Lab result interpretations help pls

[Dobieboss]

T3 total: 332; FT3 11.1; FT4 387, TSH <.005.  My HR wakes me up at 100-120, I feel hot.  I am 36. How bad is this?  My endo does not seem concerned.

[gimel]

Please post the reference ranges shown on the lab report for the Free T3 and Free T4 results.

[Dobieboss]

Sorry, new to this sire and thought I had posted comment.  
FT3: 11.1 (2.0-4.4)
FT4: 3.87 (.82-1.77)
TSH <.005. (.45-4.5)
Total T3: 332(71-180)
TSI: 25.1 (0.0-.55)
Symptoms include rapid heart rate at rest, swearing, feeling hot when everyone else comfortable with temperature, sleep disturbances, anxiety, feeling jittery, irritable, mood swings.
I think I’ve always been hypo but just lived with the hair loss, fatigue, constipation, shortness of breath with any exercise activity, etc.

[gimel]

Symptoms are always the most important consideration, followed by Free T3 and Free T4.   You have a number of  symptoms typical of hyperthyroidism.   Also, your Free T3 is Free T3 and Free T4 levels are extremely high.   TSH is useful as an indicator only when at extreme levels.   And your TSH is extremely low, consistent with the high FT3 and FT4.  It seems clear to me that you are hyperthyroid.  I have no idea why the doctor was not concerned.

Your condition is called thyrotoxicosis.  Note the following Thyrotoxcosis  symptoms list from Cleveland Clinic.

Experiencing unexplained weight loss.
Having an irregular heartbeat (arrhythmia).
Having a rapid heartbeat (tachycardia) — usually a heart rate higher than 100 beats per minute.
Experiencing muscle weakness.
Feeling shaky.
Feeling nervous, anxious and/or irritable.
Experiencing increased sensitivity to heat.
Experiencing changes in your menstruation (period).
A severe case of thyrotoxicosis is called thyroid storm, or thyroid crisis. This condition is rare and requires immediate medical attention, as it can be life-threatening.

Symptoms of thyroid storm (severe thyrotoxicosis) include:

Having a very rapid heartbeat.
Having a high fever.
Feeling very agitated and confused.
Having diarrhea and feeling sick.
Experiencing a loss of consciousness.

I think you need to talk to the doctor right away and get him to consider giving you some antithyroid medication like Methimazole.    If the doctor resists, emphasize your symptoms and how high your FT3 and FT4 levels are above the range.    Please do this and let us know how it goes.  

[gimel]

The reason I asked for the lab ranges is to make sure I was understanding your test results.  I also wanted to know what other symptoms you might be having.  Since you have not responded I wanted to encourage you to get a doctor to test for the possibility of Graves' disease. The test for that is TSI.   Another possibility is Hashimoto's Thyroiditis that is bad enough to severely damage your thyroid and  cause excessive thyroid hormone leaking into your body.  But if you have not been previously having hypothyroid symptoms as the Hashi's antibodies were attacking your gland, then it is  most likely Graves'.  

I am amazed that your doctor did not react to your symptoms and test results.  I suggest that you go back and insist on being tested for  TSI (thyroid stimulating immunoglobulin).  If no other way to get it done quickly, go to a lab and pay for the test and if it shows what I suspect, then show it to the doctor and insist on being treated.  

[marina26m]

TPA  is 1 so that means I dont have Hashimoto. I dont think is Graves disease because i was mostly constipated, seems that I dont digest well fats. My gallbladder function after taking the HIDA tscan is 79% and doctor said is normal. The GI doctor said That I am eating too much insoluble fiber and not enough soluble fiber. I took stool test and show no inflammation , no helicobacter. y average pulse for the past 2 weeks is around 70 bpm so not too high I would say is low. These past few days I felt tired but I am on my period so I will wait few more days to see If I start feeling more energy.

[gimel]

lab results and associated reference ranges vary from lab to lab, so we need the reference ranges shown on the lab report for those results.   Also, please look at the following list and tell us if you have any of those symptoms.

Losing weight without trying.
Fast heartbeat, a condition called tachycardia.
Irregular heartbeat, also called arrhythmia.
Pounding of the heart, sometimes called heart palpitations.
Increased hunger.
Nervousness, anxiety and irritability.
Tremor, usually a small trembling in the hands and fingers.
Sweating.
Changes in menstrual cycles.
Increased sensitivity to heat.
Changes in bowel patterns, especially more-frequent bowel movements.
Enlarged thyroid gland, sometimes called a goiter, which may appear as a swelling at the base of the neck.
Tiredness.
Muscle weakness.
Sleep problems.
Warm, moist skin.
Thinning skin.
Fine, brittle hair.

[marina26m]

Tiredness. sleeping is not perfect but I am taking magnesium. Sometimes I feel angry but not everyday mostly before my period.