Aa
Test Results are back.
So I got my results back and the doc wants me to come in!! ugh.
I will post the numbers but wanted to get your feedback. Basically my TSH was .001 and my free t3 was above normal, 6. I haven't got the ranges yet or anything. Will do later on.
One thing he did say clearly was that I had definitively low testosterone. Not sure if that is even a valid thing. Is one causing the other, or is the other causing the other.
If 50mcg is not enough to cause an overdose does that mean my thyroid is about to crap out? or did the medicine jump start it?
If I was between 8-6 on tsh maybe I only really need 25mcg, or maybe I don't need any?
Could Low T really be the cause of the this then?
I will post the numbers but wanted to get your feedback. Basically my TSH was .001 and my free t3 was above normal, 6. I haven't got the ranges yet or anything. Will do later on.
One thing he did say clearly was that I had definitively low testosterone. Not sure if that is even a valid thing. Is one causing the other, or is the other causing the other.
If 50mcg is not enough to cause an overdose does that mean my thyroid is about to crap out? or did the medicine jump start it?
If I was between 8-6 on tsh maybe I only really need 25mcg, or maybe I don't need any?
Could Low T really be the cause of the this then?
Thanks goolara..
Ok so that helps. I kinda got freaked out cause one doc told me that it was not enough and the fact that the T was low too there might be other issues.
I have dropped my dose back to 25. even though I felt it was too low. Last night I barely slept cause I think I was all jittery from the hyper.
From my understanding, they need to test LH, Free T as well to know if there is really a pituitary signal issue to really warrant and MRI.
But at this point I feel like I just need to do all the tests and then move on with a plan.
I think it would also help clear up why my T is low... if anything and I would feel more comfortable doing a TRT if I then needed to.
Ok so that helps. I kinda got freaked out cause one doc told me that it was not enough and the fact that the T was low too there might be other issues.
I have dropped my dose back to 25. even though I felt it was too low. Last night I barely slept cause I think I was all jittery from the hyper.
From my understanding, they need to test LH, Free T as well to know if there is really a pituitary signal issue to really warrant and MRI.
But at this point I feel like I just need to do all the tests and then move on with a plan.
I think it would also help clear up why my T is low... if anything and I would feel more comfortable doing a TRT if I then needed to.
Yes, 50 mcg is enough to get you hyper. Think of it this way...I take 75 mcg, AND my FT4 is always pretty low in the range. My endo wanted to try to nudge my numbers up a bit, so increased me to 81.5 mcg. I went hyper. Very small adjustments can have very big consequences. I guess you could say I went hyper on a 6.5 mcg change. In effect, your "change" was 50 mcg.
I'm always for lower impact testing whenever possible, especially since I have lousy health insurance and end up paying for a lot myself. Why not have some more blood work before going for the MRI? I have no idea what insurance might require, but I'm quite sure they will get approval BEFORE you have the procedure or they won't do it.
I'm always for lower impact testing whenever possible, especially since I have lousy health insurance and end up paying for a lot myself. Why not have some more blood work before going for the MRI? I have no idea what insurance might require, but I'm quite sure they will get approval BEFORE you have the procedure or they won't do it.
I just read that hyperthyroid can cause LOW T and am wondering that because last week my tsh was .01 at the same time I had the T tested.
THey never tested for LH and I wonder if that should be done before the MRI, at least as far as getting approval for insurance is concerned?
Can anyone answer me if 50mcg is enough to get me hyper?
THey never tested for LH and I wonder if that should be done before the MRI, at least as far as getting approval for insurance is concerned?
Can anyone answer me if 50mcg is enough to get me hyper?
Well it's the same pattern of ache, stiffness, fatigue. I know though, that when my TSH was 1.5, I tested it, I felt the best. So am inclined to say that It does play a part.
The other question I guess is/was is 50mcg enough to get me hyper like that. I went from tsh 9 to .01 in 3months. One doc thinks that, it can not be the meds. He thinks I need to stop the thyroid meds for 6weeks and see what happens but start the Testo.
I guess with the seemingly non-specific nature of my situation, the MRI might help narrow things down.
Yes more than anything, what frustrates me most is them no agreeing on anything at all.
Now I am stuck with the question, like my thyroid, is 289 too low for a 33year old male. Then what is causing it? And it's frustrating that the docs are not thorough.
I tried a different doc today, a lady, and explained the whole situation, and she is the one that suggested to do the MRI as well as see all my blood work.
Funny enough that she thought High Uric Acid can cause skeletal muscle issues. Where as the internist say no ways. So again, how do I trust.
The other question I guess is/was is 50mcg enough to get me hyper like that. I went from tsh 9 to .01 in 3months. One doc thinks that, it can not be the meds. He thinks I need to stop the thyroid meds for 6weeks and see what happens but start the Testo.
I guess with the seemingly non-specific nature of my situation, the MRI might help narrow things down.
Yes more than anything, what frustrates me most is them no agreeing on anything at all.
Now I am stuck with the question, like my thyroid, is 289 too low for a 33year old male. Then what is causing it? And it's frustrating that the docs are not thorough.
I tried a different doc today, a lady, and explained the whole situation, and she is the one that suggested to do the MRI as well as see all my blood work.
Funny enough that she thought High Uric Acid can cause skeletal muscle issues. Where as the internist say no ways. So again, how do I trust.
Okay, so now I can see the pituitary question coming up. Your FT4s, before meds, never showed you being hypo. The first was 59% of range, the second 77%. Those are both good numbers, so you were obviously put on meds based on TSH (and your symptoms).
I understand your frustration. The numbers aren't behaving, nor are your symptoms, so I'm sure your doctors are confused as well.
The MRI's a great idea...glad they're doing that.
Don't you just love it...three medical professionals, four opinions on the same subject! LOL
I've been told I should stretch and shouldn't also. If it makes me feel better, I do it, if my muscles start to want to spasm, I stop fast.
It's too bad there isn't any FT3 on those first two tests. With the FT4s looking so good, the next logical place to look to see what was raising your TSH would be FT3. However, your latest tests indicate that there isn't a conversion problem...your FT3/FT4 balance looks good.
With your FT3 and FT4 so high at the moment, what exactly are your symptoms? I'm kind of doubting thyroid at the moment as well.
I understand your frustration. The numbers aren't behaving, nor are your symptoms, so I'm sure your doctors are confused as well.
The MRI's a great idea...glad they're doing that.
Don't you just love it...three medical professionals, four opinions on the same subject! LOL
I've been told I should stretch and shouldn't also. If it makes me feel better, I do it, if my muscles start to want to spasm, I stop fast.
It's too bad there isn't any FT3 on those first two tests. With the FT4s looking so good, the next logical place to look to see what was raising your TSH would be FT3. However, your latest tests indicate that there isn't a conversion problem...your FT3/FT4 balance looks good.
With your FT3 and FT4 so high at the moment, what exactly are your symptoms? I'm kind of doubting thyroid at the moment as well.
no ultra sound.
9/16/2010
TSH REFLEX = 6.15 (using a reference range of .5-6.)
Free t4 = 1.37 (using a reference range of .71-1.85)
10/20/2010
TSH REFLEX = 7.72 (using a reference range of .5-6.)
Free t4 = 1.59 (using a reference range of .71-1.85)
the above was before the Meds.
Currently with 50mcg alternating with 25mcg
Tsh-.01
T3free - 6 (5.27 reference)
T4 - 2.2 (1.8 reference)
Testosterone - 289 (300-950) reference.
I am just frustrated cause there seems to be no agreement with the docs.
The pituitary was brought up becasue of muscle twitches as well as headaches and low T.
I am getting an MRI next week, at least rule it out at the very least.
Here is what frustrates me right. 2 docs think that high URIC acid can cause skeletal issues like I been having. And then 1 doesn't. Then One PT thinks I should stretch and one doesn't. I would rather just go by the testing now.
I am not ruling out the thyroid either, since I did feel I was getting better so now my goal is to go from ok to good. I was just downright miserable before.
9/16/2010
TSH REFLEX = 6.15 (using a reference range of .5-6.)
Free t4 = 1.37 (using a reference range of .71-1.85)
10/20/2010
TSH REFLEX = 7.72 (using a reference range of .5-6.)
Free t4 = 1.59 (using a reference range of .71-1.85)
the above was before the Meds.
Currently with 50mcg alternating with 25mcg
Tsh-.01
T3free - 6 (5.27 reference)
T4 - 2.2 (1.8 reference)
Testosterone - 289 (300-950) reference.
I am just frustrated cause there seems to be no agreement with the docs.
The pituitary was brought up becasue of muscle twitches as well as headaches and low T.
I am getting an MRI next week, at least rule it out at the very least.
Here is what frustrates me right. 2 docs think that high URIC acid can cause skeletal issues like I been having. And then 1 doesn't. Then One PT thinks I should stretch and one doesn't. I would rather just go by the testing now.
I am not ruling out the thyroid either, since I did feel I was getting better so now my goal is to go from ok to good. I was just downright miserable before.
Not too many of us complain about weight loss, but even though it's a "benefit" of hyper, it's still a symptom.
Whether it's Hashi's or not, as thyroids go bad, they don't tend to die on a nice, steady downward slope. They sputter...now producing too much, then too little. Maybe you're stuck in one of those cycles.
Have you had an ultrasound?
I'm still not seeing the pituitary connection, except in that your testosterone is low also, and that is stimulated by the pituitary as are thyroid hormones. There could be a pituitary connection there, but a lot of people with thyroid dysfunction also have reproductive hormone dysfunction, so it's not where I'd immediately jump.
Can you re-post previous labs with meds history between each for comparison...maybe I'm forgetting something.
Whether it's Hashi's or not, as thyroids go bad, they don't tend to die on a nice, steady downward slope. They sputter...now producing too much, then too little. Maybe you're stuck in one of those cycles.
Have you had an ultrasound?
I'm still not seeing the pituitary connection, except in that your testosterone is low also, and that is stimulated by the pituitary as are thyroid hormones. There could be a pituitary connection there, but a lot of people with thyroid dysfunction also have reproductive hormone dysfunction, so it's not where I'd immediately jump.
Can you re-post previous labs with meds history between each for comparison...maybe I'm forgetting something.
Well I get the palpitaions etc still. So that is the hyper symptom. Lost some weight but I aint complainin there.
I have a mix of hypo and hyper I would say.
The reason the pituitary was brought up was because 50mcg was supposedly not enough to cause such a reversal after 2 months? I tested at 6 weeks and was perfect. Then a month later I got the hyper part. One doc doesn't think that 50 is enough to cause hyper like that which would suggest that my thyroid is acting stupid, but for what reason? I mean is it Hashi's (waiting on the antibodies.)
The fact that the Testosterone is low then could also mean there is an issue with the Pituitary?
I have a mix of hypo and hyper I would say.
The reason the pituitary was brought up was because 50mcg was supposedly not enough to cause such a reversal after 2 months? I tested at 6 weeks and was perfect. Then a month later I got the hyper part. One doc doesn't think that 50 is enough to cause hyper like that which would suggest that my thyroid is acting stupid, but for what reason? I mean is it Hashi's (waiting on the antibodies.)
The fact that the Testosterone is low then could also mean there is an issue with the Pituitary?
One of the reasons I didn't answer you earlier is that I don't know the answer to your testosterone question...sorry haven't explored that one too much, except to know that they do interrelate.
So, you don't have any hyper symptoms, and you still have hypo symptoms? Is that correct?
I don't really see a pituitary issue here...everything seems to be behaving properly. Your FT3 and FT4 are both over the top of the range, and your TSH is very low. Everything's in synch, except, it would seem, your symptoms. Serum thyroid levels look a little on the hypER side, so if you still have hypo symptoms, I guess it might be time to start looking at what else might be causing or interacting to cause your hypo symptoms, i.e. the low testosterone or what might be happening metabolically at the cellular level.
How long had you been on the 50 mcg when these labs were drawn?
So, you don't have any hyper symptoms, and you still have hypo symptoms? Is that correct?
I don't really see a pituitary issue here...everything seems to be behaving properly. Your FT3 and FT4 are both over the top of the range, and your TSH is very low. Everything's in synch, except, it would seem, your symptoms. Serum thyroid levels look a little on the hypER side, so if you still have hypo symptoms, I guess it might be time to start looking at what else might be causing or interacting to cause your hypo symptoms, i.e. the low testosterone or what might be happening metabolically at the cellular level.
How long had you been on the 50 mcg when these labs were drawn?
I feel the same :(
The doc said 50mcg was too little to cause me to go hyper....
Do I need to worry about something disturbing the pituitary gland?
Do I need to worry about taking testosterone?
The doc said 50mcg was too little to cause me to go hyper....
Do I need to worry about something disturbing the pituitary gland?
Do I need to worry about taking testosterone?
The whole endocrine system is interdependent, so disturbances in one are can cause disturbances in others (thyroid/adrenal/reproductive hormones, etc.)
Do I remember that you were recently on 25 mcg and went very hypo?
How are you feeling with those labs?
Do I remember that you were recently on 25 mcg and went very hypo?
How are you feeling with those labs?
Tsh-.01
T3free - 6 (5.27 reference)
T4 - 2.2 (1.8 reference)
Testosterone - 289 (300-950) reference.
T3free - 6 (5.27 reference)
T4 - 2.2 (1.8 reference)
Testosterone - 289 (300-950) reference.
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