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trying2bhopeful 08-20-2008 11:55 AM

Please take a look! Out of answers...thyroid???
Earlier in the year I went to the doctor because I was tired all of the time and gaining weight. He ran tests. My levels were normal. Since then, Feb. 2008, my symptoms have gotten worse. Now my skin is dry, extremely dry! Especially my face. I am still sooooo tired. I have been trying to lose the weight I have gained. My calories are at the most 1200 at least 5 days a week and I am exercising. The scale won't budge and I am frustrated!!! I have swelling (most noticeably in my hands) every morning when I wake up. What could be wrong with me? I am now thinking maybe it is my thyroid after all. Also, mom, m's 2 sisters and brother ALL have hypothyroidism. When I was tested my levels were:
[B]TSH -- 1.392 and
T4 Free (Direct) .83[/B]
I realize they fell in normal range. Could this be thyroid related or any ideas what else might be causing this?
[B][I]Any help would be tremendously appreciated!!![/I][/B]

midwest1 08-20-2008 01:05 PM

Re: Please take a look! Out of answers...thyroid???
You're on to something. Your family history seems to have cursed you.

Even though your TSH is maddeningly "normal", your free T4 is very low (according to the typical lab range of .8 - 1.8. Please let us know if your lab's range is different, and always include those ranges when posting your results). Almost no one feels well when T4 is that low.

Also, your free T3 needs to be tested. Since you have such a strong family history, you need antibody testing for TPO and Tg antibodies. The familial form of hypoT is usually caused by an autoimmune disease know as Hashimoto's thyroiditis, and the presence of antibodies would confirm that. Antibodies also suppress TSH, which could account for your "normal" TSH in the face of low free T4. Some doctors will begin treatment if antibodies and symptoms are present, even if TSH is normal and the free Ts are low-normal.

The main thing you should know is just how many MDs don't recognize and won't treat the cases of hypoT that don't fit the textbook; but if you seek enough opinions, such obvious cases as yours will eventually be caught.

Don't give up on this! Take it to as many MDs as you have to to win a diagnosis. I was also told my levels were "normal", but I knew they weren't and didn't give up. I got my Hashi's diagnosis from an endo. A family practice MD is now treating it.

Marty84 08-20-2008 06:15 PM

Re: Please take a look! Out of answers...thyroid???
Google a condition known as Wilson's Temperature Syndrome.

Marty84 08-20-2008 06:17 PM

Re: Please take a look! Out of answers...thyroid???
Research the internet for a condition known as wilson's temperature syndrome

trying2bhopeful 08-21-2008 05:16 PM

Re: Please take a look! Out of answers...thyroid???
Thanks for the input.
Also, I was reading your basal temp. could be in indicator of hypoT? I checked mine this morning, 97.2 (under the arm). I don't think that is low is it? I read so many different "normal" ranges for it.

trying2bhopeful 08-21-2008 05:19 PM

Re: Please take a look! Out of answers...thyroid???
Sorry, I missed the "My temps the last 4 days" thread!

lc678 08-21-2008 06:43 PM

Re: Please take a look! Out of answers...thyroid???
I'm not saying that this is what is wrong as it is rather rare, but possibly something at least to ask your doctor about: Central Hypothyroid. TSH is normal to normal-high, FT4's are low. Most hypo is Primary Hypothyroidism and more readily and frequently detected. But, Central Hypo is missed if all the doctor runs is a general TSH screening. This kind of hypo starts with a pituitary problem.

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