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Thyroid disease possible with normal TSH, T3 & T4?

Is it possible to have a thyroid disease with normal TSH, T3 & T4?  I have a positive ANA, muscle twithches, extreme fatigue (comes and goes like flare-ups), aches and pains.  I have just recently started feeling a little pressure in the front of my throat- not problems swallowing or anything, just a sensation that something is pushing on my lower throat.  In the past I have also suffered from palpatations and chest discomfort which all checked out okay with the cardiologist.  The neurologist says the muscle twitches are benign and was thinking thyroid until he saw my TSH, T3 & T4 were all normal.  Now to the rheumatologist to see what he can come up with.  I don't really have lupus symptoms such as mouth sores, malar rash, etc.

Any ideas?  Thanks in advance!
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Avatar universal
If you can post the results of your thyroid lab work, we might be able to make some suggestions.  Be sure to include reference ranges as these vay lab to lab.

Also, you might want to start a new thread.  You'll probably get more responses from that than from commenting on an old one like this.
Helpful - 0
1376367 tn?1319226427
I have read your posts about thyroid issues and I too have found to no avail after being sent to many different specialists that there is nothing else wrong.  I have been diagnosed with Fibromyalgia and because of all of these things going on here in Canada decided to go to the U.S to this Fibro & Fatigue Center.  I saw a doctor who took many blood vials and also said to me have they ever test my reverse t3 and I said no this has never been done.  I too have been suffering for over a year and half or more with a thyroid that we've tried to introduce Cytomel t3 medication, which worked for a while, then I started to feel terrible side effects from this same medication.  Dr. Vereen thinks that it could very well be that it's a problem with reverse t3 and I've googled this and it's called the Wilson's Syndrome.  It's a bit complicated as our bodies are no longer able to convert t4 into t3 via the liver and even when using t3 medication this only works for a short time.  What will need to be done is taking only T3 medication a time released kind for a length of time until the body is able to get back to converting T4 into T3.  This is what I read.  I'll keep writing when I find out what my situation presents of itself.  All I know is that currently I'm taking 100 mcg of Synthroid and every morning when I take it I start to feel my heart racing and my head feels out of sorts as well.  Throughout the day I also feel strange at the times I eat and late in the day dizzy.  I saw a endocrinologist about this issue and he seems to think that I am fine cause my blood levels are right in the range.  All I can say is I thought we were supposed to be treated not the lab tests.  Doctors need to listen to their patients more and dig to find the problem.  I had a MRI to rule out a pituitary tumor,  (adenoma) and relayed this over to Dr. Vereen as well.  Here in Canada I had given up and went to the States to get help with my health issues as no doctors here know what to do for Fibro either.  I await my test results and will be in contact with this Dr. March 15 ,2011.  
Helpful - 0
Avatar universal
I am hyper and hypo on 25mg levothyroxine, had all the test done eventually, it took a surgeon to tell my doctor to have a biopsy done and i should be on t3 and t4,  biopsy was negative for cancer. will find out rest at a follow up.
I feel no different on the med. only been 2 weeks thou so will give it a few more. tsh "normal", t3 t4 high goiter and nodules. i am weird or so i thought come to find out i am one of a lot of people with this problem
Helpful - 0
Avatar universal
I am in the same boat with a little different spin, but I know about the FT4, FT3, and TSH and they are all normal, but I had an ultrasound done of my thyroid and that has shown 3 hypoechoic nodules on 10/21/2010 and I just had a thyroid uptake scan done today 10/28/2010 and I am waiting to here on that due to thyroid cancer in my family, as my father passed away from anaplastic thyroid cancer, but nonetheless I have 3 solid-appearing nodules and dysphagia, neck swelling, neck stiffness, extreme fatigue, palpitations, dizziness and they are just making me wait, test, wait, test, etc, my recent blood work from 10/19/2010 shows some pretty scarry numbes i.e. hemoglobin 9.2, hematrocrit 31.5, MCV 77, MCH 24.9, platelet count 426 (yeah 426), iron serum 31, iron binding capacity 485.  I am getting very scared and want some answers.  I know my thyroid is the problem, especially since they did find 3 solid nodules and they still are not giving me anything until this darn thyroid nuclear scan results come in.  The waiting is killing me.
Helpful - 0
Avatar universal
When you see the doctor again, insist on being tested for the levels of free T3 and free T4 (not total T3 and total T4), along with the TSH they always check.  Don't take no for an answer, after all you are the customer and you want to get well.  I explained above why these tests are so important.  FT3 largely regulates metabolism and many other body functions.

You might also start talking to your doctor about whether he is going to be willing to treat your symptoms, by testing and adjusting FT3 and FT4 levels, rather than by TSH level.  If the doctor is unwilling to let go of TSH and treat your symptoms, then you likely will need to find a good thyroid doctor that will do so.  

When test results are available, make sure to get a copy of the lab report and write on there how you were feeling at the time and what meds you were taking.  The doctor is required to provide a copy upon your request and they become a very valuable reference for future.    When you get the copy, please post results and reference ranges from the lab report and members will be happy to help interpret and advise further.  
Helpful - 0
1396666 tn?1281007751
Hi, I'm reading you post and feeling like I'm reading about my life.  My Dr. is telling me the same things about my blood work is within normal range, but I know this is not normal.  Extreme fatique, acky bones and noints, always hungry, irritability, and I went from 112 lbs. to 154 lbs. in one year and have been climbing ever since.  My Mom, Aunt and Grandmother (All on the maternal side) have had this and where told to have all the females checked.  I have been checking for 10 years with the same answer "All bloodwork is within normal range"  I just insisted on a ultra sound and a nodule was foundm hurray, finally he called to tell me I was right.  Now, I need to get the right treatment.  I want myself back again.  Will that be possible with the right meds.????  A biopsy is sceduled, hoping it comes out neg for canfcer, then will I be able to loose this extra person that I have become?  Please give me hope....Rusty
Helpful - 0
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