Aa
Hypo?
Back in 2011 I had thyroiditis.. I was hyper for 4weeks one day went straight into hypo for 13 days leveled out with no meds. The specialist was surprised. She said I would up hypo which I never did. So its been two and half years. My TSH in April of 2013 was 2.58 normal range is 0.47-4.68 just had blood work for other things yesterday my TSH is now 4.56 normal is 0.47-4.68. My regular doc wants to see me on Monday and is talking about meds. The PA report said TSH is borderline high and may indicate that she is developing some hypothyroid tendencies. So am I at a stage to be treated or wait till its higher? I must be going hypo if it has doubled since April.
wmac
wmac
Your FT3 is at 42% of range, so a little low of the 50+% guideline.
Your FT4 is definitely on the low side. FT3 is, too, though not as bad.
A trial dose of meds might help you feel better.
Please refresh my memory. Have you had antibody tests? Do you know your vitamin D, B-12 and iron/ferritin levels?
Your FT4 is definitely on the low side. FT3 is, too, though not as bad.
A trial dose of meds might help you feel better.
Please refresh my memory. Have you had antibody tests? Do you know your vitamin D, B-12 and iron/ferritin levels?
T3free came back 3.1 normal is 2.3-4.2
That's what I suspected. Doctors often have to put a tentative diagnosis on test orders, i.e. a reason for the test being done. Unfortunately, that often seems not to be updated, and you're not the first person who has found it confusing.
TSH is very volatile. It can change as much as 70% intraday, just depending on the time of the blood draw. It's a very indirect measure of thyroid function. TSH is nothing but a messenger from your pituitary to your thyroid to tell it how much thyroid hormone to produce. FT4 is a much more direct measure and is therefore more important.
Your low FT4 would be treated with thyroid hormones. Typically, T4 only therapy is what most people start on. However, some doctors will use a synthetic combination of T3 and T4 or will use desiccated porcine thyroid.
TSH is very volatile. It can change as much as 70% intraday, just depending on the time of the blood draw. It's a very indirect measure of thyroid function. TSH is nothing but a messenger from your pituitary to your thyroid to tell it how much thyroid hormone to produce. FT4 is a much more direct measure and is therefore more important.
Your low FT4 would be treated with thyroid hormones. Typically, T4 only therapy is what most people start on. However, some doctors will use a synthetic combination of T3 and T4 or will use desiccated porcine thyroid.
well I found out that the DX on my labs were just that they have to put a DX on there before labs.. Its really not my DX. I think doc meant to say hypo.. however with my tsh dropping more how would they treat my 22% FT4?
not ready futher,
I would say avoid the hperthyroid because mimics mania and can cause psychotic. I am in it now.
My levels bouncing for many monthhs.
I really cannot write that cognitive fog is awful and even hypo is horrid.
No magic number except our own, IMHO
Hope you see this
Wellness and Peace
I would say avoid the hperthyroid because mimics mania and can cause psychotic. I am in it now.
My levels bouncing for many monthhs.
I really cannot write that cognitive fog is awful and even hypo is horrid.
No magic number except our own, IMHO
Hope you see this
Wellness and Peace
No I did not.
It's depressing when you don't feel well day after day.
I'll reserve further comment until we see your FT3, but your FT4 is still too low.
Did you ever start meds?
I'll reserve further comment until we see your FT3, but your FT4 is still too low.
Did you ever start meds?
Im pretty tired a lot. Get headaches don't know if thats part of it or not. Im holding my weight I have not loss any but since January I have gained probably 4-5 lbs. Which im happy about that because im so small anyway.I think the memory thing is still an issue not as bad and I just have no motivation. Its kinda depressing.
I think the lab's diagnosis is an old one...something that's followed you since you were hyper. I'm sure that's your original, and not your current, diagnosis.
Nothing in your labs indicates hyper. In order for your labs to indicate (possible) hyper, your TSH would have to be below 0.47, and your FT4 would have to be up close to, or over, 2.19.
Your TSH is in a good place, but your FT4 is still a little on the hypo side. It's only 22% of range, and the guideline for FT4 is around 50%. We'll have to see what your FT3 is of course, but at this point it looks to me from your labs like you need an increase.
Do you still have hypo symptoms?
Nothing in your labs indicates hyper. In order for your labs to indicate (possible) hyper, your TSH would have to be below 0.47, and your FT4 would have to be up close to, or over, 2.19.
Your TSH is in a good place, but your FT4 is still a little on the hypo side. It's only 22% of range, and the guideline for FT4 is around 50%. We'll have to see what your FT3 is of course, but at this point it looks to me from your labs like you need an increase.
Do you still have hypo symptoms?
So here I go again! Had thyroid test again today.. Its been 2 months to the since my last test now it says im hyperthyroidism..
My TSH 3rd gen is 1.65 Normal range is 0.47-4.68
My T4 free is 1.08 normal is 0.78-2.19
waiting on my T3 free still
what the heck is up with me. I know im in normal range but the lab results say Dx is hyeprthroidism. no wonder I never feel well my damn thyroid cannot make up its mind whats it doing.
My TSH 3rd gen is 1.65 Normal range is 0.47-4.68
My T4 free is 1.08 normal is 0.78-2.19
waiting on my T3 free still
what the heck is up with me. I know im in normal range but the lab results say Dx is hyeprthroidism. no wonder I never feel well my damn thyroid cannot make up its mind whats it doing.
Correct. Many of us still don't feel well low in the ranges.
So because my T3 and T4 are in the lower range of normal that is why you are suggesting this right?
Most (not all) of us have symptoms until FT4 is about 50% of range and FT3 over 50%. Of course, if your symptoms go away with lower levels, that's fine and those "rules" don't apply. The object is to feel well. We all have different levels we feel best at. Some people are comfortable with lower levels, some have to be way up in the ranges.
Since you have symptoms, why wait until your thyroid levels go down even further? You'll only accumulate more symptoms that will take longer to recover from. I think it's very unlikely, but if your doctor starts you on meds, and it doesn't help your symptoms, you don't have to stay on it. I'd give it a shot if it were me...
Since you have symptoms, why wait until your thyroid levels go down even further? You'll only accumulate more symptoms that will take longer to recover from. I think it's very unlikely, but if your doctor starts you on meds, and it doesn't help your symptoms, you don't have to stay on it. I'd give it a shot if it were me...
lol... he wanted to start me on meds over a month ago. I thought if my T3 and T4 were in range I was fine. But now that you explain it I get it now. I especially thought that when my tsh was in normal range. So your saying the T3 and T4 need to be higher to not be hypo right? The reason why I said I hope im not going hyper was because my tsh dropped so much. and I didn't have the T3 results back yet I was thinking it would be high.ok if this was you with my results would you want to be medicated?
Ah, the miracle of 21st century communication! LOL
Yes, FT3 of 2.7 would be considered hypo. It's only at 21% of range, a long way from the 50+ rule of thumb.
I think you'd feel a lot better on meds. The task now is convincing your doctor of that. Do you think he'd start you on a low dose of meds as a trial. It doesn't have to be for life; if it doesn't help, you can always discontinue.
Yes, FT3 of 2.7 would be considered hypo. It's only at 21% of range, a long way from the 50+ rule of thumb.
I think you'd feel a lot better on meds. The task now is convincing your doctor of that. Do you think he'd start you on a low dose of meds as a trial. It doesn't have to be for life; if it doesn't help, you can always discontinue.
I do believe this indicating hypo correct gloorra?
I just got my T3free test thank you to online emails and they have a email and chart they send. My T3free is 2.7 normal is 2.3-4.2.
Yes my T3 free was tested with the tsh and T4free last week im waiting for the results. they have to send that one out. I will find out tues probably. I will let you know.
I didn't mean to be harsh with you, but the medical community so overemphasizes the importance of TSH. For so many of us, that has meant misery. In addition, your doctor overemphasizes it. If you are having continuing thyroid issues or possible issues, you are going to have to take control of this yourself and start paying attention to what's really important, which is the actual thyroid hormones, FT3 and FT4.
You haven't had FT3 tested since you were hyper, but as far as your FT4 is concerned, you are nowhere near hyper. Rule of thumb for FT4 is 50% of range, and you are only at 21%. For a number of reasons, thyroid test ranges are very flawed. The whole bottom half of the FT3 and FT4 ranges should probably be considered hypo. This is based on the fact that many of us still feel hypo symptoms until FT3 and FT4 are at or above 50%. So, we would consider you NOT in the "normal" zone. Your symptoms confirm this.
Unless I missed it above, this is the first time FT4 has been tested since you were hyper. So, we have nothing to compare how FT4 might have changed as TSH went down. We see all the time TSH having wide swings while FT4 remains the same or similar or may even move in the "wrong" direction (i.e. TSH goes down and so does FT4 or vice versa). Trust your symptoms. Insist on FT3 and FT4.
Your symptoms are unlikely to resolve on their own.
You haven't had FT3 tested since you were hyper, but as far as your FT4 is concerned, you are nowhere near hyper. Rule of thumb for FT4 is 50% of range, and you are only at 21%. For a number of reasons, thyroid test ranges are very flawed. The whole bottom half of the FT3 and FT4 ranges should probably be considered hypo. This is based on the fact that many of us still feel hypo symptoms until FT3 and FT4 are at or above 50%. So, we would consider you NOT in the "normal" zone. Your symptoms confirm this.
Unless I missed it above, this is the first time FT4 has been tested since you were hyper. So, we have nothing to compare how FT4 might have changed as TSH went down. We see all the time TSH having wide swings while FT4 remains the same or similar or may even move in the "wrong" direction (i.e. TSH goes down and so does FT4 or vice versa). Trust your symptoms. Insist on FT3 and FT4.
Your symptoms are unlikely to resolve on their own.
I should have stated I hope im not going hyper.. Forgot to get my T3free results today. Ok goolarra what should i pay attention to? Im tired memory *****.. if im in normal zone i shouldn't worry. I am just saying im glad i didn't medicate a month ago like the doc wanted me to when my tsh was high normal.
You're paying WAY to much attention to your TSH. It can change that much within a day, never mind over a month. Your FT4 is only 21% of range. There is no way you are hyper.
How are your symptoms?
How are your symptoms?
Had TSH tested again to and now it dropped to 2.48 normal is 0.47-4.68 my T4 free is 1.08 normal is -.78-2.19 good thing I didn't medicate. Cant believe the tsh dropped by a little more than half. weird. one month ago my tsh was 4.56. I sure hope im not hyper.
Do you have the option of doing it sooner? I thought your doctor wanted to retest in a month before prescribing???
Numbers can change pretty fast, as you've experienced.
Numbers can change pretty fast, as you've experienced.
So I was going to wait till Feb 8 to have my TSH retested and have the fT3 and FT4 tested, but I have been so dang tired should I do it sooner? Can my numbers change that fast? When I had thyroiditis they went fast!
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