No it isn't back yet so don't know what it is. I have tried to find a reason for norm TSH and high FT4 and some of the things I have found relate to the pituitary and I have a small tumor on the pituitary but they say they don't think it is anything and are just watching it. Don't know where to turn as I feel I have to dr myself and I am not a doctor. So tired of having to fight the dr to get something done or to take me seriously and not as she said I was depressed. She is enough to depress any patient. Sorry
You're absolutely right. If you always take your meds before the blood draw, then this result is valid when comparing it to previous levels. If you suddenly switch that now, you'll lose that comparison. If this were accounting, instead of medical tests, it would cause a scandal (think Enron...LOL). Okay, sure, if we don't like the outcome, let's just change the way we count it.
Your FT4 is quite high, but TSH looks good. Still no FT3?
Got new results on labs and TSH was1.12 but free T4 2.06
Ask dr about low side for iron 35.4 and she said that it was up to my medical dr to treat that although she was the one who ordered the test but didn't tell me it wasn't great and I found out on this web site. I had to let her know that I was aware that although it was considered in the norm it was a low norm and could be the reason for my hair loss. Now she has called and ask if I had taken my thyroid meds before my test which I told her I had taken it at 4;00am and I had always taken my meds the day of my blood test and no one had ever told me not to. She said that the meds could be the reason my free t4 was elevated and I was to come get another with out taking my pill that day. If this is right then wouldn't all my test be wrong if the pills are affecting the outcome of the test? And if I go back to taking the pill the next day doesn't that mean the free t4 goes right back to being elevated? Am I crazy or is this endo ?
Back for blood test today and questioned the endo who said yes the ferritin was low normal but that was my reg dr to deal with although she was the one who did the test. Refused to redo the test although it was almost 4 month since the last on and I explained that I wanted to know what the level was because I was going to start taking iron pills. She said she would give my a prescription for iron pills but didn't need to have a new test as I hadn't bleed any. Go figure. not happy but no endo close but her and all need a referral to get in so what do you do.
That's too low on the ferritin for the proper metabolism of thyroid hormones. You want it closer to 90. Also, low iron levels can cause hair loss.
I'd try switching to a different brand levo and see if that helps, too.
Another possibility is RT3 dominance. There are only two ways for the body to rid itself of excess T4...either convert it to FT3 or to RT3 (reverse T3). RT3 is inert, and this is the body's way of controlling FT3 levels.
A pituitary issue is also possible.
Of course, it should be easier to pin down once we see FT3.
They love to blame everything on depression, don't they?