Please Help Me! high t4, normal tsh, low calcium

[snookerbear]

Please help me.... I am waiting and waitng for the results of my ultrasound.  
Back in November, I told my Primary I was really fatigued.  I also told him I had a sore throat/ difficulty swallowing for over a month.  He looked in and said there was nothing wrong with me.  
I went to my OBGYN two days later, and he did my yearly exam.  He asked me if I had seen the GP lately, and he asked if I had told the Primary that my throat hurt!  I said yes, and I asked him how he had preumed as much.  He said that he could feel an obvious goiter.  He also said that he felt something was going awry with my metabolism, because I keep putting on weight even though I abstain from carbs, and consume fewer than 1500 cals every day.  I have mentioned this to my Primary, but I suspect he doesn't believe me.  So; I digress, the OBGYN ordered labs (tsh) and they came back NORMAL (0.7) (Aaagh!).
I still felt in my gut that something was missing... I called my Primary, and asked if he could dig a little deeper.  He didn't seem too excited about the whole thing, but he ordered labs anyway.  Well, at this point I was a bit frustrated.  It was unnerving to think that my Primary was thinking I was being Hypochondraical, or that I am looking for an excuse, or an easy fix for being overweight.
So I bypassed him and scheduled a visit with a local endo.  I had my first visit with him, and he seemed curious to know why I still sought aftter him, given that the labs had come back ok.  I told him I'm really not sure what drove me to stick up for myself (I usually don't!), but that the bottom line was that whether the labs were normal or not, I was still exhausted, and my neck still hurt.  I also have many symptoms of hypo.  I can't grow my nails, I am always cold, weak, sore, and I struggle with constipation. etc, etc... So he humored me and ordered more labs, but he did also mention that he didn't think he'd be seeing me again; lol.
So here we are in the present.  The labs have come back, and they're even more frustrating.
TSH  1.054 uIU/ml (normal)
T4     11.7 (HIGH)  
T3 total 156 (normal)
T3 uptake 23 (normal)
thyroglobulin antibody <20 (normal)
Thyroid Perioxidase Ab <10 (normal)
Vitamin D 15.7 (LOW)

ok; so one would think hyperparathyoidism becuse of my low d, but i have hpothyroidism symptoms with goiter, low-normal tsh, and high t4.....    WHAT THE HECK IS WRONG WITH ME!????

I can't find a single incidence online whith the same Normal TSH + High T4 + Low D combination.  Could anyone enlighten me?  

Thanks so much for your time and patience  :)

[snookerbear]

reference ranges:   (so sorry.... i tried to tell you; I have no ability to concentrate anymore; LOL)

T3 total:  60-181 ng/dL        (mine: 156)

T3 uptake:  22-35 units        (mine: 23)

T4: 4.5-10.9 ug/dL        (mine:11.7)

T4 free 0.89-1.76 ng/dL        (mine: 1.19)

[snookerbear]

ok...
my T4 FREE is 1.19 (range: 0.89-1.76)normal
my B12 is 375 (range: 211-911)normal

he didn't order a FREE T3

I am producing a lot of T4, but there's not a ton of it available for use... my TSH was actually only 0.7 last month; and now 1.05... I can't help but wonder if my pituitary gland is a bit confused.  Prolactin was well within range; so no prolactinoma.

BTW;
thanks sooooo much!!!
:)

[Barb135]

Can you tell us if the T4 was total or free? It should say on your lab report.  Also, what are the reference ranges.  These vary from lab to lab, so must come from your own report.

I hate to say this, but Total T3 and Total T4 tests are pretty much obsolete and of little value.  You need to have the Free T3 and Free T4 tests done.  Those are the actual thyroid hormones, and by testing the free hormones, you will know how much is in your body, available for use.

TSH is a pituitary hormone, and should never be used, as the sole basis for diagnosing or treating a thyroid issue.

Quite a few of us who are hypothyroid have low vitamin D levels.  Since your calcium levels are good, I would not think hyperparathyroid at the point. Low vitamin D can cause a lot of hypo symptoms, as can B12 deficiency.

Please post the reference ranges for the T3 and T4.  That will help members respond more fully.  

[snookerbear]

Good grief; I meant LOW D, NOT Low Calcium
My calcium is 9.2 (in normal range)
My brain doesn't function properly anymore.  I would like to enter that as another symptom.... oh; and chronic headache.
Thanks again ;)