Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 If you taking *any* replacement thyroid hormone with T3 (i.e., Armour, ERFA, Cytomel, etc.) then it is not at all unusual for your TSH to be low. You are not Hyperthyroid, but some clueless docs will interpret the results as such. You have to remember that TSH is a pituitary hormone - the level of TSH tells your thyroid how much hormone it should be producing - i.e., a higher level means your pituitary is trying to tell your thyroid to produce more thyroid hormone. That's why high levels of TSH can be indicative of hypothyroidism - i.e., your pituitary is reacting to lower than normal levels of circulating T4 and T3 by putting out more TSH. But, when your thyroid is not functioning properly, it's not able to produce normal amounts of additional thyroid hormone or as is often the case for hashi's will produce extremely inconsistent amounts. Once you start adding T4 and T3 in the form of replacement thyroid hormone, your pituitary naturally (and logically) reduces the amount of TSH it is producing. The pituitary is much more sensitive to levels of T3 than T4 - again logically because T3 is the active thyroid hormone. That's why your TSH has likely decreased. Are the T4 and T3 frees and what are the ranges (different labs use different ranges)? B. Just got my latest round of test results back and I'm really confused on this one:TSH - .6T4 - 1.72T3 - 11.8Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism. What gives?Sent from my iPhone Sorry about the thyroglobulin being up. It appears that your cancer does not uptake RAI. Will you be having a PET scan to find the other sites? Your endo does not have to prescribe your thyroid meds. Your GP can do that, even if the endo does not like what he is prescribing. What are you on now and how are you feeling? Some folks do well on levothyroxine plus Cytomel, provided that the doc gives them enough Cytomel. > >> > I was diagnosed Hypothyroid when I was 18 (with a TSH of 96.5). By the time I was 21, I had RAI because of autoimmune thyroiditis (not sure which antibodies--Endo never checked for that) & was put on Levothyroxine. After loosing my insurance, I self-medicated for a while & kept up the norm that my doctor began. Unfortunately I never felt good & never lost any weight despite countless diets & exercise routines. I finally switched to a doctor (not an Endo) I could afford--who gave discounts to " pay out-of-pocket " patients. I have been seeing this doctor for 4 years now & I'm 28. > > When I first started seeing him, he raised my dose of Levothyroxine & for the first time ever, I felt great & started loosing weight (my levels were great, as well). 2 months later, my pharmacy substituted Synthroid for the out-of-stock levothyroixine--same doseage. That month, I gained back the 40 lbs I had just lost. I immediately went back to the doctor & he contacted the pharmacy and added a stipulation " No Substitutes. " It has been close to 4 years now & I have yet to loose any weight or feel good again--but I have " normal " labs. Dieting seems to only help me maintain the 260 lbs I am at now & we have been trying for a baby for 7yrs. Of course, I know I'm symptomatic, so I know trying right now is doing as much good as wishing on a star. > > A few months ago, I went back for my annual check-up & had him test Free T4 & Free T3. My T4 was in the middle of the normal range, but my T3 was at the very minimum of the normal range. --Doc says everything's normal & that not everything is thyroid related...meaning my being symptomatic--I'm like a walking hypothyroid symptoms check list. He did say, however, that there might be something else wrong with the thyroid issues, but that he doesn't know much about it, so I need to find an Endocrinologist. > > Can anyone help with that? I don't know if maybe I should try being tested for 's Syndrome (I have those symptoms)? Do any of you even know of a doctor who will test/treat for that? I am just so frustrated and I want to feel good & loose weight. I live in Central Texas (between Waco & Temple) but I travel to Austin to see my regular doctor. > > Any help on finding a doctor or any suggestions on testing because of possible reasons I am struggling would be greatly appreciated.> > Thanks so Much!> > ~Amber> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 If you taking *any* replacement thyroid hormone with T3 (i.e., Armour, ERFA, Cytomel, etc.) then it is not at all unusual for your TSH to be low. You are not Hyperthyroid, but some clueless docs will interpret the results as such. You have to remember that TSH is a pituitary hormone - the level of TSH tells your thyroid how much hormone it should be producing - i.e., a higher level means your pituitary is trying to tell your thyroid to produce more thyroid hormone. That's why high levels of TSH can be indicative of hypothyroidism - i.e., your pituitary is reacting to lower than normal levels of circulating T4 and T3 by putting out more TSH. But, when your thyroid is not functioning properly, it's not able to produce normal amounts of additional thyroid hormone or as is often the case for hashi's will produce extremely inconsistent amounts. Once you start adding T4 and T3 in the form of replacement thyroid hormone, your pituitary naturally (and logically) reduces the amount of TSH it is producing. The pituitary is much more sensitive to levels of T3 than T4 - again logically because T3 is the active thyroid hormone. That's why your TSH has likely decreased. Are the T4 and T3 frees and what are the ranges (different labs use different ranges)? B. Just got my latest round of test results back and I'm really confused on this one:TSH - .6T4 - 1.72T3 - 11.8Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism. What gives?Sent from my iPhone Sorry about the thyroglobulin being up. It appears that your cancer does not uptake RAI. Will you be having a PET scan to find the other sites? Your endo does not have to prescribe your thyroid meds. Your GP can do that, even if the endo does not like what he is prescribing. What are you on now and how are you feeling? Some folks do well on levothyroxine plus Cytomel, provided that the doc gives them enough Cytomel. > >> > I was diagnosed Hypothyroid when I was 18 (with a TSH of 96.5). By the time I was 21, I had RAI because of autoimmune thyroiditis (not sure which antibodies--Endo never checked for that) & was put on Levothyroxine. After loosing my insurance, I self-medicated for a while & kept up the norm that my doctor began. Unfortunately I never felt good & never lost any weight despite countless diets & exercise routines. I finally switched to a doctor (not an Endo) I could afford--who gave discounts to " pay out-of-pocket " patients. I have been seeing this doctor for 4 years now & I'm 28. > > When I first started seeing him, he raised my dose of Levothyroxine & for the first time ever, I felt great & started loosing weight (my levels were great, as well). 2 months later, my pharmacy substituted Synthroid for the out-of-stock levothyroixine--same doseage. That month, I gained back the 40 lbs I had just lost. I immediately went back to the doctor & he contacted the pharmacy and added a stipulation " No Substitutes. " It has been close to 4 years now & I have yet to loose any weight or feel good again--but I have " normal " labs. Dieting seems to only help me maintain the 260 lbs I am at now & we have been trying for a baby for 7yrs. Of course, I know I'm symptomatic, so I know trying right now is doing as much good as wishing on a star. > > A few months ago, I went back for my annual check-up & had him test Free T4 & Free T3. My T4 was in the middle of the normal range, but my T3 was at the very minimum of the normal range. --Doc says everything's normal & that not everything is thyroid related...meaning my being symptomatic--I'm like a walking hypothyroid symptoms check list. He did say, however, that there might be something else wrong with the thyroid issues, but that he doesn't know much about it, so I need to find an Endocrinologist. > > Can anyone help with that? I don't know if maybe I should try being tested for 's Syndrome (I have those symptoms)? Do any of you even know of a doctor who will test/treat for that? I am just so frustrated and I want to feel good & loose weight. I live in Central Texas (between Waco & Temple) but I travel to Austin to see my regular doctor. > > Any help on finding a doctor or any suggestions on testing because of possible reasons I am struggling would be greatly appreciated.> > Thanks so Much!> > ~Amber> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 I did take my meds before the test... I'm taking compounded desiccated thyroid.The tests are free t3 and t4. The doc now wants to lower my meds considerably.Sent from my iPhone We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 I did take my meds before the test... I'm taking compounded desiccated thyroid.The tests are free t3 and t4. The doc now wants to lower my meds considerably.Sent from my iPhone We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Tw reference ranges, by the way, are Tsh - .45 - 4.5T4 - .32 - 1.77T3 - 2.0 - 4.4Sent from my iPhone We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Tw reference ranges, by the way, are Tsh - .45 - 4.5T4 - .32 - 1.77T3 - 2.0 - 4.4Sent from my iPhone We need the exact name of each test as well as the reference ranges and whether or not you took your meds before the test. >> Just got my latest round of test results back and I'm really confused on this one:> > TSH - .6> T4 - 1.72> T3 - 11.8> > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > What gives? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 I would ask for a retest before agreeing to any dose reduction, and wait until afterwards to take your meds. Free T3, and to a lesser extent, Free T4 tend to peak between one and five hours after dosing. Some folks do need their Free T3 to be over range to feel well. > > >> > > Just got my latest round of test results back and I'm really confused on this one:> > > > > > TSH - .6> > > T4 - 1.72> > > T3 - 11.8> > > > > > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > > > > > What gives?> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Sounds like a plan. I was pretty disappointed when the nurse from the doctors office tried to convince me that high t3 can cause hypo symptoms and weight gain. Uh, really?Sent from my iPhone I would ask for a retest before agreeing to any dose reduction, and wait until afterwards to take your meds. Free T3, and to a lesser extent, Free T4 tend to peak between one and five hours after dosing. Some folks do need their Free T3 to be over range to feel well. > > >> > > Just got my latest round of test results back and I'm really confused on this one:> > > > > > TSH - .6> > > T4 - 1.72> > > T3 - 11.8> > > > > > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > > > > > What gives?> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Sounds like a plan. I was pretty disappointed when the nurse from the doctors office tried to convince me that high t3 can cause hypo symptoms and weight gain. Uh, really?Sent from my iPhone I would ask for a retest before agreeing to any dose reduction, and wait until afterwards to take your meds. Free T3, and to a lesser extent, Free T4 tend to peak between one and five hours after dosing. Some folks do need their Free T3 to be over range to feel well. > > >> > > Just got my latest round of test results back and I'm really confused on this one:> > > > > > TSH - .6> > > T4 - 1.72> > > T3 - 11.8> > > > > > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > > > > > What gives?> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Overmedication and undermedication can have similar symptoms at times. In my case, both give me joint pains. But tell me this, was that person really a nurse? A lot of docs are now using Certified Medical Assistants instead of nurses. CMAs have much less training, but they are cheaper. . . . . > > > > >> > > > > Just got my latest round of test results back and I'm really confused on this one:> > > > > > > > > > TSH - .6> > > > > T4 - 1.72> > > > > T3 - 11.8> > > > > > > > > > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > > > > > > > > > What gives?> > > > > > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Overmedication and undermedication can have similar symptoms at times. In my case, both give me joint pains. But tell me this, was that person really a nurse? A lot of docs are now using Certified Medical Assistants instead of nurses. CMAs have much less training, but they are cheaper. . . . . > > > > >> > > > > Just got my latest round of test results back and I'm really confused on this one:> > > > > > > > > > TSH - .6> > > > > T4 - 1.72> > > > > T3 - 11.8> > > > > > > > > > Now, the T3 seems really high, but my hypo symptoms are terrible right now. I have no symptoms of hyperthyroidism.> > > > > > > > > > What gives?> > > > > > > >> > >> > > >> Quote Link to comment Share on other sites More sharing options...
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