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501096 tn?1320874932

TSH Repeatedly Increasing

Although I'd been feeling the symptoms of hypothyroidism for several months even maybe for 3 years, I was not diagnosed as hypothyroid until I got pregnant with my 3rd child nearly 7 years ago.  I stayed on a dosage of 50mcg for years until I suffered my 2nd miscarriage in 2008.  Since then, my TSH has continually increased EXCEPT for just after I gave birth to my 4th child in 2009.  At 6w & 9w postpartum, my TSH was around 1.1 which was perfect for me.  In the fall of '09 my TSH had increased, so my meds were increased again.  Between spring 2008 & 2010, my meds have been increased from 50mcg to 150mcg.  Four months ago my meds were increased to 150 and 1 month later my TSH was on the low side of normal.  I felt fine and my dr and I were comfortable at that level.  Now I am feeling exhausted, sleepy, and slightly depressed again as if my TSH has gone up again.

I don't want to sound like a hypochondriac and go running back to the dr for a re-check.  Even if I did and my TSH has increased, I want to know WHY this is happening.  My ob/gyn is the one who normally checks my TSH and I'm not scheduled to go back to see him for another couple of months.  He is not a very aggressive dr sometimes and the thyroid is not exactly his area of expertise.  I do have an appointment with my internist next week, but she keeps offering me antidepressants assuming I'm just stressed and depressed.  If this continues until then, I will bring it up to her, but I'd like to know if anyone else has had similar problems.
Best Answer
Avatar universal
Using TSH as a diagnostic by which to dose a thyroid patient is just wrong.  TSH is a pituitary hormone that is affected by so many variables that studies have shown it does not correlate with hypo symptoms.  The best correlation with hypo symptoms is with the most biologically active thyroid hormone FT3.  FT3 is four times as active as FT4, plus FT3 largely regulates metabolism and many other body functions.  

In order to better assess your status, you need to go back and insist on being tested for FT3, FT4 (not total T3 and total T4), along with TSH and the autoimmune antibodies TPO ab and TG ab.  Don't take no for an answer, after all you are the customer.

When you can get a copy of the lab report, I suggest that you note on there how you are feeling currently and what meds you were taking.  You should always get copies and do this.  These copies become very valuable as a future reference.  If you will then post test results and reference ranges from the lab report, members will be glad to help interpret and advise further.   If you find that your FT3 and FT4 levels are in the lower part of the range, that would be consistent with being hypo.
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501096 tn?1320874932
Thanks, everyone.  I do keep track of all the numbers I'm given on the Thyroid Tracker here, but I never know what tests I'm going to get results for (FT3, FT4, TSH, etc.).  Still I'm wondering what's causing the changes in my thyroid.  Is it my entering middle age?  Is there something else wrong that's causing it?  I have a huge family history of thyroid issues and my uncle apparently even died as a result of thyroid trouble (not cancer, either).  I see my doctor in October, so I'll talk to him about running more bloodwork then.
Helpful - 0
393685 tn?1425812522
I stand behind Gimel thoughts and really feel the whole look at your condition and wellness is not good. Try to learn more and and get the labs stated to really know how to play a role in getting better with your doctor.

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Avatar universal
same thing happened to me. I say skip the antidepreeants and noone knows your body better than you, I know when to adjust myself
Helpful - 0
Avatar universal
same thing happened to me. I say skip the antidepreeants and noone knows your body better than you, I know when to adjust myself
Helpful - 0
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