Aa
thyroid
if your tsh at 4.90 range 0.35 - 5.00 do you treat?
Since you started two different threads on the same subject, and Barb has been responding to the other thread, I am going to defer any further comments here and move to the other thread.
Thank you so much for the info. I do not have a Dr, what test should I ask for at the walk in clinic?
I am so exhausted, wake up go to bed tired...not hungry
I am so exhausted, wake up go to bed tired...not hungry
From looking at your test results, your Free T4 is too low in the range. Your Free T3 is significantly higher in its range than your Free T4. That may be due to your body converting more T4 to T3, trying to maintain thyroid effect as well as possible. Or it could be from what is called "T3 pooling in the blood" and not reaching the cells as it should, most likely due to your low iron.
You said your B12 was mid range. That is too low and can be contributing to fatigue. B12 should be in the very upper end of its range for best effect.
You absolutely have to raise your iron level to optimal. You could try different forms of iron to see if that helps. Ferrous fumarate and ferrous glutamate and ferrous bisglycinate are good forms you might consider. Did you take anything with the iron? Orange juice, for example can be a problem to your stomach. Whatever the problem is, you need to get your doctor figure it out and get your iron to an adequate level. Low iron has dual adverse effects. It can cause bad symptoms on its own and it also adversely affects thyroid metabolism. There are even recommendations that low iron needs to be addressed before starting on thryoid med.
When you see your doctor next, in view of your TSH result, I suggest that you should test for the antibodies of Hashi's. Those tests are TPO ab and TG ab. Both are necessary to diagnose. I would also suggest that you test for ferritin, which is an iron test that will give you a better picture of your iron status.
So, in summary you need to supplement to optimize your B12 level into the upper end of its range. You need to figure out with the doctor what you can do to raise your iron level. If no other acceptable option you could try iron injections. You need to get this resolved and re-test your Free T4 and Free T3 levels to evaluate the need for thyroid med. When possible you should also be tested for the possibility of Hashimoto's Thyroiditis, as mentioned above. Also test for ferritin.
You said your B12 was mid range. That is too low and can be contributing to fatigue. B12 should be in the very upper end of its range for best effect.
You absolutely have to raise your iron level to optimal. You could try different forms of iron to see if that helps. Ferrous fumarate and ferrous glutamate and ferrous bisglycinate are good forms you might consider. Did you take anything with the iron? Orange juice, for example can be a problem to your stomach. Whatever the problem is, you need to get your doctor figure it out and get your iron to an adequate level. Low iron has dual adverse effects. It can cause bad symptoms on its own and it also adversely affects thyroid metabolism. There are even recommendations that low iron needs to be addressed before starting on thryoid med.
When you see your doctor next, in view of your TSH result, I suggest that you should test for the antibodies of Hashi's. Those tests are TPO ab and TG ab. Both are necessary to diagnose. I would also suggest that you test for ferritin, which is an iron test that will give you a better picture of your iron status.
So, in summary you need to supplement to optimize your B12 level into the upper end of its range. You need to figure out with the doctor what you can do to raise your iron level. If no other acceptable option you could try iron injections. You need to get this resolved and re-test your Free T4 and Free T3 levels to evaluate the need for thyroid med. When possible you should also be tested for the possibility of Hashimoto's Thyroiditis, as mentioned above. Also test for ferritin.
I am sorry I misplaced the results but I can tell you that we're all in mid range, except the iron was on the lower end, and when I supply with iron, liquid or tablet I have diarrhea. Sorry hopefully this can help
The reason I am asking for the specific test results is that the ranges are so broad that just being "normal" does not mean they are optimal. So, please post your D, B12 and iron test results and ranges.
Vitamin d b12 and iron were normal. When I actually take iron supplements, tablet or liquid form, I have diarrhea not long after...I tried different kinds.
I did not take med before going for test.
I know with my results you will tell me to take some, but I really do not feel well on it.
Should I look sat something else?
I know with my results you will tell me to take some, but I really do not feel well on it.
Should I look sat something else?
Sorry to keep asking for more info, but don't want to overlook anything. Were you taking thyroid med when those tests were done? If so, what med and daily dosage?
When you say that your iron, D and B12 were fine, that makes me wonder if they are just somewhere within the ranges, or are they optimal? Please post results and ranges for those.
When you say that your iron, D and B12 were fine, that makes me wonder if they are just somewhere within the ranges, or are they optimal? Please post results and ranges for those.
tsh 4.90, range 0.35 - 5.00 M:IU/l
free t4 14.8, range 12.0 - 22.0 pmol/L
Free T3 5.1, range 2.6 - 5.7 pmol/L
iron, vit d & B12 were fine
free t4 14.8, range 12.0 - 22.0 pmol/L
Free T3 5.1, range 2.6 - 5.7 pmol/L
iron, vit d & B12 were fine
should have b12 checked which can cause exhaustion and your d3 levels which also either low causes exhaustion and even low iron or ferritin....I am getting mine tested tomorrow....all common with low thyroid symptoms ...just a suggestion.....
What other thing I should be testing for?
I am exhausted, but by taking thyroid med., it gives me heart palpitation and diarrhea so because of the unexpected diarrhea that does not allow me to get to the bathroom in time, I have constantly UTI...not very fun.
I posted my lab below, and free t3- free t4 are in range....
I am exhausted, but by taking thyroid med., it gives me heart palpitation and diarrhea so because of the unexpected diarrhea that does not allow me to get to the bathroom in time, I have constantly UTI...not very fun.
I posted my lab below, and free t3- free t4 are in range....
Theoretically I suppose it is possible that you could have Hashi's antibodies attacking your thyroid gland, and diminishing the output of thyroid hormone which should cause the TSH to keep rising, and at the same time have a dysfunction in the hypothalamus/pituitary systemwhich could prevent the TSH from rising as it would otherwise. This would still be called primary hypothyroidism because of the Hashi's antibodies. The TSH shouldn't really matter if the patient is being diagnosed and treated correctly, which is clinically for symptoms, by testing and adjusting Free T4 and Free T3 as necessary to relieve symptoms without being constrained by resultant TSH levels.
Can central hypothyroidism be found with Hashimoto's or is it only associated with thyroid issues due to pituitary disease and other causes outside of autoimmune?
Actually, in 2012 the AACE/ATA again revised the reference range for TSH. It went back up to 4.3; however, you are right that TSH doesn't mean much by itself. For example, even if it were in your "ideal" level of 1-2 that would mean nothing if the patient had central hypothyroidism. Symptoms are the most important diagnostic for hypothyroidism, followed by Free T4 and Free T3. TSH doesn't even correlate well with Free T4 and Free T3, much less correlate well with symptoms. The best use of TSH is to distinguish between primary and central hypothyroidism.
Absolutely! New range only goes to 3, not 5 anymore. Ideal should be between 1-2. Be sure to check your free t4 and free t3 in addition to TSH. THAT DOESNT MEAN MUCH BY ITSELF.
Not on the basis of TSH alone. TSH is a pituitary hormone that is affected by so many things that, at best it is only an indicator, to be considered along with more important indicators such as symptoms, and also levels of the biologically active thyroid hormones, Free T4 and Free T3. Note that these are not the same as Total T4 and Total T3.
So, please tell us about symptoms you have. Also, if tested beyond TSH, please post those, along with ranges shown on the lab report. If not tested for Free T4 and Free T3, you will need to get those done.
So, please tell us about symptoms you have. Also, if tested beyond TSH, please post those, along with ranges shown on the lab report. If not tested for Free T4 and Free T3, you will need to get those done.
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