TSH is a pituitary hormone that is affected by so many things, including the time of day, that the increase itself is not something to be concerned about. Even though within range, your prior levels are higher than most people with no thyroid pathology. So that is something that needs to be evaluated. With those symptoms we really need to evaluate your T4 and T3 test results compared to their reference ranges. Also you need to get some further tests done. We can discuss those later. For now can you please try to get those T4/T3 results and ranges posted for us to review?
August 2017 tsh 4.02
T3- I will post these tomorrow when I get back in I got locked out from the wrong password
T4-
Thyroglobulin antibody <1.0
January tsh .64 taken in ER did not get t3, t4,
June 20 2016 tsh 3.340
T3- 3.4
Free thyroxine T4- 1.15
Thyroglobulin <1.0
Thyroid peroxidase 11
June 1 2016 tsh 3.51 also ER visit not tested for T3, t4
January 2016 tsh 2.410
T4 1.24 blood work from gyn did not do a t3 test
August 2015 tsh 3.5
T4 1.26
T3 3.5
Anti thyroglobulin antibody <1.0
Thyroid peroxidase 8
Hi here are the august levels. Any insight would be appreciated!! Thank you for your help!
August 2017 tsh 4.02
T3- 3.2
T4- 1.07
Thyroglobulin antibody <1.0
Thyroid peroxidase 12
I have included the references ranges as well as vitamin d and folate etc August 2017 tsh 4.02
Triiodothyronine free 3.2 range 2-4.4
T4- free 1.07 range .82-1.77
Thyroglobulin antibody 3.0
Lipid panel
Cholesterol 185 range 100-199
HDL 51 range >39
LDL 118 range 0-99
Triglycerides 81 range 0-149
VLDL cholesterol cal 16 range 5-40
What were the reference ranges shown on the lab report for the Thyroglobulin antibodies and the Thyroid Peroxidase antibodies tests?
Your Free T4 of 1.07 is only at 26 % of its range. Most doctors would tell you that is adequate; however, the ranges are far too broad, due to the erroneous assumptions used to establish ranges for both FT4 and FT3. Your Free T3 is at 50%, higher in range than your Free T4, which is not usually the case. The reason, and some good information for help in diagnosing your status, is in the following quote from an excellent thyroid doctor.
"The free T3 is not as helpful in untreated persons as the free T4 because in the light of a rather low FT4 the body will convert more T4 to T3 to maintain thyroid effect as well as is possible. So the person with a rather low FT4 and high-in-range FT3 may still be hypothyroid. However, if the FT4 is below 1.3 and the FT3 is also rather low, say below 3.4 (range 2 to 4.4 at LabCorp) then its likely that hypothyroidism is the cause of a person's symptoms."
When evaluating for potential hypothyroidism, the most important consideration is symptoms. You have mentioned a few that can be related to hypothyroidism. Do you have any others in this list of 26 typical symptoms of hypothyroidism?
http://endocrine-system.emedtv.com/hypothyroidism/hypothyroidism-symptoms-and-signs.html
In addition it is important of note that thyroid status is a function of what is called tissue thyroid hormone levels and effects. Serum thyroid hormone levels do not always reflect tissue thyroid levels since it is affected by several processes and variables. For that reason I highly recommend reading at least the first two pages of the following link, and more if you want to get into the discussion and scientific evidence for all that is recommended. Note on page 2, Suggestion 4, the additional tests that should be done for you. Those include Reverse T3 (and a Free T3 from the same blood draw), cortisol, Vitamin D, B12 and ferritin. All are important for a potential hypothyroid patient.
http://www.thyroiduk.org.uk/tuk/TUK_PDFs/diagnosis_and_treatment_of_hypothyroidism_issue_1.pdf
So when you have a chance to read through all this you will realize that you need some additional tests and also need to be given a therapeutic trial of thyroid med adequate to raise your Free T4 and Free T3 levels and determine the effect on your symptoms. Typically if cortisol is adequate, then Free T4 should be at least mid-range, and Free T3 in the upper third of its range, and adjusted as needed to relieve symptoms. Do you think your doctor would be agreeable to the additional testing and clinical treatment, rather than just based on test results?
Thanks for the info! Would you say I need to be treated with meds? I seem to be somewhat sensitive to medicine and try to avoid taking them if possible but would throw be necessary in this case?
Thyroglobulin antibody 3.0
Thyroglobulin antibody 3.0
It won't let me post my other ranges for some reason it keeps cutting them off. I will try again thyroglobulin antibody 3
In looking at those symptoms I have tiredness and fatigue, I have low pressure which seems to be the opposite of mild high on the list and would say my heart rate tends to be faster, I notice an increase in my cholesterol, but I have also been eating not well. I am thin 104 5'2 and have maintained my weight without working out. I haven't been working out because my dizziness has been so extreme it will last for months and randomly go away
With those symptoms you surely need to get the additional tests done. Once those results are available, I think it will be evident that you need thyroid med adequate to raise your FT4 and FT3 levels and confirm the benefit toward relieving your symptoms. Do you think your doctor would be agreeable to the additional testing and clinical treatment, rather than just based on test results?