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High TSH with Graves Disease anyone?

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Old 06-24-2004, 09:02 AM   #1
Join Date: Oct 2003
Location: Clearwater, FL, US
Posts: 312
hypodude HB User
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, 11:39 AM   #2
Join Date: Feb 2004
Posts: 347
GracesMomMom HB User
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, 02:34 PM   #3
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Join Date: Feb 2001
Location: Georgia, USA
Posts: 662
K9Mom HB User
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 02:36 PM.

Old 06-25-2004, 10:53 AM   #4
Join Date: Oct 2003
Location: Clearwater, FL, US
Posts: 312
hypodude HB User
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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