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Is a TSH level of .81 a concern?

I have an enlarged thyroid and my doctors have tested me on an annual basis and told me there is nothing to worry about.  Over the last 3 years I have experience hot flashes, insomina, forgetfulness, daytime fatigue and worse off all gained 35# in the last 3 years. I am only 35 years old so I dodn't think it is menopause.  My gynecologist recheched my levels and I am now .81 down from 1.2 last year she said the levels are low and should be treated and my internist says it is just fine and declines to treat. Should I ask for more test or should I continue to be fatigued 20 hours out of the day?
Concerned and confused.
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Avatar universal
Hopefully all will understand this. When your TSH drops it indicates hyperthyroidism...In Hypothyroidism your levels raise. .I do not have them backwards in typing....TSH levels can confuse people as they think if it raises it is hyper and lower is hypo...Wrong...Sometimes some symptoms for both are the same.
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Avatar universal
My tsh went from a 1.4 to a .81 in two weeks. My FT3 is 3.7. I have a goiter diagnosed by ultrasound. I don't understand!!!! Does my tsh seem low normal? Doctor is just ignoring me.
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393685 tn?1425812522
Its totally ironic that this post from you appeared here. Just a few short days ago an OB/GYN posted some "expert" activity on Bio-identical hormones and addressed the TSH to me privately along with other things. I requested he publically posted our correspondance together that we had privately and he did! - Here is that link:

http://www.medhelp.org/user_journals/show/223919/Bioidentical-Hormones--Sorting-Myths-and-Facts

take some time and read it - in its entirity... It is valuable to your health.

You actually "fit the bill" on exactly what I was advocating for in the messages we exchanged and the universal testing you are having right now are probably not doing you any service on getting to the root of your issues.

To look at thyroid only right now in your case..... the TSH lab you are having isn't doing you any justice in really seeing the "picture" of the disease at all. Lumping one "pitutiary response" test as the TSH is.. hardly tells anything.

I feel you may have a doctor just like this one that posted that article and may not be taking advatage of the other tests needed to get to the root of your issues and get you balanced back again.

Read the responses on the post above. I think we can walk through many things to help you on this community after your read it so you can get the quality care you need to find out what's going on.

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Avatar universal
I have had hypo thyroid symptoms for a couple years ( I didn't know they were caused by my thyroid..I just thought something was always wrong with me) and luckily on a physical exam a dr realized my thyroid was swollen. I went to get a scan and they found mutiple cysts. After that they tested my thyroid levels and said everything was fine and to not worry (even thought I had symptoms). I went to an endocrinologist and they said the saem thing.  I finally found a Dr. who specializes in integrative medicine (holistic mixed with western medicine).  He took several tests and said indeed I was low (hypothyroidism). I am now in the process of more tests and figuring it all out.  Buyt yes, sometimes your thyroid levels may be normal compared to the scale someone has set...but it might not be YOUR normal for your body. If you have symptoms something is not right in your body. Keep looking for answers and better doctors who will actually listen. Good luck to all of us.
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586424 tn?1232176659
Please don't settle.  I've done that for the last 4 years and now I'm on my quest.  Seriously if your symptoms aren't allowing you to feel normal then obviously something isn't functioning at your body's normal.  And what doctor can look at a lab test and tell you that their scale of normal should be yours????  That's ridiculous!  The fact that you have a lot of Hypo symptoms means you should be treated.  There are a lot of us out here with very similar issues.  I recommend you keep at it.  Find a doctor who will treat your symptoms.  Right now you're in the congregation of the 'holy' lab test, please don't suffer through it.  Hold on to your GYN!  Fire your Internist!  Either find a good Internist or a good Endo.  Please don't let them make you feel like you're complaining because you don't fit into their "textbook" definitions.  

Good luck with finding a new doctor!  Please keep posting, especially if you need answers or support!  Welcome to the community.
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