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TSH question

Hello,

I'm a 39 year old female. 4 years ago I was told that I have multiple thyroid modules on both sides. I also have a goiter. I was told that my TSH within the normal range. I will attach my results.

23 Jan 2016-           1.41
2 Feb 2016-             1.02
2 November 2016-   0.68

Is it normal for it to keep going down?  What is the normal range?

Any help is much appreciated. Thank you in advance.
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649848 tn?1534633700
COMMUNITY LEADER
Normal ranges for TSH vary by lab, but the American Thyroid Association recommends 0.3-3.0, though most labs use a range of about 0.45-4.50 or 0.5-5.0 or something like that... if you have the lab reports, they should have the ranges on them.

Your results are all within normal ranges; the problem is that TSH, alone, doesn't tell the whole story.  Have you had any Free T4 and Free T3 tests done?  Those are the actual thyroid hormones and you need to have those tested in order to know what your actual thyroid thyroid function is...

TSH can vary, so yes, it's normal for it to be different each time you have it tested.  

Are you having symptoms of either hyper or hypothyroidism?  Please list your symptoms, along with results for Free T4 and Free T3 if you have them.  Also please list reference ranges, which vary from lab to lab and have to come from your own reports.

Why did you have TSH tested just a couple weeks apart, in January and February of this year?  That's quite unusual...

Multi-nodular goiter is quite common and often accompanies, both, Hashimoto's Thyroiditis and Graves Disease... Have you been tested for thyroid antibodies to determine if you have either of these conditions?

To test for Hashimoto's, you need Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb).  The definitive test for Graves Disease is Thyroid Stimulating Immunoglobulin (TSI).  You symptoms would determine whether you need all 3 of these or not.
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2 Comments
Barb135,

Thank you so much for responding. Sadly I do not have a copy of the results. Those were the only numbers given to me. The last time I had a T3 and T4 test done was I want to say about 4 years ago. Those tests came back normal. The only symptoms I have are as follow.. I have unexplained fast pulse that I have been put on meds for. My hair is thinning out. I'm always tired. I have joint and muscle pains. I constantly have headaches. Sadly I can't be honest and tell you it is all from thyroid. I have tons of other health issues that could potentially be causing it as well. So it's hard to pin point. When I saw a endocrinologist 4 years ago they told me that it was impossible to have both symptoms of hypo and hyper. Ruled no more follow ups.

The January test was done as a routine physical. The following month was done in the ER. I had to go to the ER because I was having the sensation that I was being choked. The front of my neck in the thyroid area was very painful. So they repeated the TSH. They ruled it as thyroiditis.

I have not been tested for Graves or Hashimoto's being that the endocrinologist felt that they didn't need to follow up on me. Nor did they feel further testing was needed. I have FMHX of Graves, hyper,hypo, and thyroid cancer. So, I'm just a bit lost at this point.
Also, I forgot to add that I'm always hot but my hands and feet are always cold.
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