Aa
Please help...I'm confused and I think my doctor is too
Heres a quick history.
I had the right side of my thyroid remove in 2010. Upon biopsy, they descovered I had cancer. It was small enough that they got it all and I didnt need treatment.
I have chronic sinus infections and a history of ovarian cysts.
Here's my problem.... My urine calcium is 3Xs the max limit, my blood calcium is 9.6 and the have found that I have a small amount of IgG in my Urine.
My doctor has told me it could be caused from one of three things... She said, parathyroid dease, cancer....after she said cancer I didn't here what the third thing was.
Has anyone have any idea what this could all be caused from?
Physically, I am always tired and unsteady.
Anything really...Please help me understand this.
I had the right side of my thyroid remove in 2010. Upon biopsy, they descovered I had cancer. It was small enough that they got it all and I didnt need treatment.
I have chronic sinus infections and a history of ovarian cysts.
Here's my problem.... My urine calcium is 3Xs the max limit, my blood calcium is 9.6 and the have found that I have a small amount of IgG in my Urine.
My doctor has told me it could be caused from one of three things... She said, parathyroid dease, cancer....after she said cancer I didn't here what the third thing was.
Has anyone have any idea what this could all be caused from?
Physically, I am always tired and unsteady.
Anything really...Please help me understand this.
This makes complete sense to me. I don't want to be within range, I want to feel better.
Would any of this have anything to do with high calcium in my urine or a slight band of igG in my urine? How do I get my doctor on the same page? I realize my Dr has many patients but I only have one Endro and getting questions answered or getting in to see her takes forever.
I am scheduled to have blood work done and a new 24 urine test done this week. What should I be asking about these results?
Would any of this have anything to do with high calcium in my urine or a slight band of igG in my urine? How do I get my doctor on the same page? I realize my Dr has many patients but I only have one Endro and getting questions answered or getting in to see her takes forever.
I am scheduled to have blood work done and a new 24 urine test done this week. What should I be asking about these results?
Opps. I meant to say no wonder why you're not feeling well.
Really to me there really should be nothing confusing about why you're not feeling well with both your Ft4 and FT3 being low.
Low in reference to the middle and upper 1/3 which is where many people feel symptom relief.
Your FT4 and FT3 are at 40% and 47% of the range respectively instead of 50% and 67%
The only reason your Dr is confused is because you are within the refernce range so that to him means that you should feel well. This is called reference range endocronology. And is only slightly improved version of the miraculous TSH belief in the medical industry.
The "reference" or so called "normal" ranges are FAR too broad. It is the result of statistical analysis. Simply stated most statistic "bell curves" are done using 95% of the population fitting into the curve. That is they take 2.5% of the very low Thyroid population and 2.5% of the very highest levels of Thyroid and remove them from the sample. Leaving the remaining 95% of the population will fit into the curve. This works OK for errors in manufacturing of cereal of something. But doesn't work at all for human beings.
You see FAR more than 2.5% of the population is Hypo (low Thyroid) but since they "fit" within the so called "normal" 95% range they are thus considered "normal".
To me this would be analogous to taking a sampling of the entire population regarding legs. But we'd only rule out people who are actually missing a leg or have 3 legs and throwing them out of the sample. Thus the remaining people all have normal legs right? Even people with broken legs would fall within this 95% hypothetical situation.
As insane as they leg sample scenario is, that is EXACTLY what they do with Thyroid by only throwing out the bottom 2.5% when it is possible up to 10 to 20% of the population is low Thyroid.
This is why the better target to shoot for is the middle of the range for FT4 and upper 1/3 part of the range for FT3. This has proven more realistic form many people and many, many people on this forum.
If the medical industry would simply bump up the lower limits of both the4 FT4 and FT3 range. A lot of people would be treated properly and feel much better. Instead we have a situation where many people feel horrible and remain feeling horrible and are often given many other medications to help alleviate symptoms that Dr's simply can not believe is simply lack of Thyroid. Instead they put 100% faith in TSH and the "reference" ranges.
Really to me there really should be nothing confusing about why you're not feeling well with both your Ft4 and FT3 being low.
Low in reference to the middle and upper 1/3 which is where many people feel symptom relief.
Your FT4 and FT3 are at 40% and 47% of the range respectively instead of 50% and 67%
The only reason your Dr is confused is because you are within the refernce range so that to him means that you should feel well. This is called reference range endocronology. And is only slightly improved version of the miraculous TSH belief in the medical industry.
The "reference" or so called "normal" ranges are FAR too broad. It is the result of statistical analysis. Simply stated most statistic "bell curves" are done using 95% of the population fitting into the curve. That is they take 2.5% of the very low Thyroid population and 2.5% of the very highest levels of Thyroid and remove them from the sample. Leaving the remaining 95% of the population will fit into the curve. This works OK for errors in manufacturing of cereal of something. But doesn't work at all for human beings.
You see FAR more than 2.5% of the population is Hypo (low Thyroid) but since they "fit" within the so called "normal" 95% range they are thus considered "normal".
To me this would be analogous to taking a sampling of the entire population regarding legs. But we'd only rule out people who are actually missing a leg or have 3 legs and throwing them out of the sample. Thus the remaining people all have normal legs right? Even people with broken legs would fall within this 95% hypothetical situation.
As insane as they leg sample scenario is, that is EXACTLY what they do with Thyroid by only throwing out the bottom 2.5% when it is possible up to 10 to 20% of the population is low Thyroid.
This is why the better target to shoot for is the middle of the range for FT4 and upper 1/3 part of the range for FT3. This has proven more realistic form many people and many, many people on this forum.
If the medical industry would simply bump up the lower limits of both the4 FT4 and FT3 range. A lot of people would be treated properly and feel much better. Instead we have a situation where many people feel horrible and remain feeling horrible and are often given many other medications to help alleviate symptoms that Dr's simply can not believe is simply lack of Thyroid. Instead they put 100% faith in TSH and the "reference" ranges.
You are low on both FT3 and FT4. No reason why you're not feeling well.
Mid ragne FT4 is 3.12 and you are testing @ 2.49
Upper 1/3 of FT3 is 3.6 and you are testing @ 2.6
You need medication or an increase in your meds!!!!!!!
Again shooting for something mid range FT4 AND UPPER 1/3 FT3. You have plenty of room or improvement.
Symptom relief is the most important thing. And the levels above are rule of thumb but FAR, FAR better than the too broad reference range.
Mid ragne FT4 is 3.12 and you are testing @ 2.49
Upper 1/3 of FT3 is 3.6 and you are testing @ 2.6
You need medication or an increase in your meds!!!!!!!
Again shooting for something mid range FT4 AND UPPER 1/3 FT3. You have plenty of room or improvement.
Symptom relief is the most important thing. And the levels above are rule of thumb but FAR, FAR better than the too broad reference range.
PTH is 24.6 ref. range is 10.0-65.0 TSH 2.45 ref range is .35-5.50
total T4 is 8.4 ref range is 4.5-10.9
total T3 is 29.6 ref range is 22.5-37.0
FT4 is 2.49 ref. range is 1.20-5.10
FT3 is 2.6 ref range is 2.3-4.2
total T4 is 8.4 ref range is 4.5-10.9
total T3 is 29.6 ref range is 22.5-37.0
FT4 is 2.49 ref. range is 1.20-5.10
FT3 is 2.6 ref range is 2.3-4.2
Please post your Thyroid levels and their reference ranges as they vary form lab to lab!
Normal doesn't mean anything. What that usually means is that you are somewhere within the reference ranges.
However MANY, MANY people have symptoms and need medication while they are within but on the low side of the reference range.
Many people find that they need to be in the MIDDLE of the reference range for the FREE T4 and also they need their Free T3 to be in the UPPER 1/3 of the range in order to be relieved of symptoms.
So as you can see simply being somewhere below mid range on either of these MAY need to have further medication to feel well.
Also be sure if you did not have the FREE T3 and FREE T4 tests done to get them done. Understand that they are different than "total" T3 and "TOTAL" T4. The "total" test includes both free hormone molecules and those attached or bound to a protein which makes them useless. So the "total" test is outdated and of little value.
Normal doesn't mean anything. What that usually means is that you are somewhere within the reference ranges.
However MANY, MANY people have symptoms and need medication while they are within but on the low side of the reference range.
Many people find that they need to be in the MIDDLE of the reference range for the FREE T4 and also they need their Free T3 to be in the UPPER 1/3 of the range in order to be relieved of symptoms.
So as you can see simply being somewhere below mid range on either of these MAY need to have further medication to feel well.
Also be sure if you did not have the FREE T3 and FREE T4 tests done to get them done. Understand that they are different than "total" T3 and "TOTAL" T4. The "total" test includes both free hormone molecules and those attached or bound to a protein which makes them useless. So the "total" test is outdated and of little value.
All of my thyroid and parathyroid levels are normal. Thats where I am getting confused because the parathyroid controls your calcium levels.
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