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Thyroid Disorders Message Board

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    Old 03-08-2013, 01:57 PM   #1
    Rakaser1
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    Confused

    Hello, I am new here, my name is Ruthie. I first started having thyroid problems after the birth of my daughter 27 years ago. I have a goiter and it has been controlled with synthroid, 100 mcg/day, since then. A couple of years ago I started having some problems and found a new Endo that did an ultrasound on my thyroid. She said I had a tumor, so in the office she did a FNA and it came back negative for cancer, praise God. I went back in August of last year and she did another ultrasound and said nothing had changed and all my blood work came back fine. She said everything was within range to just keep on with the synthroid as prescribed. I recently moved to Florida and just got established with a new PCP that ran fasting labs on me. Just got the results and am a bit confused. Here are the results:


    TSH 3rd generation Result [L] 0.103 uIU/mL Ranges 0.350 - 5.500

    T3, Free Result [L] 2.29 pg/ml Ranges 2.30 - 4.20

    T4, Free Result 1.14 ng/dl Ranges 0.76 - 1.76


    She said this means I have hyperactive thyroid. I have not had any indication of hyperactive thyroid. I think I need to have these tests run again. She should be getting my records from the Endo in MS soon so that she has something to compare. The only thing that I have been feeling lately is a little tired and a bit of a lump in my throat from time to time. I have had palpatations some, but not much and more headaches than normal. All my other blood work came back spot on, with my vitamin D being closer to the low end of the range.

    What would you guys do? What do you think?

    Thanks so much.

    Ruthie

     
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    Old 03-08-2013, 02:11 PM   #2
    Reece
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    Re: Confused

    There is definitely something going on with either your thyroid or your pituitary gland, but I would run from this doctor and find one that's better versed in this. If your free t3 is low, you are not hyperthyroid/hyperactive (over active) you are more underactive. The question is, why is your tsh so low when you are hypothyroid? That's what you may want to figure out.

    I would find a new doctor and bring results, you may want to re-run the tsh. You might be ordinary hypothyroid/hashimotos.

     
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    Old 03-08-2013, 07:24 PM   #3
    gloom
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    Re: Confused

    Remind your doctor that there is primary hypothyroidism and 'central' hypothyroidism. Central is due to pituitary/hypothalamus problems. You _cannot_ manage central hypothyroidism by looking at TSH levels.

    >T3, Free Result [L] 2.29 pg/ml Ranges 2.30 - 4.20
    >T4, Free Result 1.14 ng/dl Ranges 0.76 - 1.76

    These are low end of 'normal' not hyper. I'd retake your tests again, and not change your meds.

     
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    Old 03-08-2013, 08:00 PM   #4
    midwest1
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    Re: Confused

    I agree with these assessments.
    Do NOT allow your dose to be lowered based on TSH alone. You'll certainly regret it if you do.
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    Old 03-08-2013, 09:32 PM   #5
    Rakaser1
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    Re: Confused

    I am going to call an Endo on Monday and hopefully will get in quickly. I'm not changing any meds or dosages, that's for sure! Thank you all very much for your advice. This is kind of scaring me.

     
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