Confused by my lab results

[Treelver]

I had requested my doc check my thyroid levels because I have been feeling “off” I got diagnosed with hypothyroid 4 years ago. Got pregnant with my son in 2014 my thyroid levels were “normal” so they took me off all meds. About 8 months ago they put me back on them. I take levoth. Every morning. My lab results were

TSH 6.050
Thyroxine(t4) free 1.60
T4       10.7
Triiodothyronine,free.  3.4
Thyroid peroxidase(TPO) 290

Obviously my medicine needs to be increased my concern is the TPO
My doctor has rescheduled on me 3 times and I’m a little concerned. Thanks in advance.

[gimel]

Just because your Free T4 and Free T3 are in range, does not mean they are optimal for you.  Please post their reference ranges.  Also, what meds are you on and what are the daily dosages?

Of course your TPO ab and TSH are out of range.  Those show that your hypothyroidism is due to Hashimoto's Thyroiditis.  TSH is a pituitary hormone that is affected by so many things that, at best, it is only an indictor of thyroid status.  Far better indicators are symptoms and also levels of the biologically active thyroid hormones, Free T4 and Free T3.  With those symptoms it is also clear that you are under medicated.  I do want to compare your FT4 and FT3 to their ranges.

Most doctors don't understand that med dosage should not be determined by resultant TSH level. Hypo patients taking adequate thyroid med often find that their TSH actually becomes suppressed below range.  That does not mean hypothyroidism, unless there are hyper symptoms due to excessive levels of Free T4 and Free T3.  You can read about this in the following link.  I highly recommend reading at least the first two pages, and more, if you want to get into the discussion and scientific evidence for all that is recommended.  

http://www.thyroiduk.org/tuk/TUK_PDFs/The%20Diagnosis%20and%20Treatment%20of%20Hypothyroidism%20%20August%202017%20%20Update.pdf

[gimel]

Test results should always be compared to reference range; however, test results and associated reference ranges vary from lav to lab.  So please post  the reference ranges shown on the lab report for those results.  

Symptoms are even more important in assessing thyroid status than test results, so please tell us about any symptoms you have.  

Also, if tested for cortisol, Vitamin D, B12 and ferritin, please post those results as well.

[Treelver]

Sorry, no additional testing was done. The range listed for thyroid peroxidase (TPO ) is 0-34
TSH is 0.450-4.500

Everything else is in range.
I’ve had extremely bad brain fog, my depression has gotten out of hand, my anxiety is no better, I want to sleep all the time , let’s not even talk about the weight gain. My doc put me on phentermine to help with weight lose and it’s not helped. All of my symptoms screamed I needed a higher dose.