I seemed to have sinus infections or upper respiratory infections frequently when I was under medicated and still hypothyroid. I was taking 200 mcg of T4 daily for well over 25 years and still had lingering hypo symptoms. After finding this Forum 4 years ago and learning about the importance of Free T3, I got mine tested and confirmed as low in the range. My doctor agreed to switch me to a T4/T3 combo type thyroid med and after some bumps in the road and some tweaking, my Free T3 is 3.9 (range of 2.3 - 4.2) and my Free T4 is 1.19 (range of .60 - 1.50), and I feel best ever. Among those symptoms that I almost never have any more, are sinus infections and upper respiratory infections. In fact, I can't even remember the last one of either.
If you will post your thyroid tests and their reference ranges, we can try to assess the adequacy of your testing and treatment.
I get this every single time i raise a dose of my meds. it never ends. even the slightest increase for me will 100% bring on a sinus infection...
I never have been prone to colds/sinus infections and still am not. I "might" get a cold once/year, which usually includes a sinus infection, but haven't had either, now for a couple of years.
I'm one that doesn't get them often, but when I do, it's hits like a ton of bricks.
can you explain what T3 and all that is? I'm still learning about all of this
cold seem to hit me harder also with thyroid. like i go hypo again till cold passes.
You aren't going "hypo" when you get a cold -- you're sick and it makes you feel badly, which often has same symptoms as hypo... it's simple. Test next time you get a cold and see if you're really hypo... doubt you will be; just sick.
T3 is a hormone, produced by the thyroid gland. It's the one mostly responsible for metabolism, heart rate, body temperature and more.
Thyroid 101.... (in a nutshell)
The body produces both T4 and T3....... of both of those, a majority is bound by protein that renders them unusable by the body...... therefore, we test for FREE T3 and FREE T4.... Free T4 is pretty much a "storage" hormone, which can't be used directly, by the body; it must be converted to T3 - remember that part of the T3 is bound by protein and unusable.... The usable (FREE) T3 is the hormone that's actually used by our individual cells...... it pretty much "drives" our body and, along with other hormones, vitamins/minerals pretty much keeps us going.
Remember, this was "in a nutshell", so feel free to ask more questions.
47 y/o; weight gain of 25-30 from 12/12 until now. TSH-1.79, T3 uptake-31; T4 Thyroxone 7.7; Free T4 Index 2.4. What is going on. I just feel 5 kinds of horrible.
Oh and a +ANA marker so there is an autoimmune thing happening.
As a start, please post the reference ranges for those tests, as shown on the lab report. Also, what symptoms are you having?
Sorry I don't have the ranges. The nurse gave me this info over the phone. I am constantly tired with these flushed feelings that go all over my body. I'm moody. Headaches. Weight gain and not eating alot. Choking sensations. The goiter is enlarged in the middle and to the left there are fatty puffs. I will see an endo tomorrow. My sister had hers burned and my neice had hers removed.
OAN: Some hot flashes then cold intolerance.
There is very little useful information in those tests. They are largely outdated. For tomorrow's appointment, I suggest that you should request to be tested for Free T3 and Free T4 (not the same as Total T3 and T4), along with TSH. Also, when they draw blood for the tests, ask them to confirm that those tests are being done. I expect that the Endo will also want to do an ultrasound. It would also be a good idea to get tested for Vitamin D, B12 and ferritin as well. I am assuming, based on your TSH test, that Primary hypothyroidism is not the problem, otherwise I would have recommended testing for the antibodies of Hashimoto's Thyroiditis. those tests are TPO ab and TG ab.
Please keep in mind that a good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. You can get some good insight into clinical treatment from this letter written by a good thyroid doctor for patients that he sometimes consults with after initial tests and evaluation. The letter is then sent to the participating doctor of the patient to help guide treatment. In the letter, please note the statement, "the ultimate
criterion for dose adjustment must always be the clinical response of the patient."
So, it would also be well worth your while to ask the Endo if he is willing to treat clinically, as described, and also prescribe T3 meds. Very frequently Endos are not willing to do so. If no to either question, then you will need to find a good thyroid doctor that will do so.