I hope you guys don't mind that I'm posting this here...
I'm 18 years old. I've been having muscle pain and twitches, hair loss, quite bad mental confusion and horrible memory loss, fatigue, difficulty swallowing, and weakness in my legs. I've had all of the thyroid tests done, and they all came back normal except the thyroglobulin antibodies, which were at 169. The doctor told me that just means I have the risk for getting hypothyroid in the future. My question is: is it possible to have hypothyroid even if your TSH and T4 come back normal?
My question is: is it possible to have hypothyroid even if your TSH and T4 come back normal?
In a nutshell, yes.
Post your lab results and ranges here if you wish to share. Someone will be able to see what your MD may be missing. These results are open to interpretation, and just because yours are within a certain range, that doesn't mean they are normal for YOU. Just as you have a particular shoe size which is comfortable within a broad, normal size range, you have a normal setpoint for thyroid hormone within its range.
Odds are very strong that your T4 is very low in its range, meaning you probably don't have enough to keep you well.
Thyroid disease is never the black and white issue that the majority of MDs think it is.
There are some MDs who would treat your symptoms plus antibodies, no matter where lab levels are, so you may want to get another opinion or two from more knowledgable MDs.
To understand the basic terms, tests, and treatments, get a copy of Thyroid for Dummies from the library or bookstore.
please make sure you get copies of all labworks you have done. you should have these copies for your own personal use. if i had done that when i was first tested, i would have learned i was hypothyroid 7 months earlier than i did and would have saved myself so much aggravation.
post your numbers here, with the ranges also, if you'd like people here to give you feedback.
your symptoms sound like you could be hypothyroid. i believe - but i am not positive - that if you have the antibodies that means you have hashimoto's. dont quote me on that. i have the antibodies and i have hashimotos but i also had low t4 and high tsh, unlike you.
you might want to see if thyroid problems run in your family. you might want to think about seeing a couple other doctors to get their opinions on your situation as well.
Welcome to the wonderful world of "subclinical hypothyroidism". So sorry you have to deal with this at such a young age.
Your numbers are "normal" - so much so that you'll probably have some trouble finding a doctor to give you what you probably really need - which is a trial on some thyroid hormone.
There are some things you can try on your own - there are some studies to suggest that selenium supplements can decrease thyroid antibodies, so I would start 200 mcg a day, along with a good multivitamin. You may also want to take extra iron for a month or so. (Not good to take it longer without checking levels - but iron deficiency is common in women and decreases thyroid function). Eat a healthy diet, plenty of protein and good fats (olive oil, walnuts, fish, fish oil) and fresh fruits and vegetables.
Then go back to your doctor (or a different one) in a month or two and insist on a repeat TSH, free T4, FREE T3, and thyroid antibodies. Document all your symptoms and PLEAD for a trial on thyroid hormone!!!!!
Insist on the endocrinologist doing all the tests, okay - especially the free T3.
If you don't get satisfaction from the endo, then find out who prescribes Armour thyroid in your area (ask your pharmacist or check the site of the manufacturer of Armour thyroid - they keep a referral list). A doctor who prescribes Armour is more likely to be open to treating you, I think.
Sorry to bring up this thread again, but I have a question (trying to rule out other causes of muscle spasms).
Ellie342, what did your twitches feel like? Were they like your actual leg/arm/etc twitching or like little pulses under the skin? Mine feel like the latter and last for about 2 seconds, and then move somewhere else.
Last edited by hinomiko16; 05-06-2006 at 08:02 AM.