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TSH Level

I went to the doctor's in August and had my TSH level checked because I am trying to get pregnant and I am not getting my period regularly or ovulating. Anyway...  I went back to the doctor last week and the retested my TSH and it was at 47.8! Is that possible? Do you think they made a mistake? Could it be 4.78? They also took a ultrasound of my thyroid and it came back that the tyroid is enlarged. My FT4 & FT3 are both .4 below what is average.
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Avatar universal
I am scheduled to go back in 8 weeks from now. How long does it usually take before you start to feel better? Is it common to feel worse before better? The last couple of days seem to be worse for some reason. Thanks for all your feedback, it's so nice to hear from others that know information.
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Avatar universal
A positive TPOab is considered adequate to diagnose Hashi's, but a negative does not eliminate the possibility since some of us are TPOab positive, some TGab positive and some both.

Those are all pretty classic symptoms, so they will go away once your levels come up.  I'm glad to hear your doctor started you on meds.  Most of us were amazed how many of our symptoms were thyroid related.

When are you scheduled for re-testing?
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Avatar universal
THYROPEROXIDASE AB <1  Standard range 0 - 8 IU/ml

Above is the TPO test, but I don't believe I got the TGAB test. My doctor said that it wasn't conclusive for Hashi Thyroid. I started levothyroidxone .100 mg once a day. I just started them three days ago.

As far as symtoms go, I feel tired a lot, never well rested. I have a really hard time getting up in the mornings, I hit snooze for about an hour before I get out of bed. Throughout the day I have low energy. I am a teacher so that is never fun. I am also irritable and my husband usually see's this side of me unfortunately. Someday's I feel sad and depressed, but this isn't everyday, but more than it should be considering there isn't a real known reason why I should be feeling this way. I have muscles aches especially in my neck, shoulder area along with in my ankles and hips. Unfortunately I have also gained weight without really changing my eating habits or excercise regime. My doctor actually pointed out that I have gained about 22 lbs since last March. Needless to say I knew I had gained weight, but didn't really want to face the truth.

Will those symptoms subside with the med? I sure hope so.....
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649848 tn?1534633700
COMMUNITY LEADER
My TSH was 54.5 at diagnosis, and as goolarra said, we often see people whose TSH is in the hundreds.  

With FT3 and FT4 levels that low, I'm really curious as to how you are feeling, and what, if any symptoms you have, other than the ovulation issue.  
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Avatar universal
Well, as you can see, your FT3 and FT4 levels are both below range.  Furthermore, what is "average" is right around midrange of these ranges.  So, your FT4 is really 1.1 below average, and your FT3 is 1.6 below average.  Many of us find that FT4 has to be midrange or above and FT3 in the upper half to third of the range before symptoms are relieved.  That formula doesn't work for everyone, but it's a place to start until we find our own personal comfort range.

With FT3 and FT4 that low, it's not at all surprising that your TSH is 47.8.

I'd suggest you have TPOab (thyroid peroxidase antibodies) and TGab (thyroglobulin antibodies) tested to see if you have autoimmune thyroid disease (Hashimoto's thyroiditis), the most prevalent cause of hypo in the developed world.  Were nodules detected on your U/S?

Has your doctor started you on thyroid meds yet?  It's very important to get your thyroid condition stabilized before conceiving.  Pregnancy and childbirth can wreak havoc on even healthy thyroids, so any known problems are best addressed ahead of time.  Thyroid hormones and reproductive hormones are both part of the endocrine system, which is all interrelated.  There's a good possibility that once your thyroid hormones are adjusted, you will ovulate again.

Inadequate maternal thyroid hormones have been implicated in miscarriage and can impact your baby's development, especially in the first trimester.

How do you feel?  Do you have lots of hypo symptoms?  
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Avatar universal
T4, FREE 0.4 Standard range 0.8 - 2.2 ng/dl
T3, FREE 2.4 Standard range 2.8 - 5.2 pg/ml
  
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