18 yr old sara,.

[shandasue]

my niece has lump in throat cold hands and feet although sweaty palms fatigue dissiness and headache.has had quiet a few changae in life lately.her mother is ongoing anemic. she told me she feels sad having just moved out of moms house.thyroid runs in family through my stepsis side also diabetes.could this be depression.

[gimel]

Try and make sure they test for the thyroid antibodies, TPO ab and Tg ab, to determine if Hashimoto's Thyroiditis is present.  Also, the most important thyroid tests are for free T3 and free T4 (that is FT3 and FT4, not total T3 and total T4), along with TSH.  If the doctor resists testing for FT3 and FT4, then you should push for it and don't take no for an answer.  FT3 is the most active thyroid hormone.  It largely regulates metabolism and many other body functions.  Studies have shown it correlates best with hypothyroid symptoms.   Other tests to get done if possible would be for Vitamin D, B12 and iron/ferritin.

When test results are available, then it is a good idea to always get a copy.  then if you will post results and reference ranges shown on the lab report, then members will be glad to help interpret and advise further.

[laura1967]

I would first suggest that she go to the doctor and have some bloodwork done including thyroid labs. Only having accurate testing done will answers your questions.