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High TSH and Thyroid Peroxidase Antibodies, but normal T3 and T4
I'm a little confused about my test results, and I'm hoping that I can get some insight from the community.
Here are my results
TSH is 5.76
FT3 is 3.0
FT4 is 1.1
Thyroblobulin Auto Antibody is 27.9
Thyroid Peroxidase Auto Antibody is 453
Thyroid is enlarged, but I hadn't noticed until my Dr. discovered this (and sent me for an ultrasound to confirm).
What does this mean? Since my T3 and T4 are in normal range, putting me on replacement therapy wouldn't really do anything would it?
Also, my blood test revealed a vitamin D deficiency. If was 17.
Here are my results
TSH is 5.76
FT3 is 3.0
FT4 is 1.1
Thyroblobulin Auto Antibody is 27.9
Thyroid Peroxidase Auto Antibody is 453
Thyroid is enlarged, but I hadn't noticed until my Dr. discovered this (and sent me for an ultrasound to confirm).
What does this mean? Since my T3 and T4 are in normal range, putting me on replacement therapy wouldn't really do anything would it?
Also, my blood test revealed a vitamin D deficiency. If was 17.
my wife recently detected with thyroid problem her T3 value is 3.29 pg/ml and T4 value is 0.69 ng/dl and TSH value is 25.21 microIU/ml is there any problem with this value, some time she is suffring from back pain, weakness, bone pain and breathing problem weather this is because of high TSH value , weather any remidy on this deseases at present she is taking LETHYROX 50 Tablet once before breakfast , weather this tablet is sufficent to recover this problem. please guide which diet should we follow.
my sons T3 VALUE IS 162 ng/dl range is 60-200 and T4 value is 13.3 range is 4.5 -12 micro gm / dl TSH is 2.31 micro I U /ml range is 0.3 -5.5 let me know weather he is having any problem with this reading
It would be very helpful if you can give us the reference ranges for the Free t3 and Free T4 tests results for your wife. Since she is having some symptoms that can relate to thyroid issues, I expect that both Free T3 and free T4 may be too low in the range for her. TSH is a pituitary hormone that is affected by many things, such that it is totally inadequate as a diagnostic by which to medicate a hypothyroid patient. Also, be aware that TSH does not cause symptoms. It is only a poor indicator of thyroid status. Free T3 is the most important test, since Free T3 largely regulates metabolism and many other body functions. Also, Free T3 has been shown to correlate best with hypo symptoms, while Free T4 and TSH did not correlate at all.
Also, since hypothyroid patients also are frequently too low in the range for Vitamin D, B12 and ferritin, I suggest that she should be tested for those as well.
The whole point of thyroid treatment is to relieve symptoms. A good thyroid doctor will test and adjust Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.
It was not clear if your wife's test results were from before starting the medication, or after. At any rate, her meds will need to be adjusted to relieve symptoms. So you will need to get the doctor to agree with clinical treatment for symptoms, rather than just based on test results.
Each time she goes in for tests, you should make sure it includes Free T3 and Free T4. Also should find out her levels for Vitamin D, B12 and ferritin. If you will get those done and post here, along with their reference ranges shown on the lab report, members will be glad to help interpret and advise further.
Also, since hypothyroid patients also are frequently too low in the range for Vitamin D, B12 and ferritin, I suggest that she should be tested for those as well.
The whole point of thyroid treatment is to relieve symptoms. A good thyroid doctor will test and adjust Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.
It was not clear if your wife's test results were from before starting the medication, or after. At any rate, her meds will need to be adjusted to relieve symptoms. So you will need to get the doctor to agree with clinical treatment for symptoms, rather than just based on test results.
Each time she goes in for tests, you should make sure it includes Free T3 and Free T4. Also should find out her levels for Vitamin D, B12 and ferritin. If you will get those done and post here, along with their reference ranges shown on the lab report, members will be glad to help interpret and advise further.
As for your son, I see nothing in those test results to be concerned about. Was he having symptoms that caused you to get him tested?
regarding my son he studing in std 3rd and his weight is 35kg but i never seen him complaining about tirdness or bones paining and i not realise any change in his sound because of T4 value is 13.3 and range is 4.5 - 12 micro gm /dl i think this value is slightly higher i would like to know weather this value affect for his weight gaining or he is normal doctor says not to worry, my wife thyroid report are as follows free T3 3.29 RANGE 1.4 -4.4 pg/ml, free T4 0.69 RANGE 0.8 -1.8 NG/DL , TSH 25.21 RANGE 0.45 - 4.5 micro IU/ml i would like to know weather above value affect to her body symptoms which i already explained on my previous question and let me know LETHYROX 50 tablet is sufficient for solved out this problem or should i think about homeophathy medecine please guide me in this connection
I agree with your doctor regarding your son. Your wife's Free T4 level needs to be increased to around the middle of the range. The Lethyrox 50 is a step in the right direction. After she has been on that dosage for about 6-8 weeks, it would be good to go back and test again to see the result, and see if she needs to increase dosage. While there I would also recommend that she should be tested for Vitamin D, B12, magnesium, ferritin, and a full iron test panel.
When test results are available, please post them along with reference ranges, and members will be glad to help interpret and advise further.
When test results are available, please post them along with reference ranges, and members will be glad to help interpret and advise further.
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Beyond that, a test result like yours, for TPO ab, almost always means Hashimoto's Thyroiditis, which is the most common cause for diagnosed hypothyroidism. If I assume that the ranges for your Free T3 and Free T4 are similar to those seen so often, then your Free T3 and Free T4 are within the so-called "normal' range, but your Free T3 is in the lower half of its range, which frequently is accompanied by hypothyroid symptoms. The range is too broad to really be a functional range, due to the erroneous way it was established. Your Free T4 would be considered as adequate.
So first, please post the reference ranges for the Free T3 and Free T4, as shown on the lab report. Second, please tell us about any symptoms you are having. Third, I suggest that when you go for testing again, you should also request to be tested for Vitamin B12, and ferritin. Even though men are usually assumed to have adequate iron levels, ferritin is so important for someone that is treated for hypothyroidism, you need to make sure your level is adequate.
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