Latest results central hypo

[kellyiz]

After being on medication for hypothyroid for 8 weeks. I had my blood work redone. The results have changed very little.  Yet  the nurse can only read the lab results which say normal. Ugh. My pituitary scan did not show anything.

Here are the results. Newest  then original.


TSH. .624   Orig .08. (.35 - 4.5)
FT3.  2.1.  Orig  2.     (2.3 - 4.2)
FT4.  .89. Orig .7       (.8 - 1.8)


It looks to me like there has been some slight improvement. I guess I am having a lot of brain fog because I can't seem to come up with the percent within the range. Lol

I need to go back to dr to get dosage increased. I would Change dr but am moving in 2 weeks to another state.
I have noticed I am somewhat less tired but that may be because I also had mono when first diagnosed.

Thanks

[goolarra]

Your typo doesn't matter.  Obviously, with frees in the basement and TSH not far from it, TSH has to be thrown out.

FT4 is "too high"?  At 9% of range?  Is she reading the same numbers we're reading???  LOL

Probably best to cut your losses and move on to the next doctor.  Have you considered interviewing them over the phone before making an appointment?  You can really weed out the worst of the worst that way.  I'll give you an idea of questions to ask if you want to go that route.

[kellyiz]

So much for this dr. The call back I got was that I was now hyperthyroid. Apparently she forgot that I was diagnosed as central and the last time I saw her to talk about this she agreed we would dose by the ft3 and ft4 levels.

Nw she says tsh is too low and ft4 is too high.

I did mis type. Original tsh was .82 and is now .62. But with frees still in the basement I do not think this is hyperthyroid

Oh well next dr

[goolarra]

FT4 is now at 9% of range and was previously below range.  50% of range is the guideline for FT4 based on where many of us have to be for symptom relief.

FT3 has gone up a little, too, but it's still below range.

As you can see, even though both of those have gone up slightly, TSH has gone up, too.  When FT3 and FT4 go up, TSH should go down.  So, obviously, your TSH is not tracking FT3 and FT4.  The only "normal" reading in these tests is TSH.  You have to get your doctor to concentrate on FT3 and FT4.  Both of those are way too low.  FT3 is inarguably below range, and FT4 is barely in range.  Instead of looking at your results and proclaiming you "normal", your doctor should be focusing on the other 91% of the FT4 range that you have to play with.  Your FT4 can be adjusted within that range until you feel well.

Your labs have really not improved enough to make you feel much better.  You're right, you need an increase.  It takes time to find the right dose, but don't let this doctor tell you you're "normal" until you feel "normal"!  

Best of luck...