Any help is soooo appreciated.
So I got my test results back, I asked my primary care physician for thyroid panel since I fired my endocrinologist and here are my results. Let me know if I should be asking for any other tests, I am at my wits end. I have all the hypo symptoms yet my lab work shows normal.
t3uptake 27.4 (23.4-42.7)
t4 9.4 (4.5-12.5)
tsh 2.46 (.45-4.50)
t7 index 2.6 (1.2-4.3)
t3 reverse .31 (.11-.32)
I'm so confused, I was about 99.9 % sure my thyroid was causing all my symptoms, but why is my blood work normal?
Your results probably aren't so "normal". Just because they're all within range doesn't mean much.
You still haven't had a very revealing "panel". The best tests are TSH, free T4, free T3, and thyroid antibodies. Of these, you had only TSH.
The first two tests on your list are done to produce the result of the T7 index, which is just an estimate of FT4. When it's extremely easy and possible to exactly measure FT4, why do MDs persist in ordering an estimate of it?! Stupid, IMO.
Anyway, that estimated FT4 is low, probably lower than where you need it to be, and your TSH is high, according to the American Acad. of Clinical Endos.
Your reverse T3 is high, indicating that your cells aren't getting enough actual T3 to perform their metabolic processes.
I would definitely say it is your thyroid. Find a doctor who knows how to order the right tests and interpret the results better, and you may get better treatment.
I was beginning to give up hope, I was going to just accept I will feel like this forever. I am going to see an endocrinoligist (luckily I got a referral, because my prolactin is high but they don't know why), unfortunately the wait is until August
So I will definately ask for these test you mentioned.
YMartinez...you can have normal blood tests and you can be hypothyroid...3 good books for you to read...Can It Be My Thyroid? by Sheldon Rubenfeld MD...Living with Hypothyroidism by Mary Shomon...Thyroid Power by Richard Shames MD...all have info on getting a diagnosis/treatment...your library can get the books for you if you ask or you might be able to find them at Barnes and Noble...please do not give up hope that you will feel better and please let us know what happens...
When I started getting treated my TSH was 2.8[0.5-5.0] and i was definitely hypo - there's a useful graph out there, if you search for normal TSH graph you should find one, it shows that most people feel their best with a tsh of between 1 and 2, personally I feel better at below 1 but everyone's different
Get the FreeT3 and FreeT4 tests done, privately if you have to - you could easily have a thyroid problem with that TSH.
Thank you Becky! How did you find out you had a thyroid problem? Did it show up in your free t3 and free t4 test? Also the things that confuses me the most is I feel horribly for about 2-3 weeks, all the hypo symptoms, blood pressure drops,heart hurts, cold, constipated, depressed, headache, extreme fatigueand if blood work is done then then I always come back with high prolactin. Then I will feel good and it will last anywhere from 2days to 1 month then its immediately back to feeling bad and the symtpoms start all over. Is that typical with thryoid disease or is usually a contant feeling of illness? Also , does anyone know if slightly high prolactin levels(44) is connected to hypothyroidism?
Thanks for everyones input. This board has been so helpful to me!!
I worked out that I had a thyroid problem myself, it's in my family and I researched and then went and argued with my GP until he caved and treated me. I've never had my FT3 or FT4 tested as they won't do those tests on the NHS in the UK, my doctor is mostly going by TSH (he'll let me push it down to the bottom of the normal range, he won't let me go below the bottom though as here there be dragons).
Due to this fact I have an appointment to see a private specialist in June who can get all the tests done, treats with Armour and will hopefully know more about thyroid problems than I do :P
I find my symptoms wobble about in line with my monthly cycle, I feel good for 2 weeks and crappy for 2 weeks every month.
No idea about the prolactin I'm afraid Good luck getting yourself sorted out!