I have not been diagnosed with hypothyroid or on any medication, but come from a long line of family members with Hashimoto's (men included!) on my mother's side. I have been tested for years because I am a textbook case of symptoms but blood work has always been fine in the past. I was hoping you all could help me out with my new labs. I see subclinical hypothyroidism as the diagnosis however the enternist does not see it that way. He is writing a letter to my primary doc about sending me to an endocrinologist after much debate in his office.
I'm sorry you're struggling like this.
Can you consult with another doctor?
an enlarged thyroid is not a required criterium for subclinical hypoT.
Unfortunately your doctors are focussing way too much on TSH (which as you probably know is thyroid stimulating hormone produced by the pituitary gland and not an actual thyroid hormone, FT4 and FT3 are the actual thyroid hormone levels). tsh >2.5 is suspicious of hypoT although even that is not written in stone. TSh is not what causes symptoms, in a perfect scenario TSH will rise (end up elevated) when the actual thyroid levels drop too low for the body's needs, that does not happen for everybody as perfect though.
Tsh is not what causes symptoms, actual thyroid hormone levels being too low does. most healthy people will have their free levels (FT4 and FT3) abou 60-80% of the ranges. your FT4 is near bottom (we don't have FT3) so no doubt you're having symptoms and are hypoT.
When was your blood taken? TSH is supposedly highest in the morning, so if it was done later on during the day it's worth considering having it done in the morning (might make the difference to receive treatment).
Also worth considering is to have your antibodies done being antiTPO and antiTG, in case you have those it might be easier to receive treatment.
good luck and keep us informed!
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The enternist is going to recommend I visit an endocrinologist. I live in cincinnati, OH and plan on doing some research on the endo I want to see. I've heard that I should try to find a doctor that prescribes armour because they tend to look at the big picture not just TSH.
I did have the test taken late afternoon so my TSH was probably lower but in all honesty i want a doctor who looks at the big picture anyway so it's for the better.
Thank you for responding!
Your TSH 2.74 is higher than the median for normal women under 60 years of age of 1.3 to 1.4, indicating slightly hypo.
Your FT4 0.9 is lower the than normal median of 1.04 to 1.1, indicating hypo.
Next time, see if you can insist on getting a Free T3 test as well. Normal median for FT3 is 2.8 to 2.9 ng/dL.
If you do start taking something for it, I would suggest you might as well start taking Armour right from the get go.
The standard tip around here is for you to go to a compounding pharmacy in your city and ask the druggist if he would give you the names of any docs that he knows that prescribe Armour or slow release T3. Ask the druggist which one he would go to! Some Naturopathic Doctors are good at this thyroid stuff.
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My thyroid gland has never been enlarged. My mother was hypothyroid, and her gland was never enlarged. It isn't always so. That internist is not thyroid-knowledgeable. Keep looking for someone who knows better and who will treat you.
__________________ "We can complain because rose bushes have thorns, or rejoice because thorn bushes have roses." Abraham Lincoln
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