Lab values need help interpreting for Thyroid disorder

[Wirewaist2]

Experiencing Hyperthyroid symptoms, Lab values:  TSH 1.78 (0.40-4.50) FT4 1.0 (0.8-1.8) FT3 2.6 (2.3-4.2) Endo has placed me on Tirosint (Levothyroxine) 13mcg, this med treats Hypothyroid symptoms.  Should I be concern? Please help me interpret lab values.  I also thing this med is making my heart race even more.

[Red_Star]

I actually didn't say optimal. Geez I'm having a good day lol. I'll just repost my message eh? :)

The internal tremors should go away when your thyroid hormone levels rise (that is if the internal tremors are from not enough thyroid hormone). This is also a possible symptom of hyperthyroidism (link on medhelp below if you want to read the comments). I have also had internal tremors from magnesium deficiency and kidney failure (acidic pH).

When I first started thyroxine, I had a week of hyperthyroid symptoms followed by a month of worsening hypothyroid symptoms. You might find you also take some time to feel better as well.  

http://www.medhelp.org/posts/Thyroid-Disorders/internal-shaking/show/732770

[Red_Star]

I wasn't sending that message to myself lol. To clarify, I have issues at a cellular levels so while some hypothyroidism symptoms are gone or improved, there are quite a few hypothyroid symptoms that will not go away until I'm hyperthyroid.

[Red_Star]

Yes I no longer suffer internal tremors. I mentioned having optimal thyroid levels to get rid of this symptom but actually I still have various hypothyroid symptoms but the internal tremors is one of my symptoms I no longer have.  Did you access your message from medhelp? On your home page is messages (next to account settings). Click on that and then click on the message "internal tremors".

[Wirewaist2]

I wanted to know if you were able to get rid of them.  

[Wirewaist2]

Hi Red_Star

I think you sent me an answer on "internal tremors" was not able to see the complete answer.  Would you mind posting it here?

[Wirewaist2]

Hi Red_Star,
Thanks for responding, your answer about the internal tremors associated with Hypothyroidism has helped a lot.  My PC wanted to put me on anxiety meds, but I refused.  I knew something was physically off in my body.  Thanks again.

[Barb135]

I had rapid heart rate when I was very hypo.

[Red_Star]

From your list of symptoms, my hypothyroid symptoms - internal tremors, fatigue, weakness, joint pain, hair loss. I can't feel my heart rate (weird I know lol) but when it's rapid it's due to too much thyroid hormone.

[Wirewaist2]

Sorry, post before I was finish writing.  They did not do the TT because removing the left lobe took almost 4 hours.  The Surgeon also suspect nerve damage, and decided not to proceed with the right side because it seem fine on examination.  They also did not want further complications.

[Wirewaist2]

No, I was not on meds.  My PC saw my neck was swollen during a physical and order a TSH W/Reflex to FT4.  The results came back as 1.15 in "Normal Range".  I was quite naïve I did not asked forT3 or T4 testing.   I then had an ultra sound to determine size of nodules.  Also had FNB and the Endo who perform the procedure suggested that I remove the Thyroid.  It was suppose to be a TT, but during the surgery,  they found out the nodules were larger than the ultra sound revealed.  It had also wrapped itself around my Trachea.  I am also seeing an ENT due to Laryngeal nerve damage.

[Barb135]

Wow - you had quite the knot on thyroid and it seems they were a bit "unruly", as well, not wanting to stay in one place.  Were you on any thyroid meds at that time?

Technically, your AB results are negative for autoimmune thyroid disease, because they are less than the reference range, but I sit on the fence when AB results have an actual number, such as your TPOab of 15, with a range < 35...  I know it doesn't work this way, but in my mind, if a result is negative, it should be zero.

Nodules are very common with autoimmune thyroid disease and it's possible that your antibodies just haven't ramped up yet.  Personally, I'd ask to have AB results tested again in 6 months to a year.

[Wirewaist2]

I had 4 large nodules on the left side of the thyroid, the largest was 7cm.  One nodule had wrapped itself around my windpipe and was still growing. The internal tremors are a shaking or jitteriness that cannot be seen on the outside.  The twitches are sudden movements around the lips, arms and legs.  What is your opinion on the AB results?    

[Barb135]

Why did you have to have a thyroid lobe removed?

I had all of your symptoms, with the exception of "internal tremors" (not sure what you mean by that) when I was very hypo.  I was put on a beta blocker for a while to the HR; palpitations went away once my thyroid hormone levels were adequate for me.  Fatigue, weakness, joint pain and hair loss are all symptoms of hypothyroidism.  

Can you explain the twitching around the lips, arms and legs?  Is it an actual twitch or is it a "need to move"?

[Wirewaist2]

Hi Barb135,
I appreciate you answering so quickly.  I was tested, had Thyroid Peroxidase AB.  Results: 15  Ref Range <35.  Also had Thyroglobulin Results <20 Ref Range <20.  My symptoms are constant internal tremors, palpitations,rapid HR, fatique, weakness, twitching around the lips,arms and legs, joint pain, hair loss. Endo did place me on 13mcg of Tirosint, started it 2 days ago, concern that this is still causing palpitiations. I had left thyroid lobectomy 7 weeks ago.  Trying my best to understand and educate myself on thyroid issues.  

[Barb135]

Exactly what symptoms are you experiencing?  Many symptoms "cross over" and can apply to either hyper or hypo.  Your FT3 and FT4 indicate that you are hypo.

Have you been tested for thyroid antibody tests to determine whether or not you have Hashimoto's?