Aa
Test results help!
For the past ten years I have suffered from major depressive disorder, panic disorder, weight gain, extreme fatigue, difficulty sleeping,low sex drive and so on.
I recently had my thyroid and testoterone levels tested. My results were as follows:
Tsh .5
Free t4 .76
Test 280 ng/dl
My doctor looked at my lab results so fast I'm not sure he even saw anything on the page and said "everything is normal".
Could I have a thyroid issue causing these things based on these results?? Please help!
I recently had my thyroid and testoterone levels tested. My results were as follows:
Tsh .5
Free t4 .76
Test 280 ng/dl
My doctor looked at my lab results so fast I'm not sure he even saw anything on the page and said "everything is normal".
Could I have a thyroid issue causing these things based on these results?? Please help!
DJ
I am in in JAX, and started using Dr Purcell on Monroe street. I was using a functional doctor on Butler but decidied I was missing something. Dr Purcell is VERY thorough! He also has Hashis and Celiacs so he is very motivated to help!
Unfortunately I had to wait 3 months to see him, he is high in demand!
If you have more questions you can PM me.
Regards
T
I am in in JAX, and started using Dr Purcell on Monroe street. I was using a functional doctor on Butler but decidied I was missing something. Dr Purcell is VERY thorough! He also has Hashis and Celiacs so he is very motivated to help!
Unfortunately I had to wait 3 months to see him, he is high in demand!
If you have more questions you can PM me.
Regards
T
COMMUNITY LEADER
Sorry I haven't been on, to respond. Odd that the lab didn't specify. The result does look like Total testosterone. You'll want to talk to your doctor about supplementing, but I really think you need a different doctor, as yours doesn't seem very knowledgeable.
COMMUNITY LEADER
If you can let me know where, in FL, I can possibly give you the name of a member recommended thyroid doctor. We have several in the state.
Do you know if the testosterone is total or free? It should say on your lab report. From what I've read, Total test for your age group should be around 600, so you'll certainly want to research the pituitary issue further.
There's a condition called hypopituitarism, in which the pituitary gland does not produce enough of the hormones to stimulate other glands i.e TSH to stimulate the thyroid, luteinizing hormone to stimulate testosterone secretion, ACTH to stimulate cortisol production, etc. Hypopituitarism can affect one or more of the endocrine glands (thyroid, reproductive, pancreas, adrenals and others).
In the case of the thyroid, the thyroid could be working properly, but there's not enough TSH to stimulate the thyroid to produce the hormones, so they will need to replaced with either the levothyroxine or another type of thyroid replacement.
Likewise, other hormones may need to be replaced, as well, if the pituitary is not producing the stimulating hormones needed.
Do you know if the testosterone is total or free? It should say on your lab report. From what I've read, Total test for your age group should be around 600, so you'll certainly want to research the pituitary issue further.
There's a condition called hypopituitarism, in which the pituitary gland does not produce enough of the hormones to stimulate other glands i.e TSH to stimulate the thyroid, luteinizing hormone to stimulate testosterone secretion, ACTH to stimulate cortisol production, etc. Hypopituitarism can affect one or more of the endocrine glands (thyroid, reproductive, pancreas, adrenals and others).
In the case of the thyroid, the thyroid could be working properly, but there's not enough TSH to stimulate the thyroid to produce the hormones, so they will need to replaced with either the levothyroxine or another type of thyroid replacement.
Likewise, other hormones may need to be replaced, as well, if the pituitary is not producing the stimulating hormones needed.
COMMUNITY LEADER
Good thing I clarified that before I asked about your periods, wasn't it? LOL
With your low TSH, it looks like you might have central hypothyroidism, which is a pituitary issue, but you'd still need thyroxine, anyway. So, yes, you should ask for a trial dose, but you'll probably, eventually need more than 25 mcg.
You should also ask for Free T3, which is the thyroid hormone that's used by the individual cells.
In addition, just to be safe, you should ask for thyroid antibodies to rule out Hashimoto's (pretty sure you don't have it, but we want to be positive). The tests you need are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb). You need them both to an accurate diagnosis, as some with Hashimoto's have one or the other, some have them both.
Are you by any chance in U.K?
With your low TSH, it looks like you might have central hypothyroidism, which is a pituitary issue, but you'd still need thyroxine, anyway. So, yes, you should ask for a trial dose, but you'll probably, eventually need more than 25 mcg.
You should also ask for Free T3, which is the thyroid hormone that's used by the individual cells.
In addition, just to be safe, you should ask for thyroid antibodies to rule out Hashimoto's (pretty sure you don't have it, but we want to be positive). The tests you need are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb). You need them both to an accurate diagnosis, as some with Hashimoto's have one or the other, some have them both.
Are you by any chance in U.K?
I am a 26 year old male. There was no age group reference. Sorry about the profile mix up. I am new to this lol. Should I consider requesting to be pit on 25mcg of thyroxine? Or do I potentially have a pituitary disorder?
COMMUNITY LEADER
Kick your doctor to the curb, quickly, and find a different one, since, apparently, yours is, either blind or doesn't know how to read... How can he possibly look at an FT4 result of 0.76 and say it's "normal" when it's below the low reference of 0.8?
I guarantee he was looking only at the TSH, which would be within the reference range.
That and the fact that he didn't order and FT3, which is the most important of the thyroid hormones, since it's the hormone actually used by the individual cells, tells me he doesn't know much about thyroid.
Moving on to the testosterone... Your profile says you're female, so let's verify that, before we go too much further... I've gotten into trouble with this before.. lol Does the lab report break down reference ranges for various age groups? Testosterone is not one of my main areas of expertise, but I do know that as we age testosterone levels decline. That said, I don't know your age, so I don't know if your levels "should" be declining or not.
I guarantee he was looking only at the TSH, which would be within the reference range.
That and the fact that he didn't order and FT3, which is the most important of the thyroid hormones, since it's the hormone actually used by the individual cells, tells me he doesn't know much about thyroid.
Moving on to the testosterone... Your profile says you're female, so let's verify that, before we go too much further... I've gotten into trouble with this before.. lol Does the lab report break down reference ranges for various age groups? Testosterone is not one of my main areas of expertise, but I do know that as we age testosterone levels decline. That said, I don't know your age, so I don't know if your levels "should" be declining or not.
Have an Answer?
You are reading content posted in the Thyroid Disorders Community
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Even though labs are within the reference ranges, doesn't mean you can't have a problem.