High TSH normal FT3 & FT4-Looking for your thoughts on my Labs.

[Tiredsleepymama]

Just looking for input on my labs and symptoms.  What are your thoughts?

Symptoms:  Tired all the time, Can't concentrate, forgetful, always cold, cold sweats, brittle nails, thinning of hair at temples, dry hair, not sleeping well, puffy and a little dark under eyes, whiskers on chin,  anxiety, depression, aching legs at night at times, dizzy/lightheaded, low libido , out of breath at times, no energy, and new to list tinnitus and light stabbing feelings around heart.

TSH 5.20 (0.45-5.10)
FT3 2.7 (2.3-4.2)
FT4 1.1 (0.7-1.5)
Thyroglobulin Autoantibody <0.9 (0.0-4.0)
Thyroid Peroxidase Auto AB 0.3 (0.0-9.0)

Notes from lab:  "No clear evidence of thyroid dysfunction.  Would repeat reflex TSH in 3 months."  (This would mean I have to wait until Aug. and I am not on any meds.)

The test below is looking at possible diabetes. This test is non fasting and I just drank a milkshake before I came in. I am wondering if thyroid would mess with your sugar too?
Glucose was also high 123 (65-99)  
AC1 5.4 (4.0-5.6)

Lab note summarizing:  5.7-6.4% indicates an increased risk for diabetes mellitus.  AC1 values of  greater than or equal to 6.5% are diagnostic of diabetes mellitus.  Anemia may yield falsely high results.  (thinking I should be tested for anemia too then.)

Had a really bad night last night.  Tossed and turned and felt really achy around heart off and on, legs were a bit sore too.  Feel nauseated this morning a little.  Any thoughts would be appreciated.

[Tiredsleepymama]

Ok that does make sense.  It will be interesting to see what the FT3 did, I'll let you know.  At least I'm not feeling worst.  lol

[gimel]

I would not yet expect you to be feeling any better at this point, with the limited test results showing that your Free T4 has not risen and is actually lower than before meds.  That is not unusual because as you start taking meds, your body responds by reducing TSH, which then reduces your output of natural thyroid hormone.  Since serum thyroid levels are the sum of both indogenous and exogenous sources, tfrequently your serum levels won't actually start rising until TSH is no longer a significant factor, only the dosage of your thyroid meds.    That is why it is good to test every 4 weeks or so, and gradually increase dosage as necessary to relieve symptoms.  

[Tiredsleepymama]

I just started med a month ago, first time I've ever been on any.  Nature Thyroid 32.5 mg (1/2 grain).

[gimel]

Maybe I overlooked the info, but what med and dosage did you start with?  What med and dosage are you taking now?  If you changed, when did that occur?

[Tiredsleepymama]

Correction:  Range for FT4  (0.93-1.70)

[Tiredsleepymama]

Well here is a bit of an update after being on Nature Throid for a month

TSH  1.78 (.27-4.50)
FT4  0.88 (.093-1.70)  LOW

FT3 is still not done but was tested, I will add when it comes in.  Any thoughts on why my FT4 went this low?  Wasn't this low when I stated.  Still not feeling really any better.