Has anyone had a normal TSH level and still been diagnosed as hypo?

[Bigbird1]

I have many symptoms of hypothyroidism, but my TSH test came back within the normal range. I also have 2 nodules which need to be biopsied next month. Just wondering. Thank you

[gimel]

I'd say that those symptoms are very indicative of hypothyroidism.  Your status cannot be determined by biochemical tests alone; however, you do need to get your doctor to test for both of the biologically active thyroid hormones, Free T4 and Free T3.  If the doctor resists, just insist and don't take no for an answer.  Along with the Free T4 and Free T3 I also recommend testing for Vitamin D, B12 and ferritin.  Don't assume that your doctor being an Endo means he is a thyroid expert.  Many of them specialize in diabetes, not thyroid.  Also many of them have the "Immaculate TSH Belief" and only pay attention to that, which is inadequate.  If tested beyond TSH it is usually only Free T4 and then if within the range, most often you will be told you do not have a thyroid problem and that your symptoms are due to something else.  

A good thyroid doctor is what you need.  By that I man a doctor that will test and adjust Free T4 and Free T3 as needed to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results, and especially not TSH results.

If you can get those tests done, then please post them along with reference ranges and we will be glad to help interpret and advise further.  

[Bigbird1]

Thank you for taking the time to inform me. This is all new to me, so I am grateful for your help. I know my vitamin D level is where it should be now, but when I was first tested it was very low (17). Not sure about B12 or ferritin. Have never had free T4 or Free T3 tested. I am writing this down so I won't forget to ask for these tests when I have my app't. next month. I will post all results when I get them. BTW, I didn't mention, but I am type 2 diabetic. My PCP blames my symptoms on that, but I do watch my diet and keep my sugar under control. I had these symptoms long before I was diagnosed with diabetes.

[gimel]

TSH is a pituitary hormone that is affected by so many things that at best it is only an indicator, to be considered along with more important indicators such as symptoms and also levels of the biologically active thyroid hormones, Free T4 and Free T3.  Please tell us about symptoms that you have.

[Bigbird1]

I cannot lose weight no matter how I diet and exercise, am tired all the time, hair loss, dry skin, heart palpitations and lose my concentration.  Have been blaming it on my age, but now since the nodules showed up am thinking it could be thyroid related.

[Lake Lover]

"Normal" often refers to "in range"  Being above 1-2 " in range" is not considered "normal" for those of us facing thyroid issues.  The range was made by testing a large group of the population, many of which could have had un-diagnosed hypothyroid conditions.

[Bigbird1]

Thank you for answering. I am sure my Endo is going to test me again when I go for my app't.