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New T4 and TSA Test Results


I have my test results and I am taking 15MG Methimazole a day since 5/25 and the Endo told me to continue taking the same dosage until next month's blood result.  I still have symptoms and hence I am taking proprenolol to relief them.  My symptoms are not be able to sleep, low anxiety, high blood pressure (In the pre-Hyperthyroid, my blood pressure tended to be on the low side), and warm.  I see that my T4 Free range is within normal range, but not TSA.  Anyone can offer their opinion as to why I am still having these symptoms.

Thanks so much and Happy 4th!

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Avatar universal
Your FT4 is at 56% of its range.  Your Total T3 is only at 9%, but instead of a TT3 you need  a FT3 test, which should be done every time you go for thyroid tests.

Those test results don't scream hyper, but your symptoms still do.   So you either have to give it a bit more time to see if you have the full effect of the 15 mg or assume that you may need a slight increase in your Methimazole.   What does the doctor say?
I am sorry, I don’t have all the symptoms below.  I miss understood your question.  I am not as hungry as before.  I am not loosing weights nor gaining weights.  My blood pressure is normal and I don’t have rapid heart beat anymore.

The only symptoms I have left are the nervousness, anxiety and irritability, especially the anxiety.  However, the biggest challenge is not be able to sleep.  I am taking 10MG doxepin every night to sleep.  Some times I get no sleep at night, 4-5 hours, or 8 hours.  

My doctor told me to stick with 15MG of methimazole for another month.  If I develop hypo symptoms, she asked me to call her and she will adjust my med.  Other then that, my doctor will order my blood work another 4 weeks and she will see me in 5 weeks.

Sorry, one more symptom, I still feel warm when sleep.  Not as hot as before.  
The T3 I stated earlier is triiodothyronine.  Not sure if is free T3 test.

Triiodothyronine T3 81. Range 71-180
That is a total T3 test.  You can verify by looking at the units of measure. which would be ng/dl.  Free T3 is usually measured in Pg/ml.  Free T3 is the one you always want to get tested.  
Do you know why when my Free T4 result is within the range and I am still having symptoms of nervousness, anxiety, irritability, not sleeping, and burning hot inside?  These symptoms are driving me crazy.  When I take Propranolol in the morning, the symptoms stayed for a while before taking effect.  I wonder if I should take 3  10MG of propranolol a day instead of 2.

All I can suggest is that your body has not adjusted to the current conditions.  We do know for example that it is the FT3 effect in cells that largely regulates metabolism.  We also know that symptom changes lag changes in serum thyroid levels.  So you might continue to feel those symptoms for  a while yet.  If taking the Propanol helps, you might ask the doctor about increasing dosage.
Thanks so much!!
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Avatar universal
Sorry, but the symptoms you mentioned are not definitive enough, so before commenting further, please review the  following lists of typical symptoms and tell us which, if any you have.  


Unintentional weight loss, even when your appetite and food intake stay the same or increase
Rapid heartbeat (tachycardia) — commonly more than 100 beats a minute
Irregular heartbeat (arrhythmia)
Pounding of your heart (palpitations)
Increased appetite
Nervousness, anxiety and irritability
Tremor — usually a fine trembling in your hands and fingers
Changes in menstrual patterns
Increased sensitivity to heat
Changes in bowel patterns, especially more frequent bowel movements
An enlarged thyroid gland (goiter), which may appear as a swelling at the base of your neck
Fatigue, muscle weakness
Difficulty sleeping
Skin thinning
Fine, brittle hair


Increased sensitivity to cold
Constipation (need laxative or fiber)
Dry skin Need to use skin creme)
Weight gain
Puffy face
Muscle weakness
Elevated blood cholesterol level
Muscle aches, tenderness and stiffness
Pain, stiffness or swelling in your joints
Heavier than normal or irregular menstrual periods
Thinning hair
Slowed heart rate
Impaired memory
Enlarged thyroid gland (goiter)
Helpful - 2
I have everything you mentioned from hyper except no goiter.
This is my third blood result

TSH 0.009. Range 0.450-4.500
T4 Free 1.35. Range 0.82-1.77
T3 81. Range 71-180
Avatar universal
Also, please post your actual FT4 result and range.    What is TSA?
Helpful - 1
Sorry, it’s a typo.  I meant TSH.  Thanks!
Avatar universal
Please add this new info to your prior thread, so that we can see everything in one place and answer your questions easier.  
Helpful - 1
I don’t know how to upload my blood result.  These are the info.

TSH 0.009. Range 0.450-4.500
T4 Free 1.35. Range 0.82-1.77
T3 81. Range 71-180

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