Got my test results

[ando35]

My doc said my test results are free t4 1.4 (.7-1.85)  tsh 9.14 (.45-4.7) and T3 1.2 (.79-1.45) the t3 is a weird range I think it is total t3.

[Barb135]

Thyroid hormone levels do not always fluctuate a lot during the day... We've had other members on the forum whose TSH stayed high, as well; one in particular had at TSH between 17-20 all the time, but was not hypo, in spite of low range FT levels.  The dosage of medication did not have to be adjusted, as there were no symptoms of hypothyroidism. In that case there was a pituitary issue that kept the TSH high.

It's very possible, this poster has another issue causing his symptoms and could also have something else keeping his TSH above range.  Perhaps his pituitary gland simply doesn't think there's enough thyroid hormones, when there really is...

[des900]

But if have pituitary problem like that then TSH will not respond in spite of thyroid hormone supplement. His doctor can have a trial on low dose and see if TSH is decreasing to rule out that. But in most people what see is TSH progressively increase as days goes by and also symptoms are evident especially day time fatigue, slow reflux, personality change like more anxiety, irritability etc and much of these symptoms get lesser when TSH is brought under a suitable range.

[Barb135]

I disagree that you have subclinical hypothyroidism... Your FT4 is at 61% of the range; recommended level is mid range (50%).  Your T3 is at 62% of the range; recommended level is upper half to upper third of range.

There are some people who simply have a higher than normal TSH and are not hypo.  

What, if any, symptoms do you have?  Some symptoms can apply to both/either hypo or hyper or your symptoms could be caused by something else, such as a vitamin deficiency - some of which can cause hypo-like symptoms, as can some other conditions.

[des900]

His ft4 and ft3 is maintained using more tsh or more stimulation to thyroid glands by pituitary and can't be said normal. When thyroid hormones are supplied externally then tsh comes down. A high tsh value is not reliable as thyroid hormone levels fluctuate a lot during the day and steady supply of hormones is needed for overall well being.

[des900]

Hi, I think you need to post this result in previously started thread.

Anyway the result shows you have subclinical hypothyroidism which requires thyroid hormone replacement pill. Anyway it will be better if you find your Vitamin D3 level as people who have this kind of results (high tsh with normal t3, t4 levels) usually tend to be deficient in Vitamin D.