A couple weeks ago I had a test done for my thyroid. It all started when I told my doctor I need to lose 15 lbs and have a really hard time doing it. At that point he decided to give me the TSH Senstive Test. When the results came in last week my TSH was slightly elevated. I guess the range is supposed to be from 0.35-5.50. And my was 6.75. I am going back this week to get it retested. What should I expect if the 2nd test states the same results?? When I went the first time I had my appt around 3pm which means I already had breakfast and lunch. I read that you are not supposed to eat anything 12hrs prior. Will it make I difference if I go on an empty stomach? Any input would be helpful because I am not very familiar with thyroid disorders!! Thanks
Last edited by plantlover; 01-25-2005 at 05:28 PM.
Your TSH isn't slightly elevated, its very elevated, your lab is using an old range. The new AACE guidelines for TSH is .3-2.5 and anything above 2 is suspect for a thyroid problem especially if symptoms are present. Most people with no thyroid problems will have a TSH closer to or even below 1
TSH is generally higher in the morning, food really will not make any difference, but...you really NEED to also have your FREE T3 and FREE T4 tested, they are your actual thyroid hormones, the TSH is a pituitary response, treatment should be based on the FREE levels.
If your TSH is high, your Dr should also check your FREE levels and probably your totals, all these need to be evaluated WITH the TSH, not TSH alone.
Generally most drs will put you on synthroid if they conclude your thyroid is not functioning properly, but there are other options. Most people (not all) feel best when put on Armour, some feel fine on synthetics, but there are many options for the synthetics and the natural meds.
IF you are put on meds, you would have to take it every morning on an empty stomach and not eat for at least one hour, you would also need to not take calcium or iron suppliments close to the meds as they inhibit the absorbsion. After being on meds about 1 month, your dr should repeat the bloodwork to see if you need an increase in meds. Treatment should be based on the FREE levels not just the TSH.
In reference to alternative treatments, there are things you can take, but if your thyroid is failing they will only stimulate it to produce more hormone, once it is totally taxed, meaning it cannot produce anymore you will need to be on replacement hormone. Its sort of like a tomato plant, you can feed it plant food to stimulate it to produce tomatoes but once its dead it doesn't matter how much plant food you give it, it will no longer produce tomatoes, you'll need a new plant. The thyroid can be stimulated to produce more hormone, but once it doesn't you do need the replacement hormone to live, your body depends on it.