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16566098 tn?1449575473

normal T4 and T3 but high TSH

Hi
Nice forum. I'm new here and I'm from Sweden. Could not find any forums like this here so I'm thankful I found it.
I'm 44 and very healthy, 170 cm long, 48 kilo, genes with low bodyfat. Slightly and essentially elevated BP taking small beta blockers dose and a smallest losartan dose .
For years I have had high TSH. From 4 to 11. Now it is 9.1.
My T3 and T4 are normal and in a requested range of T4 11 (the interval is 8-14). T3 is 5,0 (the intervaller is 3,5-5,4).
I have antibodies s-tpo-ak 56 (interval <34).
I'm very confused. I don't have any symptomps. I feel good.  Well maybe dry legs but those have always been dry.
Should I take levaxine for this? I don't have any problems but can it be dangerous if tsh stay high for years?
Please I need some good advides from you people.
It is so stranden.  I'm never tired and I super shape. Cycling,  being at the gym, having a good time etc. I don't know why the TSH is so high.  Will I develop hashi later?
Best regards to you all
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16566098 tn?1449575473
Oh...its free t4
Helpful - 1
1 Comments
This is breathtaking.  Is this the answer to all my questions from the childhood to now? High BP,  hypermetabolism etc? It's so ...I don't have Words for it.  I'm reading about it now...this must be the case. Mutation. Can I mess you here? I am in chock :)
Avatar universal
Well, if you do have PRTH, your TSH would remain high.  The pituitary converts T4 to T3 for itself, separate from the way T4 is converted to T3 by the rest of the body.  In fact, the pituitary has it's own enzyme that does this.  When you have PRTH, the enzyme in the pituitary is missing or decreased, so your pituitary is starved for T3, and it "thinks" the rest of your body is, too, but it's not.

With your FT3 already on the high side and perfect FT4, thyroid meds could very easily make you become hyper very quickly.  You do have some antibodies, so keep an eye on it, but for the moment I think you really want to avoid thyroid meds.  I've been ignoring my TSH for a long time.  
Helpful - 0
1 Comments
Hi goolarra. Thank you for all the info. I am learning and understanding every time. I sended you two private messages here. Sorry if the amount of text is  extreme but I just wanted to a share my story.
Avatar universal
No, I'm not very thin.  I've had to watch my weight all my life.  However, since being on thyroid meds, I find it much easier to maintain my weight.

Your FT4 is just about perfect.  It's right in the middle of the range.  Your FT3 could be a little high for some people, but if you're not experiencing any hyper symptoms, I wouldn't worry about it.  My FT4 is in normal range, but my FT3 is actually below range.  However, I feel good, so I guess that's "normal" for me.  I also have Hashi's, so my thyroid is dead, can't produce any hormone anymore.  I'm totally dependent on medication now.

So, you have quite a different B-12 range than we see here.  Ours typically starts at around 200 and goes to 900 or more.  Some people find they have to be in the very top of the range or even above it.

I just noticed I missed one of your posts yesterday.  You found PRTH interesting?
Helpful - 0
1 Comments
Yes. Didn't know much about it earlier so I kept on reading. Still a little trubbled of my TSH 9,1 and don't know really what to do. I feel good so there is nothing to it. Thin as a stick always since my childhood :). Seing iver the years my TSH level have rised since 2004 but T3 and T4 are still the same. It is crazy strange.  My antibodies were tpo sk were 56 and compared to 2012 they were 104 but I cut gluten off since 2012. But why the TSH so high? Hm. I have a crazy theory that eating felodipine for 18 years made tsh like this. Now I'm just on beta blockers and a little dose losartan.
Avatar universal
I'm not sure what you mean by "hyper metabolism".

Okay, so I'm not sure what the reference range is in your country for B-12.  However, 150 is typically a very low number.  But, if you don't have debilitating fatigue, then you are probably not deficient.  What's the range?

Endo was an idiot...lots of them are, unfortunately.  You have to get lucky when you choose one.
Helpful - 0
2 Comments
I mean I am very thin. Very good metabolism.  
I read that the t4 and T3 are elevated in this case but mine are not. Could it be the case anyway? How high are your t3 and T4 or are they just normal range?
the range of B12 s-kobalamin here is 100-450
Avatar universal
I don't take any supplements, except for magnesium, which I take for a heart arrhythmia.  Do you know your B-12 level?  B-12 deficiency typically causes debilitating fatigue among other symptoms.

Yes, that doctor sounds like one to stay away from.  Your FT3 is high enough that 100 mcg could easily make you hyper.  He obviously hardly glanced at your FT3 and FT4.  
Helpful - 0
3 Comments
P magnesium 0,81
Are you hyper metabolism?
B 12 is 150 (s kobalamin).
That Endo was an idiot
Avatar universal
Your T4 (is that free T4 or total T4?) is perfectly in the middle of the range.  Your FT3 is at 79% of range, which is actually a little bit on the high side.  So, your TSH doesn't seem to be "behaving" properly.  With your FT4 and FT3 both so good, we'd expect your TSH to be lower unless there's a pituitary issue going on.  

Your antibody load is very light considering those of us with Hashi's often have antibody levels in the high hundreds, or even thousands.  You might develop Hashi's later, but people can have antibodies for years or even decades before the thyroid is damaged enough to cause symptoms.    

If you have no symptoms and feel well, there's no reason to take levothyroxine.  TSH is a pituitary hormone.  It causes no symptoms.  It's nothing but a messenger from your pituitary to your thyroid to tell it to produce more hormone.  There is no danger to TSH being high as long as FT3 and FT4 are good.  

I have a pituitary issue called Pituitary Resistance to Thyroid Hormone (PRTH).  My TSH hovers somewhere around 20.0 usually.  It's been there for years.  My endo and I just ignore it.
Helpful - 0
1 Comments
Very interesting. I have been speculating about this for 1 year now. Looking for logic answers.  Do you take any supplement like for example b12?
I recently had my hands on some older tests there tsh was 4,7 and 5,1. But then the antibodies were 100 something. Also in 2012 I had  a tsh 1,87 only 2 months after the 5,1. Last week I went to a really old Endo (born 35) and he said 100 micrograms levaxine.  I didn't take it out from the pharmacy. He was some typical Oldfashioned tsh-lover and just comment tsh and antibodies.  Well he also went up from his chair to feel my thyroid that he sad was normal. Very annoying not looking me in the eyes...haha. 100 mikrogram for first dose for a 48 kilo thin woman? ..hm will never visit this person again.
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