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TSH not normal

Why would TSH levels be high and my T3 and T4 and T3free be normal and would that cause symptoms?
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798555 tn?1292787551
Prolactin levels have to do with the pituitary gland.  A health pituitary controls the thyroid's output of thyroid hormone by sending the TSH (messenger hormone) to the thyroid.

TSH is just a signal of what to do, like a red light or green light, but the lab test measures it in numerical value.

Make another post to find additional info on prolactin.
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Avatar universal
Thank you so much for your input.....I really appreciate you taking the time to answer my questions.  It is very kind of you.  
I have another question but maybe I should post it as a new one??
Or maybe I should put it here.....not sure if you will still see it.

In addition to the levels I mentioned above, my prolactin serum levels were high. Does that have anything to do with thyroid issues?
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798555 tn?1292787551
Why test for iron?

A) Your female
b) You have abnormal muscle soreness

Iron is needed needed for hemoglobin, the protein in red blood cells that carries oxygen. Your muscles need oxygen.

While your at it, ask for a blood protien test too.

Just because you are hypo thyroid doesnt mean you cant have other things going on too, many of us do. Hypothyroid can magnify other issues, since it effects all cells.
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Avatar universal
Why test for iron?
My iron is very low and always has been.  I can't tolerate pills so after my 2nd son was born I had iron infusions.  My hemoglobin was down to a 6.  It was good for a while but now it's down to a 9.
Is there a link between anemia and thyroid issues?
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798555 tn?1292787551
"So am I correct in thinking that Thyroid levels that are out of range WITHOUT the antibodies is Hypo-thyroidism but having the antibodies makes it Hashimoto's? "

- Yes, and 'regular' hypo thyroid has no other name. Some doctors seem to think hypothyroid and Hashis hypothyroid have the same symptoms. Not, Hashis is more aggressive.

Scan? Ultrasound if the doc feels a goiter on your neck. It takes a skilled hand to feel this. Some goiters have nodules - many here have this. Hashis with a goiter is common.

Test iron,(ferritan) , magnesium, B12, calcium, D, potassium
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Avatar universal
One more questions....
What other tests would a good endo order?
Someone suggested they might order some type of scan.
I am not sure if they will just try to treat based on blood work.
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Avatar universal
Thank you for taking the time to respond with such great info.
My TSH is 6.33

So am I correct in thinking that Thyroid levels that are out of range WITHOUT the antibodies is Hypo-thyroidism but having the antibodies makes it Hashimoto's?

I am going to try those methods of massage.When  you are so uncomfortable you will do anything to try and help.  So anyone who may laugh at that might not be suffering as much as others.
I am definetely get a book like you suggest too.

I am so curious wha this endo has to tell me this week.  
Thank you again for responding so quickly with such great info.  


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798555 tn?1292787551
"I do have Thyroid perioxidase antibodies"  - its over the limit? Did doc mention Hashimoto?

If your TPO suggests Hashimoto, this could be why you have symptoms while in mid range. Ranges are average for the whole population, Chemically we are all different and have body preferred levels. So what was your TSH? If your TSH is high, well, its easy to find a doc that will treat that! (Even though T3 and T4 should be looked at).

First you need to find a doc that will try thyroid med on you. Here is something I occasionally include for 'newbies':
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Hashi thyroid 101: If your Dx'ed with Hashimoto, beware of quick cures as none exist. There are organ specific antibodies attacking your thyroid. They will stop when your thyroid is dead, when their job is done, years away. Thyroid meds will be increased most commonly on yearly bases till at one point it will level off.

TSH (thyroid stimulating hormone) is a messenger hormone from the pituitary gland telling the thyroid how much hormone to produce. These hormones are T4 (the storage hormone) which should be efficiently converted (via the liver, brain and thyroid) to the 'active' hormone T3 which ALL body cell need to operate.

Thyroid replacement hormone options, best tried in these steps:

1) Synthroid is a synthetic T4 replacement thyroid hormone. It really not a drug, its man made hormone. Levoxle (spl) is another brand of similarity. Its generic "drug" name is simply called Levothyroxine. Tironsint Levothyroixine is another brand, recently introduced to the market.

2) Then there is a synthetic T3 replacement thyroid hormone, Cytomel. Some do not convert well, so this helps. Usually taken with a T4 med above.

3) Natural dessicated thyroid. The last step. It’s medically prepared dried thryroid tissue from porcine (pigs!) Available in prescription form. This was the first thyroid "med" starting 100 yrs ago and still used today. Some need this as other do not work for them. And the brands in this category vary person to person on their ability to alleviate symptoms with proper hormone levels. Armour, Nature Throid , Erfa (Canadian).

4) A few pharmacies can compound (make) dessicated thyroid into capsules as well, but costly at .50 to .75 per capsule.

Lastly many need to find a new doctor if they need to explore treatment options beyond T4 meds and a doctor that only looks at TSH, as opposed to free T3 and Free T4 levels.
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So you can wait to get thyroid med, to see if it helps with other symptoms as well as muscle pain.

Even if it does, some extreme cases need more help. Your muscle tightness in the feet / legs can cause back pain too. Muscles can tighten from lack of thyroid hormone resulting in a build up of lactic acid in the tissue. This buildup of lactic acid eliminates proper nutrients (for lack of a better term) from reaching the cells and muscles will not recover. Light exercise can temporarily help this till the cycle starts all over a few days later. Its a vicious cycle till the cycle is broke. Sound like you? The muscles tissue needs to have this lactic acid build up manually 'pushed out". This practice has various names - myofascial muscle release, trigger point therapy ect, go to you your book store and get a workbook on it. And / or find a muscle therapist that knows this. Not anywhere the same as a regular massage, as it actually hurts a little while pushing toxins out of tiny knots, but promotes healing after. I learned how to do this using the floor, wall, a tennis ball, golf ball, and something called the Thereacane. This practice works even though some will laugh at it and continue to live in pain. Healing muscles takes months, but this helps. Keep in mind if the problem is thyroid, muscle healing will only occur with thyroid med, but this helps along the way to faster muscle recovery. I use advil very little now. Also walking on uneven ground may help as flat man made surfaces promote repetitive foot injury. The mechanical design of our feet (and all mammals in general) is not for flat hard surfaces. You might in the future that you benefit from foot orthotics as well.


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Avatar universal
Sorry I keep posting but I should have also mentioned that 2 years ago I had blood work that showed the Thyroid peroxidase antibodies.  I also tested high for thryroid stimulating imunoglobulins also.  Weird right?
My TSH and other levels were normal at that time.
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Avatar universal
This is what the blood test results are:
Thyroxine (T4)  6.3  normal range- 4.5-12.0
T3Thyronine, total 130 normal range 80-200
T3, Free (FT#) 3.1  normal range 2.57-4.43

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Avatar universal
My gyno did my blood work that found my TSH level to be high.  I was convinced y symptoms were hormonal.  
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Avatar universal
Thanks
I would love to hear some tips.
For me the stiffness and muscle weakness is so bad right now.
If I am sitting for more than 10 minutes it hurts to get up.  Like RELLY hurts.
If I keep moving I am btter and just have the muscle soreness and pain.
The stiffness is hard to deal with having kids.


I should have also put on my list, heart palpitations.

I am so exhausted but can't get a restful nights sleep.

I go to the endo this week for the first time but I am trying to learn as much as I can beforehand.  I am afraid he is going to say that a high TSH is nothing if all your other levels are normal. I just want to feel better.
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798555 tn?1292787551
"I do have Thyroid perioxidase antibodies"  - its over the limit? Did doc mention Hashimoto?

You list classic hypo symtpoms.


"extreme muscle stiffness (especially in legs and feet)" - boy do I know about that, this was a major hurdle for me, as I stand on hard lab floors at work a lot. Does not seem to bother people that sit at desks a lot, understandable. It is my experience that low free T3 levels or even mid range contributes to this in some people. It takes a long time to go away and may require physical therapy in extreme cases even after thyroid levels are proper. I have some tips on dealing / healing  this If you want to hear it.
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Avatar universal
symptoms are:
tiredness
can't focus
forgetfulness
extreme muscle pain(especially in legs and feet)
extreme muscle stffness (especially in legs and feet)
depression
weight problems (always had trouble with my weight)
swollen ankles
night sweats
hair loss

I have to find my levels but they were right smack in th middle of normal.
I do have Thyroid perioxidase antibodies.
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798555 tn?1292787551
Please post levels and ranges provided on your results report.

What are your symptoms?
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