non-Parathyroid
Hypercalcemia Low or Low Normal High
CALCIUM 9.0 8.6-10.4 mg/dL NL1
PERFORMING SITE:
Test Name In Range Out Of Range Reference Range Lab
PTH, INTACT AND CALCIUM
PTH, INTACT NL1
PARATHYROID HORMONE,
INTACT 83 H 14-64 pg/mL
Interpretive Guide Intact PTH Calcium
------------------ ---------- -------Normal Parathyroid Normal Normal
Hypoparathyroidism Low or Low Normal Low
Hyperparathyroidism
Primary Normal or High High
Secondary High Normal or Low
Tertiary High High
Non-Parathyroid
Hypercalcemia Low or Low Normal High
CALCIUM 9.0 8.6-10.4 mg/dL NL1
PERFORMING SITE:
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The underlying cause could be vitamin D deficiency, renal issues or tertiary hyperparathyroidism.
Your friend should have vitamin D levels tested. If vitamin D deficiency is the underlying cause of the hyperparathyroidism, bringing vitamin D levels up to optimal levels can resolve the issue.
Additionally, her thyroid hormone levels are on the low side. FT4 is only at 30% of range and FT3 is 47% of range; rule of thumb is for FT4 to be mid range and FT3 to be upper half to upper third of range.
Was there a TSH test done?