Is this hypothyroid

[csb65]

I have horribly fatigued and have terrible muscle pains in my calves, shins, feet, hands and even my back and shoulders.  I am always cold and my a.m, temperature is always 97 F and only goes to 97.3 in the day. My muscles ache and even cramp by the end of the day from fatigue.  My tsh is .7 my free T4 is 1.15 (.8 - 1.80),  free T3 is 3.0 (2.3 - 4.2). B12 is ok, ferritin has been low but is coming up and is now 50. I have had many autoimmune markers checked ANA, RF, sed rate etc all ok.  I feel like so many of my symptoms are hypo but labs are normal according to doctors. Just wondering if others have muscular pains and fatigue that is so bad.

[gimel]

With the fluctuation of test results you mention and some of the conflicting symptoms, I think you need to have an ultrasound test of your thyroid to check for nodules. Nodules can sometimes leak thyroid hormone faster than normal and cause short term bouts with being hyper, before reverting to hypo again.  

[csb65]

In addition, I have symptoms of both hypo and hyper.  I'm very tired, achey and neuro symptoms, but I have lost 30 lbs in the last year and am underweight and very anxious.  Who knows.  I'm very confused.

[csb65]

Last month my tsh = 0.032 and FT4=>7.7.  A retest came back as tsh=0.132 and FT4=1.77 (upper limit of normal).  The doctor said this is hyperthyroid.  I am going to an endocrinologist next week.  At a minimum my numbers seems to bounce around a lot which I cannot explain and find no information on the internet on.

[gimel]

Why do you say they are hyperthyroid?  Please post the results and reference ranges shown on the lab report.  

[csb65]

Thanks.  Now my tests are coming back hyperthyroid (no thyroid medication).  Ugh.  Something is not right and I feel awful a lot of the time.

[gimel]

Just because your thyroid test results are within the so-called "normal" range does not mean they are adequate for you.  The ranges are far too broad, due to the erroneous way they are established.  Plus each person may have different levels to at which they feel their best.  

From your symptoms, your body temperature, and also your Free T3 and Free T4 levels, I'd say you are definitely hypothyroid.  concurrently having a low TSH likely only means that you have central hypothyroidism, rather than the most common type which is Hashimoto's Thyroiditis.  

In the words of a good thyroid doctor, ""The free T3 is not as helpful in untreated persons as the free T4 because in the light of a rather low FT4 the body will convert more T4 to T3 to maintain thyroid effect as well as is possible. So the person with a rather low FT4 and high-in-range FT3 may still be hypothyroid. However, if the FT4 is below 1.3 and the FT3 is also rather low, say below 3.4 (range 2 to 4.4 at LabCorp) then its likely that hypothyroidism is the cause of a person's symptoms."

Hypo patients are frequently too low in the ranges for Vitamin D, B12 and feritin.  You haven't mentioned your D level or given us your B12 level.  Also, ferritin for women needs to be about 80 minimum.

In addition, 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 link written by the same doctor.  

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

So, you are going to have to get your doctor to understand that you are hypothyroid, and treat you clinically as described, or you will need to find a good thyroid doctor that will do so.