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Labs

I have been on meds for 7 years now and have never had relief.  Recently, I began really having trouble with my meds.  My recent labs are

TSH 2.34
Free T4 1.32
Free T3 2.7

What does anyone think of these numbers?

My last labs from my endo (5/15/14)
had my TSH at .4
My T4 at 1.4

My doctor refuses to frun Free T3.  I just made an appointment for a new endo,  My primary ran these new labs.  I am miserable.  I feel awful.  Back on March 17th my primary care ran labs

My TSH was 4.8.  I don't have the Free T4 and Free T3 in front of my but my endo increased my meds.
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Avatar universal
You need to always compare thyroid test results with their reference ranges shown on the lab report.  Assuming that the ranges for your tests for Free T3 and Free T4 are close to those we see quite often, then I expect that you are still hypothyroid, mainly because your Free T3 is too low in the range.  

What symptoms are you having?  What thyroid med are you taking?  Dosage?
Have you been tested for Vitamin D, B12 and ferritin?
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Avatar universal
I have to pick up the report today after work.  My primary care who is excellent called.  I take Tirosint 100 mg 5 days a week and 112 2 days a week and Cytomel daily(I think it is 5mg).  

I am very run down, sleeping all the time, no energy. My hair is falling out and my skin feels wierd almost like it hurts. My eyes hurt.   The problem is my endo had me on 100 mg alternating with 112 after my 3/17/14 labs.  She reduced me to the dose I am on now after my 5/15th labs.  She felt I was too close to hyper after the TSH of .4.  She only goes by TSH.  That is why I am moving on to my 6th endo in 7 years.  I have an appointment on 10/13  I am so sick of these doctors.  I never should have had radiation.  That nut after refusing to give me Cytomel or Amour wrote in my medical records that she thought I needed a psychiatrist because I wasn't feeling well.  
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Avatar universal
I noticed you live in Cedar Grove.  I have the name of a doctor that you might consider, in Wayne, NJ.  Interested?
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Avatar universal
Yes please
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Avatar universal
Sent PM with info.  Just click on your name and that takes you to personal page.  Then click on messages.
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Avatar universal
Oh, my dear!  I read you comments with BIG EYES!  I am just embarking on all...this - recently diagnosed.  I am so sorry to hear you've been battling without relief for so many years!  If I weren't so $(&^! TIRED, I'd get out there and organize the THOUSANDS of under-treated and ignored hypothyroid sufferers (mostly women from what I've just read) to picket any and all endo conventions until they WAKE UP and SEE what misery we face. My Dr. just asked me today if I got along with my boss and had a happy marriage...must think it's all in my head, or at least somehow MY FAULT. This attitude must change! Here's hoping endo  #6 will be your enlightened, lucky number!
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Avatar universal
In preparation for your hypo journey, I thought you might like to read this link that was written by a good thyroid doctor.  

http://www.hormonerestoration.com/Thyroid.html

In the link note the statement, "One day, this delusional TSH-based thyroidology will be abandoned and physicians will go back to diagnosing and
treating thyroid insufficiency by clinical criteria--according to the patient's signs and symptoms first, and the FT4 and FT3
levels second. In all cases, doctors will seek to identify and treat hormone and vitanutrient deficiencies first, and will use drugs to
suppress symptoms only as a last resort ."

Also, for info, I tried to establish a dialogue with both the ATA and the AACE, over 4 years ago.  My purpose was to try to get them to explain why they promote TSH so heavily, and to provide some scientific data to support that position and their position that T4 med was the only recommended therapy for hypo patients.  I got no response from the ATA.  From the AACE, after multiple emails back and forth, I was told their positions regarding TSH and how to diagnose and treat hypothyroid patients were evidence based.  When I tried to get them to provide the "evidence", I got nowhere.  

From what I have read, both the AACE and ATA are largely funded by the big pharmaceutical companies.  Since those companies make lots of money from drugs for high cholesterol, depression, high blood pressure, etc. and since thyroid med is not a high profit med, there is no apparent motive for them to change the status quo.  

As for why doctors don't know about all this and change, there are numerous reasons, but the best explanation is in this link.  


http://www.nahypothyroidism.org/why-doesnt-my-doctor-know-all-of-this/
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