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[Lisa7489]

Haven't been feeling well, tired, body aches.
I went to my family dr and had some labs ran.
My mother and sister are both hypo. Dr checked my TSH and T4.
TSH 0.006 T4 1.57
Recheck 1 1/2 weeks later
TSH 0.007 T4 1.61
I have an appt in a few days to discuss results with family dr and will be also seeing an endocrinologist
In the near future.
Any advice?

[Lisa7489]

Thanks, I will see my family Doc Tuesday, lots of questions to ask her. I am taking 2000 IU of Vitamin daily.
Thank you for your help.

[Barb135]

When will you have the result for the antibody test?  You really need to have all 3 of the antibody tests I mentioned above, or you could be misdiagnosed.

Your FT4 is higher than it should be and your TSH is very low.  You should try to get your doctor to do a Free T3 test, as well.  FT3 is the actual hormone used by the individual cells, whereas FT4 is a storage hormone, that has to be converted to FT3.  

Are you supplementing vitamin D?  Low vitamin D can cause some thyroid-like symptoms.

Have you been tested to determine whether you are in peri-menopause?

Your symptoms indicate hyper, but since your main symptom is tiredness, you might ask your doctor to test your Vitamin B12.

[Lisa7489]

Thank you, it was Free T 4 ref range 0.80-1.80
Tsh ref range 0.400-4.5
I had an thyroid antibody test ( not sure which one) I do not know those results yet.
I also have low Vitamin D  of 20 ( range 30-100)
I had an anti nuclear antibody IFA which was negative.
I have a high pulse rate, usually around 90+
Thinning hair, light menses, however I am 46. Main symptom is tiredness and just don't feel right.
Thank you!

[Barb135]

Your results indicate that you have hyperthyroidism, which is over active.

Is that T4, Free or Total?  Total T4 isn't nearly as useful as Free T4.  What's the reference range as shown on the lab report?  Ranges vary lab to lab and have to come from your own report.

You should ask to get tested for thyroid antibodies.  You could have, either, Graves Disease or Hashimoto's Thyroiditis.  Thyroid Stimulating Immunoglobulin (TSI) is the definitive test for Graves, which is always associated with being hyper.  The tests you need for Hashimoto's are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TGab).  While Hashimoto's is most often associated with hypothyroidism, it's often characterized by periods of hyperthyroidism in the beginning stages.  The patient can swing from hyper to hypo and even have periods of "normal".  

Some symptoms, such as the feeling tired, muscle aches, etc can "cross over" and apply to either/both hyper and hypo.  The most telling symptoms for hyper are weight loss for no reason and diarrhea.  The most telling symptoms for hypo are weight gain/inability to lose and constipation, dry skin, etc.