What do my labs read? Need your help

[mandyisme]

My free T4 is 1.0 and my TSH is 0.385 anyone know if this is good, bad, or what?

[laura1967]

Try to be patient and not to worry. Sounds like your Dr is being complete and thorough. Get a copy of your results when you get them and post them here for us to take a look at.

[mandyisme]

I went to the doc and he seems to think my level were normal enough but because of my menustration decrease from 7 to 3 days now and other symptoms like the eye twitching and heart palps that he needed to do more testing so he ordered a boat load!  One I remember he told me is for Cushing's Syndrome and I looked that up and see it is something to do with problems with your pituatary function so anyway I think he is checking all that.  Maybe I just have a ton of health problems for no reason.  Anyway I guess I will see.

[mandyisme]

thank you for your comment.  I will let you know.  But what do these type test results look like to ya'll?  Should I be worried?  I am on no meds for my thyroid.  I think I posted this but it was 0.9 in August 0.5 in September and now 0.3, is this a pattern or just conicidental?  anyone with any simialr experience?  I will be sure to ask tomorrow about my pituatarys tomorrow too.

[laura1967]

I think you definately need to have further testing done for your pituitary and a complete thyroid panel again with the free t3.
Have you had a follow up ultrasound done yet? Did you have any nodules as well as the goiter? You could be producing extra hormone at certain times when your thyroid is really swollen or hormone producing nodules. That would give you a rush of symptoms all at once sporadically.
Let us know how it goes at your endo appt on friday.

[mandyisme]

bump  - please post those of you who know anything about this

[mandyisme]

Thank you.  I go to the doctor friday (endo) and today for chronic sinus infections (ENT).  My symptoms are large goiter with many small nodules, eye twitching, period has decreasted from 7 days to 3, constant headaches around my eye, alot of sinus infections, a funny heart beat that makes my whole body feel funny.  I have high blood pressure and OCD.  On the plus side my acne seems to have cleared up for no reason.  On the down side I have headaches almost daily.  I don't know if any of these are related to my thyroid.  My gyno noticed the goiter in Aug 09 but my TSH was 0.9, one month later it was retested after they sent me to an endo and it was 0.5, now 6 months later it is 0.385.  Also I have high triglycerides which meds, exercise, and diet don't seem to be helping.  

[gimel]

If the lab's reference range for that FT4 test is close to ones I'm familiar with, then your FT4 level is around midrange, which really doesn't reveal very much.  It would be very useful to also know the level of your free T3, which is the most active thyroid hormone.  Most important, to help us give you the best response, is to know about your symptoms, if any.

Relief of symptoms by testing and adjusting the levels of the active thyroid hormones, FT3 and FT4 (not total T3 and total T4), without being constrained by resultant TSH levels, should be the objective of treatment.  

In the future you should insist on testing for free T3 as well as free T4 and TSH.  Also, since your TSH is very low in the range, but FT4 is only around midpoint, then you should also have your pituitary function checked out.