Ive been having symptoms of hypothyroidism for a while, which was strange to me when I got tested several times for months in a row and my levels were high, I Remember 0.97 and 0.86 so I should have had hyper symptoms.
I visited an endocrinology Dr. and she tested A1c, thyroid, ACTH, and CMP.
I was surprised when my TSH level was 1.43 this time, but that is still not low enough to cause symptoms.
my total T3 was 79.4 and FT4 was 0.694
what do you think PH'ers?
Symptoms include: brain fog, short term memory problems, no hunger/excessive hunger, constipation, adverse reaction to alcohol and caffeine, switch up between depression and anxiety, balance issues, dizziness, light headedness, weak muscles, emotionally numb, always fatigued and lethargic, sore joints, notably cold hands and feet also numbness in them because I just never want to move. There has also been a documented consistent low level of white blood cell count for atleast the last 4 months.
other posts regarding this "spell in my life"
Ive since been tested for mono, parvovirus b-19, cytomegalovirus, hiv/aids, hepatitis, and recently diabetes. All negative.
asked byDavidHill76 (803)
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on March 23, 2013
at 08:54 PM
You're going by TSH which isn't that terribly accurate. Your low-normal TSH shouldn't really lead to hyper symptoms. It's more likely you'll have hypo than hyper. Actually, the sweet spot is somewhere from 0.5 to 1.75 or so. So, in your case, you have hypothyroid symptoms that really do not correlate with TSH levels, which isn't very surprising.
FT3 is the one that's most revealing. Your endo didn't test that. He tested T3 which is low. I bet your FT3 is really low. Your FT4 is also low. But what is he gonna do when your TSH is normal? All endos in conventional medicine today correlate hypothyroid symptoms with TSH levels and their chosen remedy is to increase FT4. Your FT4 is low but your TSH isn't high enough, so your endo won't treat.
In your case, since your FT4 is low already, you could benefit from T4 medication like synthroid or levothyroxine. But if your hypo symptoms originate more from low FT3 (and the leak to Rt3) than low FT4, then you're likely to benefit from T4 / T3 medication.
At least ask your endo to test hypothyroid antibodies (TPO/TG) and FT3 next time. Mention Reverse T3 but I bet he won't go for it. Ask him, doesn't my low Total T3 suggest that FT3 is also low? His answer will be, so what? How would that affect TSH? These guys are obsessed with TSH, even though TSH is a flawed yardstick for measuring hypothyroidism, especially in people who're metabolically deranged (i.e., with low FT3).
Ask him, doesn't TSH only measure pituitary not cellular T3? He won't dignify that with an answer, since that's not what he was taught. It's like looking at your fingertip and seeing that it's red to infer that the rest of your body is red. All the more if you're obese and inflammation-ridden and have autoimmune issues.
on March 23, 2013
at 08:13 PM
David, what are your symptoms? Some hypothyroid symptoms are so general (brain fog, weight gain) that might suggest many differing causes.
I agree your TSH looks fine. What are the ranges for the T3 and free T4? I suspect your free T4 is very low (below normal). Not sure if total T3 has much merit; getting free T3 tested is preferred.
If your free T4 is below I suggest the following:
1) Go to your doc and get free T3 tested. You might also want to get antithyroid hormone levels tested which will tell you if you have Hashimoto's (an autoimmune disease).
2) Your doctor might very well prescribe hormone replacement therapy, like taking Synthroid. At that juncture you might want to explore all other alternatives. Taking such meds is a big step, albeit it might be the right step for you (..especially if you have Hashimoto's).
Best of luck!
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