Be VERY wary of any Dr who uses only TSH as a reference to treat. If they do my recommendation is th RUN, not walk RUN away from that Dr and find another ASAP.
TSH is a screening tool at best and not a particularly good one at that! It is woefully inaccurate and totally inadequate to base dosing information upon.
INSIST, no DEMAND that "FREE T4" and FREE T3" tests be done. absolutaly make positive sure they list "FREE". Also make sure that they do not on the lab order use the term "Index" or "indexed". What that means is that they will NOT test you unless the previous test identified is out of range. That is horse hockey! Get both of them and demand nothing less.
You may also want to test for other things that are also typical of hypo patients and fatigue etc.
Vitamin D3
Vitamin B12
Iron
Ferritin
Also ALWAYS, get a copy of your lab results including the reference ranges. Once you get these tests please post the results along with the reference ranges and folks here will be better able to give you thoughts to consider.
Thanks for the help goolarra. I will do that as soon as I can. :)
Hi. My serum cortisol and my glycohemoglobin results are as follows:
*My Serum Cortisol lab result:
*Year 2010: Cortisol Assay (a.m.) = 1.60 (Normal Values: 4.20 - 38.40)
*My Glycohemoglobin lab results:
*Year 2010: Glycohemoglobin = 5.46 (Normal Values: 4.70 - 7.70)
*Year 2011: Glycohemoglobin = 5.00 (Normal Values: 4.30 - 6.40)
Hi. Thanks for the reply. I'm not currently on any thyroid meds and I don't have current T3, T4 tests results. I will try to check my T3, T4 this week when I have the time. I will let you know how it turns out. Thanks.
Just because TSH is in range does not mean you are euthyroid. You are euthyroid if you are symptom free, which you aren't. TSH is a pituitary hormone and can be affected by any number of factors other than thyroid hormone levels. FT3 and FT4 are much better indicators of thyroid status.
Do you have current T3 and T4 results with reference ranges?
You are not currently on meds, correct?
Hi Jezibel. Thanks for the quick reply. I was curious to know what I have.
I haven't undergone surgery to remove my thyroid/goiter and I don't think I took any radioactive iodine. I was just a kid when I was first diagnosed so I couldn't remember what medicines I took before. All I remember is the Thyrax which I took years ago. I don't take any Thyrax now because my doctor made me stop taking them because she said that it makes bones brittle.
As to the symptoms, I have low tolerance for heat. I have anxiety, insomnia, and I've gained weight.
Do thyroid diseases change? I didn't know that they could change. So is it possible that I was Hyperthyroid before, Hypothyroid next, and lastly, Euthyroid now?
If you stopped taking levothyroxine, you would be hypothyroid. However, your current TSH is normal, so you are Euthyroid. Your first TSH indicates you were hyperthyroid. I'm guessing you were diagnosed with Graves Disease and treated it with radioactive iodine (RAI). Does that sound right? Or did you have surgery to remove your thyroid?
How do you feel? Have you been feeling puffy? Thick hot hands? Gaining weight? Hair brittle? Hair loss? Anxiety? Insomnia? Sleeping too much? puffy eyes? saggy skin?
If you feel great, you are doing just fine and your levothyroxine dosage is right where it needs to be. If you feel terrible everyday, Make your doctor check your fT3 and fT4.
My doctor gave me Thyrax or Levothyroxine as my medication.
*Correction: T4 is actually FT4
Be sure you get FREE T3 (FT3) and FREE T4 (FT4). If "free" isn't specified in the description of the test, you will get total T3 and total T4, which are not nearly as useful.
If your doctor is amenable, you might also ask for the two antibody tests that indicate Hashi's, TPOab (thyroid peroxidase antibody) and TGab (thyroglobulin antibody). Antibodies can be active for years before labs go out of range, and that can help you to get treatment sooner.