Interpreting my lab results - new to thyroid info

[gmel1084]

Brand new and currently learning more about the thyroid.

Below are my lab results (non fasted)
after having symptoms of sluggish metabolism, constipation/GI issues, low vit D,
low Testosterone, and a tingling sensation in the neck/thyroid area.
If the labs are all normal ranges, might it be a pituitary issue causing the tingling sensation?
Also, what are your opinions on Lugol's iodine supplementation if I don't have Hashi's?

Im 29, male, 150lbs, extremely active for years now.
Thank you for any help in advance!

TSH          2.09 uiu/ml

T3 Free          3.1 pg/ml
T3 Total        100 ng/dl
T3 uptake       32
Reverse T3     16  ng/dl

T4 Free      1.3  ng/dl
T4 total       7.4 ug/dl

Thyroid antibody  <10 iu/ml
Thyroxine binding glob   19.1  meg/ml



Testosterone total    356 ng/dl
Vit D 25 Total           40 ng/ml
cortisol total             10.9ug/dl

[gmel1084]

B12 was at 624 which is in the range but I read that anything below 800 in B12 is deficient.

I am also going to try supplementing with lugol's iodine after reading up on it.

thoughts?

sorry for so many replies!

[gmel1084]

also,
at the end of my most recent doctor visit, he wrote out a prescription for something for the thyroid but then held off because he wants to see labwork after a month of correcting the defeciencies (vit d, b12, T).

I didn't see what he was going to prescribe however.
What should I look for if he does prescribe something for the FT4 and FT3?
Anything I should avoid taking Rx wise?
Thanks again

[gmel1084]

Really appreciate all the feedback thanks a lot! I have an emulsified vitd supplement that I'm taking in addition to the monthly 50,000 IU injection. I have supplemented in the past with vitd after being low and it still didnt come up. probably not enough supplementation and plus it wasnt an injection. I also researched that low d and test could be caused by GI/autoimmune issues so maybe that is worth looking into.

What pointed me to the thyroid was the tingling/throbbing sensation in the neck/thyroid area and some moderate fat gain around the midsection despite eating well and being extremely active.

it doesn't say which antibody was tested on the bloodwork.

Ferritin was done i just found it:

213.5 ng/ml (22-322)

I will keep you updated on everything and once again appreciate the quick feedback. take care!
Greg

[goolarra]

It's good that you're supplementing D because D has to be present in sufficient quantity in cells in order for thyroid hormones to be able to get in and do their work.  If it's not, you can be hypo at the cellular level even with perfectly adequate serum thyroid hormone levels.  I'm sure your doctor will follow up on your D level, but be sure he does.  Many people very low in the range take 50,000 IU per week orally until the level begins to come up.  However, I don't know how that correlates to injectable.

Your FT4 is at 44% of range, which is a little low of the 50% guideline.  FT3 is at 42% of range, which is also a bit short of the 50+% rule of thumb for FT3.  FT3:RT3 ratio looks good at 19.3.

Ferritin wasn't part of your iron panel?  Which antibody was tested, TPOab or TGab?

Your thyroid labs really look quite good.  They're a little bit on the low side, but some of us function quite well a little low.  I don't think they're low enough to cause any major symptoms.  However, we still have to wonder if your low D, testosterone (and perhaps ferritin) levels are causing you to feel hypo because you are hypo at the cellular levels.  If I were you, my first plan of attack would be to correct those deficiencies.  If your symptoms don't resolve, then definitely revisit thyroid, but at the moment, it's looking pretty good to me on paper.

[gmel1084]

Sorry about that! reference ranges are below:

I am now getting a monthly vit d 50,000 IU shot.

iodine wasnt tested. is that a simple blood test?

Iron total is normal at 172 (45-175)
Transferrin normal at 240 (220-450)

The Iron and Iron binding capacity (CTIHBC) is listed as
"high" at 480ug/dl (250-450 range)

Unsaturated Iron Binding capacity is listed in range at
308 (130-375 range)


TSH          2.09 uiu/ml (.4 - 5.5)

T3 Free          3.1 pg/ml  (2.3 - 4.2)
T3 Total        100 ng/dl  (77 - 184)
T3 uptake       32  (22 - 37)
Reverse T3     16  ng/dl  ( 8 - 25)

T4 Free      1.3  ng/dl  (.9 - 1.8)
T4 total       7.4 ug/dl  (4.5 - 10.9)

Thyroid antibody  <10 iu/ml  (0 - 60)
Thyroxine binding glob   19.1  meg/ml  (12.7 - 25.1)



Testosterone total    356 ng/dl  (160 - 853) doc said i should be around 800
Vit D 25 Total           40 ng/ml  (30-100)
cortisol total             10.9ug/dl (8 - 19)

[goolarra]

Please post the reference ranges (from your own lab report) for those tests.  Ranges vary lab to lab.

Are you supplementing D?  Have you had a complete iron panel?  Have you had your iodine level tested?