TSH high normal Free T3 aand T4

[bunny321]

Hello,
   Here is my blood work result

Test Description                                       Observed Value             Reference range & Units

Free T3 (Serum/Chemiluminescence)         2.86                              2.3 - 4.2 pg/ml
Free T4 (Serum/Chemiluminescence)         1.04                              0.89 - 1.76 ng/dl
T S H (Serum/Chemiluminescence)            6.11                              0.35 - 5.50 μIU/ml

I am obese at 220 pounds - height 5'6' Female.

Is High TSH a problem?

[gimel]

Well, that's a good start.  Did you discuss your intent to be treated for your symptoms, by adjusting FT3 and FT4 levels as required to alleviate those symptoms, without being constrained by resultant TSH levels?   As far as family planning, that's something you should also discuss with your doctor.  My own opinion is that it would probably be better all around for you to first get your thyroid levels straightened out and then go from there.  Hopefully some of our female members will give you some info on that.

[bunny321]

I had a followup with my doctor and he prescribed 50mcg of Thyronorm (1 capsule daily).

Of the symptoms of hypothyrodism, I have a few, overweight difficult to reduce, laziness and feeling cold quickly and hairfall.

I am 33 years old, I follow good diet and exercise, I hope this helps in reducing my weight. My only worry is will this create any problem in my conception. I am thinking of planning for a kid in next 3-4 months.

[gimel]

From those tests and probable low metabolism, you are hypo.   You do have FT3 and FT4 test results, which is a good start.   Even though the results fall in the "normal" ranges, those ranges are far too broad and many hypo patients tell us that to alleviate hypo symptoms, FT3 needs to be in the upper part of its range and FT4 needs to be at least midpoint of its range.  Both of your Frees are in the lower part of the range.  

Since most doctors seem to have the "Immaculate TSH Belief", you should have no problem getting your doctor to prescribe thyroid meds, at least to start.  Problems might arise later if the doctor is one that only medicates to get a patient within whatever TSH range he considers as okay.  Frequently this leaves patient with lingering hypo symptoms.  

In my opinion the very best way to treat a thyroid patient is to test and adjust levels of the actual biologically active thyroid hormones,  FT3 and FT4, with whatever type of medication is required to alleviate symptoms.  Symptom relief should be all important.

I'm assuming that you will be having a followup appt. with doctor to review results and talk about meds.  At that time, you should also tell him that you want to be treated for your symptoms, by adjusting FT3 and FT4 levels as I outlined above, until symptoms are relieved.  If the doctor does not agree with this approach, then you might as well start looking for a good thyroid doctor.  

This is a link that I think will benefit your preparation for your next appt.


http://www.hormonerestoration.com/Thyroid.html