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  • Slight thyroid problem, could anyone give some insight?

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    Old 11-10-2008, 08:28 AM   #1
    thaele
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    Slight thyroid problem, could anyone give some insight?

    I have a quick question about thyroid problems. I just had an appointment with my doc this morning where my t3 and t4 levels were elevated but my tsh was normal. The lvl's were as follows: tsh 1.34.. t4 24.. t3 7.4.

    From what I could tell, the t4's highest normal range was 22 (lowest 12).. the highest for t3 was 6.5 I think it was (don't know the lowest point). About 2 weeks ago my tsh was at 1.8.

    I originally went in to see her for issues with really short cycles and very light periods, but also have difficulty breathing at random points, lots of joint pain at random, and lots of cold intolerance and sometimes heat intolerance though am generally very cold almost all the time so it's very odd for me to get really hot when others are cold.. I've never known why any of these things happened (other then my cycles as this was a new symptom) though my doctor strongly believes my thyroid is to blame.

    She didn't put me on any meds and said it should correct itself. She also did some bloodwork today for antithyroid or antibodies I think it was? I'm not sure what they're called sorry.. and also doing an ultra sound on my thyroid.

    So, after all this.. I'm left wondering, what is actually wrong wtih my thyroid? What do my levels actually say? My doc did her best to explain, and I asked questions, but am still a bit confused. Is it indicative of hypo or hyper thyroid? And will this actually resolve itself or will it keep coming back? Often, I'll get to feeling really crappy and feel all these symptoms at a time, then for weeks I feel great.. then I feel crappy.. it's very random as to when it happens but it'll last for a bit of time when it does.

    I've had my tsh ran many times, it's always normal. My doc must have suspected thyroid problems in the past however since my tsh is always in the range she said the lab doesn't do anymore testing. This time around, she pushed and asked for it specifically. After seeing my results, she looked back in my chart and said a lot of the past complaints could easily be contributed to my thyroid.

    Can anyone help me understand what this means? I am trying to get pregnant, and my doc said with my thyroid having some issues, might make it take longer. Its already been 7 months and counting of trying and I'm hoping that my thyroid does in fact go back to normal, waiting stinks!

    I'm very happy with my doc, so this is by far no complaint about her. Would just like to get a tinsy bit more info on what these numbers truely mean.

    Thanks to anyone who answers! Sorry I am very unfamiliar with all this!

     
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    Old 11-10-2008, 11:13 AM   #2
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    Re: Slight thyroid problem, could anyone give some insight?

    Your TSH seems very normal but your free thyroid levels show a little HyperT. Good thing the doctor had the thyroid antibodies tested - these may show what type of a problem you're dealing with - if they're high it's not likely to "just go away" just like that. Also considering your baby wishes it would be best to be on top of your situation - HyperT, HypoT and/or antibodies may cause issues with pregnancy.

    Last edited by FinnMaid; 11-10-2008 at 11:14 AM.

     
    Old 11-10-2008, 11:28 AM   #3
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    Thanks Finn for your response!

    Is it possible at all that I could be going from hyper to hypo? My doctor had mentionned something like this, where my body requires more for wahtever reason, then the body creates it, yet creates too much, and stops and lowers the levels? Like I said before, I didn't totally understand everything. She said something to this effect.. but honnestly, I'm not paraphrasing all that well!!

    Would a slight hyperthyroid cause all the symptoms I had mentionned previously? I thought that hyper was the opposite from what I read, though, this is all a lot of info to try and decipher!

    My doc had said if all these tests turn out normal then she said everything shuld resolve on its own and wouldn't expect me to try treatment or anything. My only concern about this is that it's fairly obvious this has been ongoing off and on for years, it won't just magically stop this go around, will it? That's really the only issue I have with a wait and see approach.

    She did say unless I was in another bad point with my thyroid, the tests wouldn't be able to catch it properly and it would only be during those times where my thyroid is an issue? Wow, I'm totally confused! Sorry, I really just want to understand this because it seems like, from what she said, just about everything that's wrong with me is because of my thyroid.. and I'm tired of feeling like crap!

     
    Old 11-10-2008, 12:07 PM   #4
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    Re: Slight thyroid problem, could anyone give some insight?

    Quote:
    Originally Posted by thaele View Post
    Is it possible at all that I could be going from hyper to hypo? My doctor had mentionned something like this,
    Would a slight hyperthyroid cause all the symptoms I had mentionned previously? I thought that hyper was the opposite from what I read
    It just could be that the thyroid antibodies are doing these tricks to you - they're attacking your thyroid and it's reacting the best way it can Your symptoms do sound more HypoT to me too but your labs are not showing that at the moment - it just may be you're "sailing" between HyperT and HypoT - your symptoms may still be HypoT symptoms but your labs are already going towards HyperT This seems a bit too much for me too (just went a bit Hyper on meds for whatever reason myself - had been on this same dose for months ) - but hopefully the antibody tests show something.

    Last edited by FinnMaid; 11-10-2008 at 12:09 PM.

     
    Old 11-10-2008, 12:15 PM   #5
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    Thanks again Finn. Though I'm still confused about my test results, this at least gives me a slight idea of what it all means!! I think it explains why I was unable to gain weight for so many years regardless of what I ate or did. Those were great times!!! I'm thinking this is causing me more difficulty in losing the weight, whereas before, I could lose an easy 5 lbs over night (that's not an exaggeration either!), now, I'm lucky to lose 2 in a week but it won't stay off! Maybe I am 'sailing' between hypo and hyper, would that mean that my thyroid is trying to correct itself and keeps going up and down a bit too much? That's at least the best way I can understand it. Though, who knows if that's what's really going on in there.

    I find it really difficult to read through the info online. Not only that, my results are from within Canada, so, a lot of info I'm getting is from the states and someone has told me there's a slight variance in all the readings.. or something.. maybe I'm wrong and confused on that too! Either way, I can't seem to find anything that will help me out online lol. Information overload!!!

     
    Old 11-10-2008, 12:48 PM   #6
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    Re: Slight thyroid problem, could anyone give some insight?

    Quote:
    Originally Posted by thaele View Post
    Not only that, my results are from within Canada, so, a lot of info I'm getting is from the states and someone has told me there's a slight variance in all the readings.. or something.. maybe I'm wrong and confused on that too!
    Your reference ranges seem similar to ours anyway so I totally get you in that respect BTW, when I originally started studying these things a few years ago the first sources that I found were from The Canadian thyroid association

    I believe your thyroid may be overcompensating under attack. If this becomes very difficult to handle and lasts for years I believe it's a possibility that your thyroid could be more or less "shut down" with RAI and you'd maybe go permanently HypoT - but then it would be easier when you had only HypoT to manage.

    Last edited by FinnMaid; 11-10-2008 at 10:11 PM.

     
    Old 11-10-2008, 03:02 PM   #7
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    Could all that happen and my tsh still remain between normal range? I think that's probably why my doc isn't too worried over it since my TSH has always been in the ranges.

    Thanks Finn for all the info so far!! Hope you don't mind my endless number of questions. I feel like a complete noob to all this

     
    Old 11-10-2008, 10:17 PM   #8
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    Re: Slight thyroid problem, could anyone give some insight?

    Quote:
    Originally Posted by thaele View Post
    Could all that happen and my tsh still remain between normal range?
    Don't know for sure - if you shift from HypoT to HyperT pretty fast it may be that your pituitary doesn't really know what it's doing and it takes weeks for it to properly change it's producton according to your thyroid's situation so it may be that your labs just happen have been taken at those specific times when your TSH has shown "normal". Go figure

     
    Old 11-11-2008, 01:29 AM   #9
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    Re: Slight thyroid problem, could anyone give some insight?

    I'm not very technical and tend to just skim, so I may have missed a lot, but if you're fluctuating between hyper and hypo, doesn't it mean Hashi's?

    When I was having blood drawn one time, the lab person said she has that and her doctor doesn't even try to treat it. Hopefully you don't have that problem. Please keep us posted so we can all learn more. Good luck.

     
    Old 11-11-2008, 09:03 AM   #10
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    I don't even know what Hashi's is.. I didn't know there was a specific term for someone who fluctuates between one to the other. I'm not sure if this is what my doc meant, but she mentionned something about how I was probably either hyper or hypo first then went to the other and it's stabalizing..

    I'll go look up hashi's.. I think I've seen others mention it around here but wasn't sure what it really meant.

    THanks!

     
    Old 11-11-2008, 09:48 AM   #11
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    Re: Slight thyroid problem, could anyone give some insight?

    Quote:
    Originally Posted by thaele View Post
    I'll go look up hashi's.. I think I've seen others mention it around here but wasn't sure what it really meant.
    That's why you have the antibodies tested - it's one type of Hashimoto's thyroiditis if you "sail" between HyperT and HypoT because of the antibodies. When speaking of Hashi's people usually mean that type of Hashi's when you have (mainly) suppressing antibodies that in a long period of time makes you permanently HypoT. If you have stimulating antibodies that take over and you become HyperT it's called Graves disease (or Basedow at least here in Northern Europe) - after that you may become permanently HypoT if you have high suppressing antibodies too. Hashi's is an autoimmune disease that you can't really do much about - but many many people do well on medication and you can live a full life without a functioning thyroid.

    Last edited by FinnMaid; 11-11-2008 at 09:51 AM.

     
    Old 11-11-2008, 10:01 AM   #12
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    Re: Slight thyroid problem, could anyone give some insight?

    If you have questions I have a running thread series that may help you out. Start with the week 2 thread. I have Hashimoto's thyroiditis and Graves. Together some MDs call them Hashitoxicosis. It is possible to go from hyperT to hypoT in a week and the blood not tell the tale. In the end Hashimoto's will win out. It wins because it totally destroys your thyroid tissue. It will not leave a working bit if it has anyhting to say about it. There is more on this in the week 2 thread. The levels are mainly geared to the US. But Canada is not too far off and you can work in the subclinical area if you find an open minded MD. You might have to go private though.

    Thread Summary:
    Week 5
    [url]http://www.healthboards.com/boards/showthread.php?t=601986[/url]
    Humm.. this was a rambler. We went over a few things old and new. Peruse at your leisure, if you so desire. More on physical and pulmonolgy effects.. as well as medicine and adrenal questions and my opinions.

    Week 3 and 4 of my Thyroid care and concerns thread series:
    [url]http://www.healthboards.com/boards/showthread.php?t=599141[/url]
    This thread has a lot of discussion on the mental(cognitive), genetic probabilities, and physical effects (cardiological and pulmonary to name a few) of thyroid disorders. Look into it if you are interested.

    Week 2 of my Thyroid care and concerns thread series:
    [url]http://www.healthboards.com/boards/showthread.php?t=597479[/url]
    This thread is jam packed with information on my ideas and opinion of what optimal and basic thyroid care should be.. accuracy of testing.. necessity of testing.. TSH suppression.. TPOAb and TSI effects and mechanisms.. Latest TSH range.. change in 2006 to 0.3-2.5! It is a lot of good stuff. It is a must read for all you getting started and questioning, “Am I getting the care I deserve?” For most the answer is “NO, I am not!”

    Week 1 of my thyroid care and concerns series..
    [url]http://www.healthboards.com/boards/showthread.php?t=595898[/url]
    you can read a bit about me and my story.. it continues on in the following weeks.. as well as others. It also goes into why I feel and will keep up with these weekly threads as long as I am permitted.

    MG
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    Old 11-11-2008, 10:02 AM   #13
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    So if there are antibodies found, there isn't much that can be done other then treatment? I haven't had a chance to look it up, was doing some laundry! Will go read up now..

    Thanks so much for all the help you guys, it's really appreciated!!


    I think you were posting at the same time as me MG, I'll go look up those threads right now, thanks!

    Last edited by thaele; 11-11-2008 at 10:14 AM.

     
    Old 11-11-2008, 02:23 PM   #14
    thaele
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    Re: Slight thyroid problem, could anyone give some insight?

    MG I was reading in your week 2 thread about seeing an ENT. I actually have an appointment with an ENT on Thursday coming up because of my really crappy breathing. I think it's again related to my thyroid and I had gone to a clinic 2 weeks ago and got the appointment pretty quick. The results from the clinic was a tsh of 1.8 but no other tests done. I didn't realize the ENT would have anything to do with thyroid? I guess I don't know much.. My main complaint and reason for going there is something the doc at the clinic called globus syndrome.. I think I'm getting it wrong but it sounds something like that.. where there's the feeling of something globby in your throat and it makes it harder to breathe. I also have a lot of problems with pnd and sinuses/allergies which only started a year ago.. I have seen an allergist for this too.

    What should I tell my ENT? I don't want to like, circumvent my doctor's efforts.. but would like to get a better all around idea on what is going on you know? I guess I'll just provide him what I've been told and see what he says.. I feel absolutely unprepaired, I guess it's more of a wait and see thing for now.


    I think the part I can't wrap my head around is why is my TSH still within range when my FT3 and FT4 are above the range? It's hard to find info specific to my scenario..

    Last edited by thaele; 11-11-2008 at 02:31 PM.

     
    Old 11-11-2008, 05:41 PM   #15
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    Re: Slight thyroid problem, could anyone give some insight?

    An ENT is an EARS, NOSE, and THROAT specialist. SOME specialize in thyroid care and removal. You have some key points to bring up with your ENT.
    1) One you have a slew of hypothyroid symptoms that are fairly sudden onset.
    2) Second you have breathing and swallowing issues.
    3) Your thyroid is not optimal in range and you need to have a thorough testing for Hashimoto's and Ft3 and FT4 levels.
    4) Do you have a family history of thyroid issues? You need the antibody testing and you should try and talk the ENT into a thyroid ultrasound. If you complain of a tightness in your throat and issues swallowing and list all your thyroid symptoms then the ENT should be willihng to run an ultrasound on you. If you have any family members with thyroid issues or suspected thyroid issues that will be another check in your favor. If I was your sister you would be a shoe in for thyroid testing.
    5) Your situation is fairly common early in Hashimoto's thyroiditis. It is common as a result of thyroid tissue destruction. Optimal TSH is around 1. You are climbing to near 2. This is on the hypoT side. Your high FTs are a sign of tissue destruction and the resultant T4 dumping that causes temporary hyperthyroid spikes. The fact the TSH is higher given the hyperT range is classic early hashitoxicosis behavior. You will eventually have lossed enough thyroid tissue that the flares only get you into normal range and you languish in hypoT hades most times.

    Look up hashitoxicosis this will get you the hyperT Hashimoto's information.
    MG
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