A bit of background on May 18, I started feeling really bad at work. Everyone thought I was having a stroke, I didn't but nobody could figure out what was going on. Saw a Neuro who declared it migraine variant with possible seziures, off work for 3 weeks. Ok I go back to work, make it a day and a half and it's like I hit a brick wall, just wanted to crawl under my desk and sleep for a month, couldn't concentrate, trouble talking, right arm and both legs felt like lead, tingling in feet and fingers, headache --- just all kinds of stuff. After 6 or 7 trips to the ER, 3 trips to neuro on June 15 my primary care decided to do blood tests. He calls me the other night and takes me out of work again says I probably have Hypothyroidism Hashimoto's (I'm sure I'm spelling that wrong). I finally got to see my results and I just don't see where he is coming from. Can someone help me interpret this please?
Thyrotropin 11.27 range is .465 - 4.68
FT4. .99 range is .78 - 2.19
FT3 1.21 range is .60 - 1.81
I've already been on levothyroxine .05mg since Dec 2011 (at that point they had done a TSH test but nothing else and it was 18.67)
Hello Welcome to Thyroid Board
Your TSH looks dreadfully high for someone on medication (you'd want it to be around 1 or so) and your FT4 is clearly on the low side which, along with your symptoms, indicate that you're currently undermedicated. You clearly need a dose increase (to 75 mcgs for starters and then probably up to 100).
Last edited by FinnMaid; 06-25-2012 at 09:40 AM.
The Following User Says Thank You to FinnMaid For This Useful Post: Skiju (06-25-2012)
That's what I thought so I asked him and he's refusing to change any meds until I have an ultrasound this Thursday. Thanks for the welcome and the response, I really appreciate it. Guess all I can really do is wait until Thursday.
Called my doctor, he's referring me to an Endocrinologist. He she this person will get me on all the right meds. I'm still not sure what the ultrasound is about, from what I can determine it just shows of its enlarged or has nodules. As far as getting another doc, I would in a heartbeat but I have my medical through the VA and am stuck using who they assign to me.
I did pull up all my past bloodwork online and it turns out I've had this test before and didn't know it:
Sep 30 2011
TSH 18.68 range .55 - 4.78
Dec 02 2011
TSH 6.97 range .55 - 4.78
Ft4 .77 range .89 - 1.76
Jan 17 2012
TSH 11.20 range .55 - 4.78
Ft4 .83 range .89 - 1.76
TSH 11.27 range .465 - 4.68
Ft4 .99 range .78 - 2.19
Ft3 1.21 range .60 - 1.81
The above does nothing to make me have confidence in these people
Those two tests are measures of the two antibodies which cause Hashimoto's thyroiditis, the most common cause of hypothyroidism. Your TPO (t.peroxidase) antibody test was strongly positive; the Tg (thyroglobulin) Ab was not. It only takes one or the other to cause Hashi's.
But it's moot whether you have antibodies at this point. The tests are often helpful for diagnosis, but it doesn't change the treatment at all. It's kind of stupid to test them now.
Keep pushing for a higher dose! That's what you need most.
__________________ "We can complain because rose bushes have thorns, or rejoice because thorn bushes have roses." Abraham Lincoln
Ultrasound was fine, he finally upped me to 75. Still wants me to see a specialist, just have to get an appointment with her. Turns out she's not an Endo but a nurse prac who he says has been doing this for "5000 years". Don't know if that's good or bad but at least he upped my dose :0)
The following user gives a hug of support to Skiju: FinnMaid (06-29-2012)
Saw the Nurse Prac toady -- she said it's absolutely Hashimoto's (which we already kinda knew) and she said that my meds need to be increased from .75 to 1.00 and to recheck my blood work in 6 weeks and see her in 3 months. Said she wants my TSH level to be between 1.5 and 2 and she's keeping me out of work and see how I do. Guess I got lucky with the nurse Prac as she seems like a good one :0)
Said she wants my TSH level to be between 1.5 and 2
For many that level would be too high, but it's certainly better than the situation you've been left in before - maybe you can can persuade her to give a higher dose a try if needed You also need to keep in mind that it's about those freeTs along with symptoms, not just TSH.