Re: Got My Results! Help! What do they mean?!

[Guest guest]

Hi All My results are in and are all back within the normal range. Does this mean I can't be hypothyroid despite the fact I have what looks like a goitre in my neck and a list of symptoms a page long?! (Got an appointment with a General Medicine Consultant to check this lump out on 28 August and a Rheumatology Consultant for the aches and pains on 3 September, so will update on them then). Free T3 - 5.3 (range 0.3 to 6.2) Free T4 - 8.7 (range 8.0 to 21.0) TSH - 2.8 (range 0.2 to 4.0) This was 2.1 on previous weeks test Thyroid Peroxidase Antibody - 1 (range 0 to 9) Thyroglobulin Antibodies - 19.3 (range 0 to 46) Any help with what my results actually mean would be appreciated as despite

all that I have read I still don't understand what and how each result affects other results! Am I now on the long slippery slope of now being diagnosed with various other illness' that have similar symptoms to hypothyroidism?! Help! Thanks for all you support. Sharon.x

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[Guest guest]

What hits me straight away is your VERY LOW T4, it should be really in the upper third of the range, mine is 18.1 at present and still dont feel that great!!!

Your T4 look ok and TSH could be slightly lower, have you asked for a trial of T4 thyroxine to see if it will bring your T4 level up a bit?

Oh the bright side at least you dont have the antibodies, they really can make you feel ill. I have an anti body level of 628!

From: Spazziepants <spazziepants@...>Subject: Re: Got My Results! Help! What do they mean?!"TPA Group" <thyroid treatment >Date: Friday, 8 August, 2008, 2:40 PM

Hi All

Sharon.x

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[Guest guest]

Hi Sharon

Your results are NOT normal. Your Free T3 is fine, but your Free t4 is at the very bottom of the range which shows you are not making this thyroid hormone. It should be in the upper third of the reference range. Also, your TSH should be around 1.0 for you to feel OK, and at 2.8 - had you been in Germany, their reference range is 0.4 to 2.5 - so you would have been diagnosed as being hypothyroid.

With these results, what did your GP have to say. Write down all your symptoms and signs, take your basal temperature for five days and add the temperature to this list. Add if there are any people in your family who have an autoimmune problem and those with a thyroid disease (if there are any). Write down any questions you need to ask your consultant(s) and hand them over when you see them. You cannot be ignored, but probably the general medicine consultant or the haematologist will be able to spot what is wrong with you. You do appear to be hypothyroid with these results.

Luv - Sheila

Free T3 - 5.3 (range 0.3 to 6.2)

Free T4 - 8.7 (range 8.0 to 21.0)

TSH - 2.8 (range 0.2 to 4.0) This was 2.1 on previous weeks test

Thyroid Peroxidase Antibody - 1 (range 0 to 9)

Thyroglobulin Antibodies - 19.3 (range 0 to 46)

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THANKS. LUV - SHEILA

____________________________________

Thanks to you all for the replies explaining my results as it all

just baffled me why all came back normal but some in mid range and

some low and I had all the symptoms!

My GP when she tested TSH it came back at 2.1 and she wasn't

interested in testing for anything else as my TSH was.... normal! I

went elsewhere and private for the other tests and these are the

results. I will see how I get on at the consultants, if that fails

will see if I can move to a GP that will take me seriously.

How do I take my temperature on a mornings? Will have all th info

ready for when I see the consultants!

Thanks again.

Sharon.xxx

> Hi Sharon

>

> Your results are NOT normal. Your Free T3 is fine, but your Free t4

is at the very bottom of the range which shows you are not making

this thyroid hormone. It should be in the upper third of the

reference range. Also, your TSH should be around 1.0 for you to feel

OK, and at 2.8 - had you been in Germany, their reference range is

0.4 to 2.5 - so you would have been diagnosed as being hypothyroid.

>

[Guest guest]

Hi Sharon

It is best if you have a mercury thermometer. You shake the thermometer down before you go to bed and put it on your bedside table. When you wake, put the thermometer under your tongue and leave it there for 2 to 3 minutes. Write down your temperature on a piece of paper at the side of your bed and do this on 5 consecutive mornings. Normal temperature is 98.4 degrees F. If your's is 97.8 9and it could be much less) this is an indication that you have a low metabolism, and this could be because you are hypothyroid.

luv - Sheila

How do I take my temperature on a mornings? Will have all th info ready for when I see the consultants!Thanks again.Sharon.xxx> Hi Sharon> > Your results are NOT normal. Your Free T3 is fine, but your Free t4 is at the very bottom of the range which shows you are not making this thyroid hormone. It should be in the upper third of the reference range. Also, your TSH should be around 1.0 for you to feel OK, and at 2.8 - had you been in Germany, their reference range is 0.4 to 2.5 - so you would have been diagnosed as being hypothyroid. > No virus found in this incoming message.

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[Guest guest]

Hi Sharon,

Your system is really struggling with such a low T4, even though you are

still converting a reasonable amount to T3. As you have antibodies these will

continue to attack what is left of your thyroid- the amount of antibodies

present tends to vary depending if an attack is

happening at that time. The destruction releases thyroid hormone so you may

feel a little better for a while due to this thyroid dump. The aches and pains

you are experiencing may well be due to your

unbalances thyroid hormones- see http://www.drlowe.com.

The lump needs investigation, but

if it is just your thyrois struggling then it should

resolve when you are given adequate thyroid hormones., but it may be more sinister

so it does need checking. If the appointment does not go well ( general medicine rather than endo)

Sheila has a list of those who know a bit more than most.

Subject:

Re: Got My Results! Help! What do they mean?!

Hi All

My results are in and are

all back within the normal range. Does this mean I can't be hypothyroid despite

the fact I have what looks like a goitre in my neck and a list of symptoms a

page long?! (Got an appointment with a General Medicine Consultant to check

this lump out on 28 August and a Rheumatology Consultant for the aches and

pains on 3 September, so will update on them then).

Free T3 - 5.3 (range 0.3

to 6.2)

Free T4 - 8.7 (range 8.0

to 21.0)

TSH - 2.8 (range 0.2 to

4.0) This was 2.1 on previous weeks test

Thyroid Peroxidase

Antibody - 1 (range 0 to 9)

Thyroglobulin Antibodies

- 19.3 (range 0 to 46)

Sharon.x

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[Guest guest]

Hi Sharon, your test for the thyroglobulin is interesting, this could mean that you have auto-antibodies to the (TSH) which is thyroid stimulating hormone .I could be wrong it may be that it is linked to something else, but----. perhaps someone else can say if this is right or not.best to research thyroglobulin and auto-antibodies to find out what the implication's are. angel.

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Hi Angel

I have been reading about thyroglobulin but the more I read the more

confused I get! The thyroglobulin was mid way in the range is this

where abouts it should be? What was the test taken to show? Like I say

just getting more and more confused!

Sorry for asking all these questions but I am so confused with how each

results is affecting other results!

Sharon.xxx

Hi Sharon, your test for the thyroglobulin is interesting, this could

mean that you have auto-antibodies to the (TSH) which is thyroid

stimulating hormone .I could be wrong it may be that it is linked to

something else, but----. perhaps someone else can say if this is right

or not. best to research thyroglobulin  and auto-antibodies to find

out what the implication's are. angel.

[Guest guest]

http://www.labtestsonline.org/understanding/analytes/thyroglobulin/test.html

I would ask your doctor to explain what these mean in your case Sharon. Different labs have different ranges and some don't have a reference range for these antibodies at all.

Luv - Sheila> Hi Angel> > I have been reading about thyroglobulin but the more I read the more > confused I get! The thyroglobulin was mid way in the range is this > where abouts it should be? What was the test taken to show? Like I say > just getting more and more confused! > > Sorry for asking all these questions but I am so confused with how each > results is affecting other results! > > Sharon.xxx> > Hi Sharon, your test for the thyroglobulin is interesting, this could > mean that you have auto-antibodies to the (TSH) which is thyroid > stimulating hormone .I could be wrong it may be that it is linked to > something else, but----. perhaps someone else can say if this is right > or not. best to research thyroglobulin and auto-antibodies to find > out what the implication's are. angel.>

[Guest guest]

Hi Sharon - I know that you had 'all' the thyroid tests available done privately - therefore there wasnt an indication to have this done and also you dont at the moment have a doc you can discuss this with. I would say that as there was a range for this and its slap bang in the middle then dont worry about it - it looks like a normal result.

As you have a couple of hospital appointments coming up you could share all your results then.

Unless anyone can explain more about this test and the results - Bob?

Gill

> I have been reading about thyroglobulin but the more I read the more > confused I get! The thyroglobulin was mid way in the range is this > where abouts it should be? What was the test taken to show? Like I say > just getting more and more confused! > > Sorry for asking all these questions but I am so confused with how each > results is affecting other results! >

..

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[Guest guest]

Hi Sharon,

Free T4 at 5.4% of the stated range is very low and that range also

goes down to 8; other ranges go down to 9 or 10 ~ low point.

I don't know what methods they use to exclude people who are sick or

have sub-clinical hypothyroidism from their determination of

'population means'.

I guess it's pot-luck unless they use a standardised method for

determining that population mean (hence, the 'normal distribution'

implied by the upper and lower limits ~ at two standard deviations

either way..) BTW ~ a 'normal distribution' is usually taken as

three standard deviations either way (only about one percent of

results fall outside that region).

[[...If a lab test carries an uncertainty at low levels of measurement

that includes zero as a possible result when using ' +/- three

standard deviations' as the normal distribution ~ it's lower limit of

measurement is compromised....hence using the '+/- two standard

deviations' to create a normal distribution allows a supposedly lower

limit of detection...]]...one has to be careful how one interprets

these results as 'normal distributions'.

for example:- the range stated to be 8 - 21 as +/- two standard

deviations from the mean ~

puts the mean at 14.5 +/- 3.25 units (+/- one standard deviation)

puts the mean at 14.5 +/- 6.5 units (+/- two standard deviations)

puts the mean at 14.5 +/- 9.75 units (+/- three standard deviations)

{hence, the lower limit in the above case, might be 4.75 units with

three standard deviations either way, applied to the mean value}

Free T4 is, as it says the amount of measured Free T4, and not that

which is bound to the carrier proteins in the serum.

On a good day there's an approximate relationship between the amount

of Free T4 and the amount of Bound T4 unique to each individual

(varies according to blood chemistry), but as with many parameters, a

population mean for that, will also apply.

Hypoxia, electrolyte imbalance, drug regime, blood alkalinity/acidity

etc, will affect the amount of Free T4 (and Free T3) as will the

content of other proteins in the blood/serum......

and whilst the TSH can vary during the day, in any case (best take

measurements at about the same time each day), once the TSH starts to

go above about the 2.0 mU/L mark, one might expect any of the

undesirable symptoms to show up.

If other drugs were used during the period that these tests were

measured, they could affect the outcome.

best wishes

Bob

>

> Hi All

>

> My results are in and are all back within the normal range. Does

this mean I can't be hypothyroid despite the fact I have what looks

[Guest guest]

I don't know hon, low T4 for sure, maybe trying iodine?? Thoughts anyone?

lotsa luv

Dawnx