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High TSH normal FT3 & FT4-Looking for your thoughts on my Labs.
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.
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.
Yes sure did, she will retest my TSH, FT3 and FT4 in a month and see how I feel. She even told me she usually sees people feeling the best with a TSH of 2 or under but of course looks at the other tests and how someone feels also. She is on top of it. :)
Sounds like the doctor is going in the right direction. Did you ask the doctor about clinical treatment as I described?
Finally got a diagnosis today of Hypothyroidism with possible adrenal problems too. Well be doing a saliva test to look closer at the adrenals. So happy with this ND I'm working with she is great!
Thanks so much Grimel. I just couldn't warp my head around the RT3 ratio tonight and wanted to be prepared as much as possible when I go in this Thur. again and hope my brain is working too. lol I feel this ND is showing a lot a promise for me, I have my hopes up that she will work out well. Keeping my fingers crossed.
Here is a definition for Free Thyroxine Index,
"The Free Thyroxine Index (FTI or T7) is obtained by multiplying the total T4 with Tuptake.[2] FTI is considered to be a more reliable indicator of thyroid status in the presence of abnormalities in plasma protein binding.[2] This test is rarely used now that reliable free thyroxine and free triiodothyronine assays are routinely available."
The FTI, Total T4 and Total T3 are almost a waste of time and money. Don't know why they keep doing them.
The Free T3 to Reverse T3 ratio is calculated by multiplying the Free T3 result by either 10 or 100, depending on what source you follow. Then you divide by the Reverse T3 result. A good ratio is reported to be a minimum of 1.8 (or 18), depending on whether you multiplied by 10 or 100. Your ratio is fine (3.4 times 10 divided by 14, equals 2.4).
So from all the tests done so far it seems that your problems are that you Free T4 and Free T3 are too low in the range, and are made worse by your very low Vitamin D level. So from what the ND said, you should be able to get a prescription for thyroid med at your appointment next week. While there I would also ask specifically if the doctor is going to treat you clinically, by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. It would be good to find out about that right up front.
"The Free Thyroxine Index (FTI or T7) is obtained by multiplying the total T4 with Tuptake.[2] FTI is considered to be a more reliable indicator of thyroid status in the presence of abnormalities in plasma protein binding.[2] This test is rarely used now that reliable free thyroxine and free triiodothyronine assays are routinely available."
The FTI, Total T4 and Total T3 are almost a waste of time and money. Don't know why they keep doing them.
The Free T3 to Reverse T3 ratio is calculated by multiplying the Free T3 result by either 10 or 100, depending on what source you follow. Then you divide by the Reverse T3 result. A good ratio is reported to be a minimum of 1.8 (or 18), depending on whether you multiplied by 10 or 100. Your ratio is fine (3.4 times 10 divided by 14, equals 2.4).
So from all the tests done so far it seems that your problems are that you Free T4 and Free T3 are too low in the range, and are made worse by your very low Vitamin D level. So from what the ND said, you should be able to get a prescription for thyroid med at your appointment next week. While there I would also ask specifically if the doctor is going to treat you clinically, by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. It would be good to find out about that right up front.
Ok more labs just came in for the 9/11/14 testing
RT3=14 (8-25 ng/dl)
T3=92 (76-181 ng/dl)
T4=6.0 (4.5-12.0 mcg/dl)
FREE T4 INDEX DNR (1.4-3.8) This was under the T4 lab,never seen this anywhere in my research do you have any idea what this is?
I'm still not clear about RT3 ratios and still reading on it. Can you tell me how to figure and what that would mean for me?
Thanks for all your help.
RT3=14 (8-25 ng/dl)
T3=92 (76-181 ng/dl)
T4=6.0 (4.5-12.0 mcg/dl)
FREE T4 INDEX DNR (1.4-3.8) This was under the T4 lab,never seen this anywhere in my research do you have any idea what this is?
I'm still not clear about RT3 ratios and still reading on it. Can you tell me how to figure and what that would mean for me?
Thanks for all your help.
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