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18561735 tn?1465855728

Question about TSH (E-CELIA) Level

HI.
I've been going to my internal medicine doctor for a couple of mounths
My tsh has been consistently between 5.5 - 6.0
he says its Hypothyroidism. i lost a lot of my weight on 1 year before this test but that was because stomach ulcer (1year ago)
________

i dont have sleep problem (i sleep between 6-8 hours) (Hyperthyroidism symptom)
no rapid or irregular heartbeat ( i working martial arts and i still i dont have this problem) (Hyperthyroidism symptom)
no sweating and irritability (Hyperthyroidism symptom)
no enlarged thyroid gland (goiter) (Hyperthyroidism symptom)
no Fragile and thin hair (Hyperthyroidism symptom)
no Increased appetite (Hyperthyroidism symptom)
________

no cold sensitivity (Hypothyroidism symptom)
no constipation (Hypothyroidism symptom)
no Unexplained weight gain (Hypothyroidism symptom)
no Facial puffiness (Hypothyroidism symptom)
no Hoarseness (Hypothyroidism symptom)
no increase Cholesterol (Hypothyroidism symptom)
no Decrease heartbeat (Hypothyroidism symptom)
no hair loss (Hypothyroidism symptom)
no Depression (Hypothyroidism symptom)
no Pain, stiffness or arthritis (Hypothyroidism symptom)
____

but i have this problems:

Weak muscles
Fatigue
a little bet Paramnesia (so few)
_________

and on picture you can see my test results (3days ago)

so anybody can say what is my problem please?

Best Answer
649848 tn?1534633700
COMMUNITY LEADER
Is TSH the only blood test you've had done?  What about Free T4 and Free T3?  Where is the picture that has your test results?  Can you please post them, here for us, so it's easy to see them at a glance?  You can type them out like this:

TSH   6.0   (reference range )
Free T3   your result    (reference range)
Free T4   your result    (reference range)

Also please list any other tests you might have had that could be relevant...

Your doctor is right, that elevated TSH indicates hypothyroidism, even if you don't have symptoms... You should be aware, however, that many of the symptoms you listed as hyperthyroidism, can also apply to hypothyroidism, as they often "cross over"...

Weak muscles and fatigue are two symptoms that can apply to both hypo and hyperthyroidism.  In your case, with the elevated TSH, we'd say they are due to hypothyroidism.  Confusion and memory issues can also be hypo symptoms.  

Fatigue, confusion and memory issue can also be symptoms of vitamin B-12 deficiency, so if you haven't had that tested, I'd recommend you do so...

Once you post your test results, we'll be able to give you more information...

Has your doctor recommended that you start on thyroid hormone replacement med?  Do you know if you've been tested for Hashimoto's Thyroiditis?
3 Responses
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Avatar universal
Babr has given god advice.

You are on a 25 mcg (half of 50 mcg) dose of T4 medication which is a common starting dose.

T4 medication takes up to 6 weeks to stabilize in your blood. So re-testing in 8 weeks is reasonable.

I would like Barb STRONGLY recommend or even DEMAND that BOTH the Free T3 and Free T4 tests are done.  It is VERY important to stress and make sure of the word "Free" in front of both of these tests. T

This designates the difference between the free hormone in the blood available for use, as opposed to the "total" test which counts both the free and the unusable hormone that is bound by a protein.  Free and available is what you want. As with the total test, you have no way of knowing what portion of the total is actually available for use.

If you Dr refuses to test for Free T4 and Free T3, then I would recommend you try your best to find a new Dr who will test for these.

I also agree with testing for Vitamin B-12 and Vitamin D3.  With B-12 you will want to be WELL up into the higher portions of the range.  The reference range for B-12 is usually extremely wide.  And being below I would say 700 would be suspect and in need of raising.

Being low of either or both B12 or D3 will both cause fatigue.  very low B12 can cause tingling and nuimbness of the extemities like hands and feet and possibly permenate nuropathy.  
Helpful - 0
18561735 tn?1465855728
thanks so much for time you gave to me
i will show your answer to my doctor soon
- anyway he gave me some medicines
.... Levoxine 50mcg (every morning half pill)
.... D-Vitin 50000 (one per week)
and he told me use them for two months, after that do another TSH Blood test again , i didn't do T4 or T3 tests and also Vitamin B-12
I will done them , and i will post test results here.

Thank you so much
Helpful - 0
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