I really need advice...thyroid crisis?

[Lala_dizzy]

Hi everyone I'm 24 and I got diagnosed with hypothyroidism and put on meds and things never got better. I was active and happy with slight depression. But these past few years I have been through hell and things have gotten worse. I've been to countless doctors with no help. I've been off meds for a year because the Doctors says I'm no long hypothyroid. I started seeing a new Doctor, an internist and she ran alot of test on me and i'm trying to interpret them and see what they mean, now my thyroid is high and here are some of my labs.
TSH 6.830 uIU/mL (High)
Normal RANGE: 00.300 uIU/mL - 3.000 uIU/mL
t4     00.77 ng/dL
Normal range: 00.6 ng/dL - 1.6 ng/dL
BUN     4 mg/dL (Low)
Normal RANGE: 8 mg/dL - 20 mg/dL

MCH is high.
RDW low
Vitamin D low
Sed rate high
Urine Hemoglobin abnormal
Triglycerides high
Urine Leuko. Esterase abnormal
Creatinine low
Potassium Level low

[gimel]

From what you have told us about that doctor, I think you are wasting your time there.  Your next step would be to fire that doctor and find a good thyroid doctor like I defined previously.  

If you will tell us your location perhaps we can recommend a good thyroid doctor for you.  

[Lala_dizzy]

Well she didn't agree. She insisted she just wanted tsh. I would definitely make sure next time. Why won't doctors treat for low free t4? What should be my next step if my Doctor and I won't see eye to eye? She says giving me synthroid would make me go hyper. And I honestly never felt any difference/ better on thyroid replacements.

[gimel]

You need to make sure the doctor agrees with the tests you want done.  Also, It is a good idea to always confirm with the lab personnel what tests are going to be done.  That way you make sure they don't operate on auto pilot and do Totals instead of the Frees.

[gimel]

You need to make sure the doctor agrees with the tests you want done.  It is a good idea to always confirm with the lab personnel what tests are going to be done.  That way you make sure they don't operate on auto pilot and do Totals instead of the Frees.

[Lala_dizzy]

Gimel, I know its total t3 instead of free. I asked for free t3, free t4..I guess I have to make it more clear.

[gimel]

You really need to know Free T3, instead of Total T3; however, your below range Free T4 is indicative of being hypothyroid.

[Lala_dizzy]

T3-124 ng/dL
(80.0 - 200.0)
T4(Free)
(0.90 ng/dL
0.93 - 1.70)

Hi everyone here's my free t4 and t3, my t4 is borderline.right? is this enough to cause symptoms?

[Lala_dizzy]

Just Anti Thyroid Peroxidase Abs Lab and Test Results which was 10 and was given no ranges.

[gimel]

Have you been tested for the antibodies from Hashimoto's Thyroiditis?  Those tests are TPO ab and TG ab.  

[gimel]

Do you have any other new results for Free T3 or Free T4?

[Lala_dizzy]

I'm sorry that lab for my thyroid was done six months ago the new result is 2.390 Zulu/ml normal: 00.270 ulU/ml - 4.200 ulu/ ml she says thats normal range.

[Lala_dizzy]

Thanks for clearing that up Gimel. I'm hoping she's good. She mentioned that adding another hormone med will help and treating me on the upper end. I've been off meds for a year because the drs before swore I was no longer hypo.

[gimel]

No, a high TSH is consistent with being hypo.  TSH moves in opposite direction from the actual thyroid hormones.  The purpose of TSH is to stimulate the thyroid gland to produce thyroid hormone.  Thus a high TSH occurs when the hypothalamus/pituitary are trying to stimulate production of more thyroid hormone.  

I'm hoping that your new doctor is a good thyroid doctor.  By that  I mean a doctor that that 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 letter written by a good thyroid doctor for patients that he sometimes consults with after initial tests and evaluation.  The letter is then sent to the participating doctor of the patient to help guide treatment.  In the letter, please note the statement, "the ultimate
criterion for dose adjustment must always be the clinical response of the patient."

http://hormonerestoration.com/files/ThyroidPMD.pdf

When you see the doctor again you should also ask to be tested for Vitamin  B12 and also ferritin.  Both of those need to be optimal, for best effect for a hypothyroid patient.  Same goes for Vitamin D, and yours was low.  Needs to be about middle of range.

You should also ask your new doctor if he is willing to treat clinically, as described above.  If not, then you will need to find a good thyroid doctor that will do so.

Again, I am only addressing your thyroid issues.  As mentioned by 898_1, your test results point to other issues which you need to discuss with your doctor.

[Lala_dizzy]

Im quite confused if my Tsh is high that means hyper but t4 mean hypo. I'm very fatigued. Having joint and knee pains. Shortness of breath. Memoy problems, depression , anxiety, hair loss, weight gain and so much more.

[898_1]

Sed rate high indicates acute or chronic inflammatory process!!

[gimel]

Just focusing on the thyroid area, your most recent tests certainly indicate hypothyroidism.  Your Free T4 is in the very low end of the range.  Although TSH is a poor indicator of thyroid status, your TSH is even over the range.  YOur Vitamin D is low.  

What symptoms are you currently having?