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Advice Please

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Old 11-10-2010, 08:00 PM   #1
Join Date: Nov 2010
Location: Atlanta, GA
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Advice Please

Last week I was in the endo office with a friend and the endo, from across the room says my neck looks enlarged and asked to feel my thyroid, which really is enlarged. My PCP felt the enlargement on Monday as well. He has referred me to the above endo for an ultrasound. All my thyroid labs were "normal", however my Vitamin D was 15(should be between 30-35) and I have been started on 50,000 units a week for 8 weeks.

Labs are: TSH 1.200 (.0949 in 4/09) T4 6.4 (8.1 in 4/09) T3 31 (31 in 4/09)
Free Thyroxine Index 2.0 (don't have 4/09 result)
"Normal" ranges are TSH .450-4.5 T4 4.5-12 T3 24-39
Free Thyroxine Index 1.2-4.9

I am bone crushing exhausted (and have gone from 6-7 hours of sleep a night to almost 18), feel depressed/blah (def not normal for me!), wt gain, hard to lose weight even with exercise, cold intolerance, night sweats, feel like my brain is in a fog sometimes and I cant get the word out of my mouth (but I can say it in my head)...and worst of all, I feel like something is stuck in my throat when I swallow!

What has been your experience with an enlarged thyroid and "normal" labs? Would one of you thyroid veterans please look at my labs and let me know your opinion? It would be greatly appreciated!

Is it possible to be hypothyroid even if the labs are "normal"? What questions should I ask the endo to make sure I get good care?

Thank you so much, in advance, for your help!!!

Last edited by moderator2; 11-14-2010 at 06:48 PM. Reason: if a word is blocked, then it is not allowed

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Old 11-12-2010, 07:15 AM   #2
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Re: Advice Please

You haven't had the best set of tests. Better to have free T4 and T3 instead of totals. That said, your T4 is not as "normal" as you think. It's very low in its range, indicating that it might not be adequate for your needs. Most women need this level at the very top of or even above its range.

The endo is likely telling you your thyroid is "normal" because of the very normal-looking TSH. They like to judge everything based on that one result, which is a big mistake. You still may have low thyroid with TSH at a normal level. This can be due to the presence of auto-antibodies which destroy thyroid function and keep TSH suppressed until thyroid failure is complete.

Find a doctor who will do the better tests and who hopefully understands the complexities and nuances of thyroid function better than the one you saw. That will, in most cases, be someone other than an endo.

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