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1102845 tn?1285493058

Lab Results

If I had thyroid blood work done and my TSH was in
March 09'  - 0.49 and the lab range was 0.40 - 4.50 t
hen in June 09 -  0.43 Range .40-4.50

would you consider that hyperthyroid if I was complaining about not feeling well, dizziness, fatique, anxiety type feelings, numbness at times in my hands and feet, heart palpitations, insomnia and feeling like there was something in my throat.  Prior to these complaints I  was a pretty healthy patient with no other complaints.  And I had hypo and hyper thyroid history on both sides of my family and you knew this.  Would any of these things triggered you to think I may have a thyroid problem.  I am just curious.  I was looking back over my records since March 2009 and when my thyroid was checked then I was told everything was normal and I was suffering from GAD for 8 months while the goiter grew in my throat and I got sicker.

To me, not that it matters now, I feel like I was right all along when I told the doctor that I thought I had a thyroid problem. Seems to me based on what little I know now that there were some red flags in my blood work back in early 2009.  That with all the other symptoms I was exhibiting should have been at a minimum pursued further.  The goiter was left to grow for 7 months before I finally went to another doctor who found it on my first visit to him and an ultrasound done the following week.  And 3 weeks later they removed it all. I actually had nodules on the right and a large goiter on the left.  My left vocal chord is completely paralyzed as a result of the thyroid removal too.  

I have had the TT and still struggling to get my TSH stable and feeling good.  I am again running really low in my TSH and my med have been lowered again.  So, I was just wondering if I was right all along.
4 Responses
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1102845 tn?1285493058
Barb - I have had all the Free T3 and Free T4 done.  I run on the low normal range.  
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Are either of you having any other tests done (FT3 and FT4) or are you basing your meds strictly on TSH levels?  

TSH is a pituitary hormone and does not correlate well with thyroid symptoms.  You need to have Free T3 and Free T4 tested, as those are the actual thyroid hormones, with Free T3 being the one that correlates best with symptoms, because it's the active, immediately available hormone; whereas FT4, must be converted to FT3 prior to being utilized by the body.

Trying to adjust meds and eliminate symptoms based only of TSH levels is a recipe for disaster.  Some of us on thyroid med(s) have very low TSH levels; my own stay right at "less than" 0.01, but as long as my FT3 and FT4 stay where I need them, we don't even look at TSH.
Helpful - 0
1102845 tn?1285493058
Hi There, thanks for sharing with me.  It has been a really difficult season.  I am just going to keep going, keep researching keep living and working to wholeness again.  I had no idea how hard this journey would be.  I will pray for you as well.  I know God is able to get us through.

Blessings.
Helpful - 0
1445110 tn?1388209711
I also had a TT because of a large goiter, graves and hash. I have been struggling to get my TSH stable also. I also found out that i am perimenopausel that seems to be adding to the problems. I understand how you feel. I am tired yet i have severe anxiety with panic attacks , my heart rate stays 95-100. It is all so frustrating. good luck. Sorry for your troubles too
Helpful - 0
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