It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Thyroid Disorders Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 11-14-2004, 01:16 PM   #1
Senior Member
(male)
 
Join Date: Oct 2004
Posts: 121
FoolsGold HB User
Full thyroid panel versus TSH ?

I've heard that the 'full thyroid panel' is a useless dinosaur and that a TSH test is sufficient but I've also heard that a full thyroid panel is necessary to determine any subclinical, suboptimal deficiency cases.

 
Old 11-14-2004, 01:50 PM   #2
Senior Veteran
(female)
 
Lady50's Avatar
 
Join Date: May 2004
Location: Missouri
Posts: 2,879
Lady50 HB UserLady50 HB UserLady50 HB UserLady50 HB UserLady50 HB UserLady50 HB UserLady50 HB User
Re: Full thyroid panel versus TSH ?

If you just get the TSH, that is not enough. Most people get the TSH, ft3 and ft4. The TSH is not a good indicator for some people with thyroid problems.
__________________
** RAI ablation for Graves disease 2004**

 
Sponsors Lightbulb
   
Old 11-14-2004, 04:50 PM   #3
Senior Veteran
(female)
 
Join Date: Jan 2003
Location: Missouri, USA
Posts: 12,260
midwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB User
Re: Full thyroid panel versus TSH ?

The so-called "full panel" usually consists of TSH, T4, T3 uptake, and FT index. This panel is outdated and not at all revealing.
TSH alone will tell you nothing, because TSH can lag behind low thyroid hormone production by months and/or years.

The tests that will reveal most cases of hypoT are the TSH, free T4, free T3, and anti-thyroid (TPO and Tg) antibodies. If either or both the free hormones are below the middle of the lab range, no matter where the TSH value, there is a problem. Even if the TSH is mildly elevated (meaning above 2, but below the upper limit), and the free Ts are solidly mid-range, but anti-thyroid antibodies and symptoms are present, the most enlightened doctors will begin treatment. That's because the ABs indicate Hashimoto's disease, and the gland is doomed to failure anyway.

You can see, TSH is NOT the be-all and end-all test. Thyroid disease should be open to interpretation, but stubborn doctors continue to insist it isn't. Darn shame.

 
Old 01-08-2005, 07:40 AM   #4
Senior Member
(male)
 
Join Date: Oct 2004
Posts: 121
FoolsGold HB User
Re: Full thyroid panel versus TSH ?

>That's because the ABs indicate Hashimoto's disease, and the gland is doomed to failure anyway.
Well I'm pushing 60 and been this way virtually all my life so if it was going to fail it would have done so by now.

 
Old 01-08-2005, 11:31 AM   #5
Senior Veteran
(female)
 
Join Date: Jan 2003
Location: Missouri, USA
Posts: 12,260
midwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB Usermidwest1 HB User
Re: Full thyroid panel versus TSH ?

Hashimoto's isn't the only cause of hypothyroidism.
Are you working with a doctor on this? If you've only seen one, and he says TSH is sufficient, he's wrong. If he did the "dinosaur" panel, he still doesn't know much about thyroid, and you'll be better off getting another opinion or two.
So... talk to us. Tell us what's going on with you.

 
Old 01-09-2005, 11:43 AM   #6
Senior Member
(female)
 
Join Date: Jun 2004
Posts: 118
kloet HB User
Re: Full thyroid panel versus TSH ?

I too have been dealing with a doctor who believes that TSH is the only test that is done for thyroid testing. He did test me Free T's only because I asked for them. I also mentioned thyroid antibodies testing and he said no such thing existed. My TSH has been rising slowly starting at 0.67, 0.9 and now at 1.07 (range 0.3-5.0) my Free T4 was 9.2 (range 9.1-23.8) and Free T3 was 4.6 (range 2.5-5.7) and my doctor insists that there is nothing thyroid here so he will not send me to an Endo. I am just tired of not feeling like my old self which hasn't been for along time. So any advice would also be appreciated in how I can get my doc to see my way. See here in Canada you can not get into another doctor without a referral. So any info or advice would be greatly appreciated. Thanks and God Bless.

 
Old 03-04-2005, 08:45 AM   #7
Senior Member
(male)
 
Join Date: Oct 2004
Posts: 121
FoolsGold HB User
Re: Full thyroid panel versus TSH ?

Those TSH reference ranges are obsolete.

 
Old 03-04-2005, 09:25 AM   #8
Senior Member
(female)
 
Join Date: Dec 2004
Posts: 263
kiya HB User
Re: Full thyroid panel versus TSH ?

Yes, you'd think so wouldn't you? But here in the good ol' UK, it's still 0.35-5.5 for TSH. Appalling.

 
Old 03-04-2005, 09:30 AM   #9
Inactive
(male)
 
Join Date: Jan 2005
Posts: 740
Changedusername HB User
Re: Full thyroid panel versus TSH ?

I've personally tested the theory. I bought myself 5 TSH tests and wrote my symptoms down. In the course of a week or two my TSH was between 5.5, which is almost normal, to over 15.5 which is pretty hypothyroid yet my symtoms remained the same. So, for a fact, TSH tells you nothing more than the fact that there is probably a thyroid problem without providing a cause or a way to treat it. Free T3 and Free T4 IS the gold standard.

 
Old 04-10-2005, 04:53 AM   #10
Senior Member
(male)
 
Join Date: Oct 2004
Posts: 121
FoolsGold HB User
Re: Full thyroid panel versus TSH ?

Once again, I was refused thyroid testing of any sort since recent TSH values were in reference range.
Grrr.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
having thyroid symptoms, lab results inconclusive houseofglass21 Thyroid Disorders 8 09-03-2010 08:02 AM
Full Thyroid Panel mindyz Thyroid Disorders 0 12-22-2008 08:18 AM
HELP - thyroid test results??? marie74 Thyroid Disorders 4 09-05-2008 12:59 PM
Thyroid Care and Concerns Around the World - Part 7 - TT or RAI mkgbrook Thyroid Disorders 49 07-08-2008 04:49 PM
Lab interpretation - Postpartum Thyroid problem?? lmcousins Thyroid Disorders 5 05-20-2008 06:44 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Armour
Cytomel
Levothroid
Levoxyl
Potassium
  Synthroid
Tapazole
Unithroid
Xanax
Zoloft




TOP THANKED CONTRIBUTORS



sammy64 (666), midwest1 (627), FinnMaid (308), Reece (224), lisa789 (196), Tree Frog (80), mkgbrook (72), cd37 (56), ladybud (45), Bran'sNana (44)

Site Wide Totals

teteri66 (1162), MSJayhawk (990), Apollo123 (890), Titchou (825), janewhite1 (823), Gabriel (757), ladybud (736), sammy64 (666), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 08:59 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!