DIAGNOSED:HYPOTHYROIDISM. NOTHING IS WORKING TO GIVE ME MY ENERGY BACK

[Karenfox3]

I am 57 yrs old.March of 2011 I was hiking 5 miles twice/week.Now I can barely do 3 minutes of low impact exercise.Here are my labs: PLEASE HELP ME GET MY ENERGY BACK. THANK!Lab Accession:  29004



Lab: 3520 - ESTRADIOL

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3520 - Estradiol              16.3        Pg/mL                                                  



Lab: 17306 - VITAMIN D, 25-HYDROXY, LC/MS/MS

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

55182715 - VITAMIN D, 25-OH,  81          ng/mL   Normal          30-100                        

-->Test Notes:

25-OHD3 indicates both endogenous production and

supplementation. 25-OHD2 is an indicator of exogenous

sources, such as diet or supplementation. Therapy is

based on measurement of Total 25-OHD, with levels

  or = 30 ng/mL.



55182720 - VITAMIN D, 25-OH,  81          ng/mL   Normal          See Note:                      

-->Test Notes:

Reference Range:

Not established



55182425 - VITAMIN D, 25-OH,  Test Notes:

Reference Range:

Not established





Lab: 3030 - SHBG

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3030 - SHBG                   61.2        mmol/L                  26.0-110.0                    



Lab: 3010 - DHEA-S04

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3010 - DHEA-S04               160.8       mcg/dL                  35.0-430.0                    



Lab: 1930 - HEPATIC FUNCTION PANEL

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

2100 - Albumin                4.4         gm/dL                   3.4-5.0                        

2110 - Total Protein          6.9         gm/dL                   6.4-8.5                        

2120 - Globulin (calc.)       2.5         gm/dL                   1.4-3.3                        

2140 - Total Bilirubin        0.5         mg/dL                   0.2-1.2                        

2150 - AST (SGOT)             20          IU/L                    0-31                          

2160 - ALT (SGPT)             18          IU/L                    0-32                            

2170 - Alkaline Phosphatase   57          U/L                     35-104                        

2180 - Direct Bilirubin       0.1         mg/dL                   0.0-0.3                        



Lab: 3000 - PROLACTIN

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3000 - Prolactin              7.7         ng/mL                   4.7-23.3                      



Lab: 3050 - FREE TESTOSTERONE(CALC)

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3050 - Free Testosterone(calc 3.9         pg/mL                   0.5-8.0                        



Lab: 3500 - LH

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3500 - LH                     30.6        mIU/mL                                                  



Lab: 2900 - THYROID PROFILE

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

3100 - T-4, Total             6.4         mcg/dL                  4.5-12.5                        

3110 - T-Uptake               26.7        %                       25.0-35.0                      

3120 - TSH                    0.95        ?IU/mL                  0.30-4.50                      

3130 - T-7 (calc.)            1.72                                1.20-4.30                      



Lab: 745 - PROGESTERONE

Collection Date/Time: 07/10/2012 12:00:00 AM

Test Name                     Result      Units   Flag            Reference Range Specimen Source

55030000 - PROGESTERONE       0.5         ng/mL   Normal                                          

-->Test Notes:

Reference Ranges

          Female

             Follicular Phase     < 1.0

             Luteal Phase      2.6-21.5

             Post menopausal      60  

[Karenfox3]

Thanks everyone for all your imput. I have confirmed with a doctor today that the free T4 to the free T3 conversion tests must be done among other things. Went to a different doctor today, and he noted that some of these findings show I have high inflamation, and possibly my immune system could be attacking itself. He said when this happens the first thing it attacks is the THYROID...correct labs and results to be determine after they are reordered.
Thanks again, everyone!!!!

[goolarra]

As Red pointed out, that is an impressive array of outdated thyroid tests tests that your doctor ordered.

You said that you've been diagnosed with hypothyroidism.  Are you on thyroid meds?  If so, which and what dose?

There is no measure of T3 in your labs.  T4 is the "storage" form of the thyroid hormones.  Before your cells can use it, it must be converted to T3, which is the "active" form.  FT3 correlates best with symptoms of any of the thyroid tests. Total T3 and total T4 measure the total amount of the respective hormones in your blood.  However, much of that is chemically bound by protein and thus unavailable to cells.  FREE T3 and FREE T4 measure the available levels.  Very important...

That being said, your T4 is a little on the low side.  Midrange is where many of us have to be to feel well, and yours is only at 25% of range.

It looks to me like you might need a meds increase, and it's possible that your FT3 level is inadequate.  Is it possible to persuade your doctor to order FT3, FT4 and TSH?

[AJWS6]

Hello friend, a buddy of mine has never had thyroid disorder, he's 55,.  But his dhea was low, he felt extremely fatigued all the time.  Once on dhea treatment his energy restored.  Although your dhea is in the normal range, appears on the low side, discuss dhea level with your physician, possibly medicating to see if it helps increase your energy.  Wishing you well :)  

[Red_Star]

The thyroid labs worth checking are your free T4 and free T3. The total T4 test does not show how much free T4 is available.  T3 Uptake is an old test designed to indirectly measuring T4. Only helpful for cases of thyroglobulin deficiency. Free Thyroxine Index (T7) is one of the measurements used to work out T3 Uptake so again not of much help here.

When treating hypothyroidism, TSH range to aim for is around the 1mU/L however having a TSH around this range does not mean you are now optimally treated.  For some, TSH will be lower or suppressed under 0.1mU/L with no sign of hyperthyroidism.  All other labs look fine and vitamin D numbers are excellent; hiking out in the sun no doubt. :)