Overactive Thyroid and Tests and Doctors

[rs1987]

Sorry in advance for the long post

For about 6 years Now I have been experience symptoms on and off of an overactive thyroid and each time I go to the GP i get told oh it could be an overactive thyroid but the test results come back as normal the previous TSH Level (the only result i have) was 2.5 however I recently got private test results done with the following results. These are still within the normal ranges apparently (with the exception of the Low Vitamin D and Folic Acid) however reading through various things on a number of different websites I am not sure what my next step is, theres various information that says that if any thyroid antibodies are detected then the rest of the results should be ignored but then there is the opposite. All I Know is I can't take much more of this.

Symptoms I have experience include (amongst others)

Anxiety

Fatigue

Restless

Sweating

difficulty in sleeping

increased thirst and urination

palpitations

Heat Sensitivity I can be too hot one moment and too cold the next

I've got a slight twitch/tremor in my hand that is sometimes noticeable

Its hard to tell whenever or not I have a Goiter as I do have quite a big adam's apple (or what i think is a big adam's apple i could be mistaking this for a Goiter).

Thyroid disorder does run in the family (both overactive and underactive) alongside graves.

Most Recent Thyroid Test (Private) results are:

TSH - 1.35 mIU/L

Free Thyroxine - 16.25 pmol/L

Total Thyroxine (T4) 88.1 mol

Free T3 5.69 pmol/l

Thyroid Antibodies

THYROGLOBULIN ANTIBODY 17.580 IU/mL

THYROID PEROXIDASE ANTIBODIES 7.14 IU/mL

VITAMIN B12 148.7 pmol/L

FOLATE (SERUM) 1.52 ug/L

25 OH VITAMIN D 12.86 nmol/L

I am due back at the doctors at the end of the week and I just want to be a bit firmer/clearer as to what my next steps will be I originally went just before christmas to discuss a very noticeable increase in thirst and urination and appetite and was tested for Diabetes but this was normal but he did once again say it could be my thyroid and this is a follow up appointment.

I am 28 Male no real health issues with the exception of the above. Normal Weight/ Healthy BMI etc

[Barb135]

As gimel noted, we need to see the reference ranges for the lab values in order to determine where your levels fall within the ranges, since ranges vary lab to lab...

Vitamin D should not be taken if hyperparathyroidism is suspected, as it can exacerbate the problem.

I agree that your vitamin B-12 is way too low, as is folic acid... Deficiency of either of these can cause similar symptoms...

[des900]

Seeing your results its does show hyperthyroid state as your Free T4 value is close to top threshold value.

Also you are severe deficiency in all 3 like B12, Folate and Vitamin D.

Hypercalcemia too can give such symptoms especially increased thirst and palpitations. You need to check these together when next time you do blood test.

Calcium
PTH

Long standing Vitamin D deficiency like yours can lead to increased PTH activity and possible hyperparathyroidism.

[gimel]

Lab results and associated calculated reference ranges vary from lab to lab.  So before any of us comment on your post, we need to know the reference ranges shown on the lab report for those results.