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  • High TSH with Graves Disease anyone?

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    Old 06-24-2004, 10:02 AM   #1
    hypodude
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    High TSH with Graves Disease anyone?

    Anyone know if its possible to have a high TSH (15.5) and have Graves Disease? If so, is there a test that will tell me for sure it is Graves I have?

    Im still struggling to find out why I have these "cycles" of hyper-like symptoms with such a high TSH...but also have Hypo symptoms as well....if you were to look at me you would say "classic hypo" - overweight, puffy face, etc... but the blood work (T3) and my hyperness seems to say different. When I get in these "Cycles" I notice I tend to speak real fast, am jittery, sweaty, hot, etc...classic hyper.

    My T3 and Free T3 were just slightly Abnormally high and my T4's were low/mid-range low normal but my TSH is cranked up.

    Here's my last labs as a refresher:

    (Taken April 13, 2004):

    Cortisol 13.3 mcg/dl Reference Range 4.3 - 22.4
    Prolactin - ABNORMAL HIGH - 18.8 - Reference Range 2.1 - 17.7

    TSH (3rd. Gen.) - ABNORMAL HIGH - 15.353 - Reference Range .4 - 5.5
    T4 FREE - .9 NORMAL LOW - Reference Range .8 - 1.8
    T3 FREE - 4.51 ABNORMAL HIGH - Reference Range 2.30 - 4.20
    T3 TOTAL - 1.92 ABNORMAL HIGH - Reference Range .70 - 1.79
    Thyroxine - 9.0 - NORMAL - Reference Range 4.5 - 12.0


    (Taken May 7, 2004):

    TSH (3rd. Gen.) - ABNORMAL HIGH - 14.641 - Reference Range .40 - 5.5
    T4 FREE - NORMAL LOW - 1.0 - Reference Range .8 - 1.8
    T3 FREE - NORMAL - 3.66 - Reference Range 2.30 - 4.20
    T3 TOTAL - ABNORMAL HIGH - 1.96 - Reference Range .70 - 1.79
    Thyroxine - NORMAL - 9.8 - Reference Range 4.5 - 12.0

    Prolactin - ABNORMAL HIGH - 23.5 - Reference Range 2.1 - 17.7
    Testosterone - ABNORMAL LOW - 214.22 - Reference Range 241.00 - 827.00


    When I have these "cycles" my hands shake, get real dizzy, panicky, hard to focus, BP and heart rate rises....for the last 3 or 4 hours now in my "cycle" my blood pressure was 145/104 with a resting heart rate of 104 when it otherwise normal around 124/83 at 82 BPM.

    Any suggesstions from the old pro's/comments. Im at my wits end with this already. I can really use some help or someone to give me some ammo to present the doctor.

     
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    Old 06-24-2004, 12:39 PM   #2
    GracesMomMom
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    Re: High TSH with Graves Disease anyone?

    Hi Hypodude,
    I don't think it's Graves, but I suppose it may be underlying. I think you should look into pituitary tumors (treatable). They can cause secondary thyroid, adrenal, etc issues. They are characterized by high prolactin and low testosterone in men. Frequently headaches are a symptom. You should also get your antibodies tested to get a complete picture, I think. Get TPO, Tg Ab, TSI, & TBII done. Good luck and let us know what you find out.

     
    Old 06-24-2004, 03:34 PM   #3
    K9Mom
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    Re: High TSH with Graves Disease anyone?

    The pituitary gland regulates most (maybe all) hormones. For this reason it is called the "master gland". I agree with GracesMomMom that the possibility of a pituitary tumor should be investigated. My sister had a pit tumor and had it surgically removed through her nose....not a bad surgery, but took 4 weeks off work just in case.

    My sister had MRI's and CT scans done to confirm her pit tumor. She saw a Endocrinologist, a nuero-ophthalmologist and a nuerosurgeon did the surgery.

    TSI antibodies are the cause of Graves disease. TPO antibodies are the cause of Hashimoto's Thyroiditis. I agree you should get those checked out too.

    You might want to do a google search on "Hashitoxicosis" too.
    __________________
    Dx Graves 4/99, tx w/Tapazole & Atenolol - Remission 7/03; Relapse 1/06, back on Tapazole, remission & off meds again 11/06.

    Last edited by K9Mom; 06-24-2004 at 03:36 PM.

     
    Old 06-25-2004, 11:53 AM   #4
    hypodude
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    Re: High TSH with Graves Disease anyone?

    I did have an MRI done and it did not show any blatant tumors but I refused the contrast injection which gives them a better look. Doc wrote in his notes that there was no obvious evidence of tumors. I saw the MRI's myself and blew them up on my PC for better contrast and I did not find anything that was obvious either, even at huge resolutions, but of course, I am not a doctor and not positive what to look for. All I had were some internet MRI's of normal Pituitary glands as a basis and mine looked just like them. The gland is pretty basic and tumors should be fairly obvious with a dark spot or mis-shapen pituitary and mine was thankfully quite symetrical and clear.

     
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