My TSH is 0.01 uIU/mL & my T3 4.1 ng/ml & my T4 is 17.5 ug/dl

[solidi]

Hello,
My TSH is 0.01 uIU/mL (N: 0.4 - 4.2)
My T3 4.1 ng/ml (N: 4.7 - 13.5)
My T4 is 17.5 ug/dl (N: 0.8 - 2.0)
I took the test after 24 days of my last period & before 8 days of my new one

What do these numbers mean?

[Barb135]

I'm sorry, I missed your post from yesterday... I've been busy preparing for a hurricane; now just waiting for it to get here...

So are you saying that the original results you posted were incorrect and should be disregarded?

Total T4 and Total T3 are pretty much obsolete and really aren't necessary.  Your Free T4 and Free T3 are the important ones, because they are the active hormones.

Your Free T4 is extremely low at only 1% of range, which isn't surprising since your TSH is considerably above range.  Both indicate that you have hypothyroidism.

Your Free T3 isn't too bad yet, but since your Free T4 is so low, the Free T3 will almost certainly begin dropping soon, because most Free T3 is produced by being converted from Free T4.  You have no Free T4 to convert and your high TSH indicates that your thyroid isn't producing much, either.

Did your doctor prescribe you any replacement thyroid hormones?  If so, what did he prescribe and what dosage?
If he didn't prescribe anything, why not?

[solidi]

I'm so sorry, It didn't even cross my mind that you might be close to the hurricane, may god bless you and keep you safe you and all of your loved ones.

I didn't visit any doctors yet, I just took the tests, than I'll go .

Is there any specifics I should mention it to him?

[solidi]

I did a sonogram for my thyroid & this was the report:
enlarged thyroid isthmus about 7mm, with normal size of both thyroid lobe... apart from thyroid isthmus and both lobe... show heterogeneous parenchyma with multiple cystic space disturbed all over gland after application of color Doppler show increase uptake... sonographic picture match with Hashimoto thyroiditis... isotope study is recommended after surgical consultation.

Few enlarged cervical LN with preserved shape and hilum largest about 1.2 cm at right lower cervical region.

Submandibular region show two LN with size about 7mm, increase AP diameter, rounded shape, faint hilum... suspicious criteria for close follow up.

[solidi]

Thanks again, I'll get back to you in few days

[Barb135]

I'll look forward to hearing from you.

[solidi]

Hi
I just got the results are as follow:
Total T3   1.12 ng/ml (N: 0.8-2.0)
Total T4   6.3 ug/dl (N:4.7-13.5)
Free T3   2.55 pg/ml (N:1.68-3.54)
Free T4   0.91 ng/dl (N: 0.9-1.9)
TSH        18.2 uIU/ml (N:0.4-4.2)

what to do next?

[solidi]

the previous results were wrong the doctor re-printed the results:


T3       4.1 ng/ml       (N: 0.8 - 2.0)
T4       17.5 ug/dl     (N: 4.7 - 13.5)
TSH    0.01 uIU/mL (N: 0.4 - 4.2)

[solidi]

the old ones not the new ones, i'm sorry if i confused you

[solidi]

to sum it up:

old tests:
Total T3       4.1 ng/ml       (N: 0.8 - 2.0)
Total T4       17.5 ug/dl     (N: 4.7 - 13.5)
TSH             0.01 uIU/mL (N: 0.4 - 4.2)

new results:
Total T3   1.12 ng/ml (N: 0.8-2.0)
Total T4   6.3 ug/dl (N:4.7-13.5)
Free T3   2.55 pg/ml (N:1.68-3.54)
Free T4   0.91 ng/dl (N: 0.9-1.9)
TSH        18.2 uIU/ml (N:0.4-4.2)

[Barb135]

Do you think you can get new tests done for the Free T4 and Free T3?  Those are active hormones.  

The tests for Total T4 and Total 3 show how much the entire amounts of each and much of those amounts are bound by proteins and can't be used by the body.  We need to know how much of each are unbound (free) and available for use.  Those amounts could be quite different.  

Could you please check the result of your T4?  What you have indicates that your result is very high (way over the range).  That seems very odd, considering that your T3 is way under the range.

Your symptoms indicate hypothyroidism and since we'd expect to see TSH much higher than it is, with hypothyroidism, I'd suspect a condition called Central or Secondary Hypothyroidism.  Secondary hypothyroidism is a problem with the hypothalamus/pituitary axis, in which there isn't enough TSH to stimulate the thyroid gland to produce thyroid hormones.

Once you verify the T4 result, we'll know more.

[solidi]

I'll do the tests in few days but someone told me I'd have to wait until my period ends with 10 days. Is it true or can I make the test at any time?

[solidi]

I double check the T4 results it is 17.5 ug/dl (N: 0.8 - 2.0)

[Barb135]

Your period has nothing to with when you do thyroid tests.  You can do them at any time.  

I'm baffled by that T4 result and can't imagine why it shows so high - what we see with Total T4, but the reference range looks similar to what we see with Free T4, not total.  I'm wondering if the lab made a mistake or a typo...

Be sure you specify Free T4, Free T3 and the TSH when you get the new labs.

I'll be waiting to see the results.

[Barb135]

Are the T4 and T3 results, Free T4 and Free T3 or are the Total T4 and Total T3?  They aren't the same tests and don't provide the same information.  It should specify on your lab report if they are Free T4 and Free T3.  

Are you currently taking a replacement thyroid hormone medication(s)?  If so, had you taken the medication(s) prior to the blood draw?

What, if any, symptoms do you have?  

Sorry to ask so many questions, but the answers will help us provide more accurate response to your question.

[solidi]

Thanks for taking the time to reply
the tests aren't free T3 & T4
I'm not under any thyroid hormone medication(s.
as for the symptoms:
Fatigue (both body & mental)
depression
anxiety
Weakness.
Weight gain
difficulty losing weight.
Dry, rough pale skin.
increase in facial hair
Muscle cramps and frequent muscle aches.
joint pain