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Thyroid Issue or keep researching?
I am jumping through hoops trying to determine the cause of my fatigue. The more I research I would almost put money on it that I am hypo. Fatigue is not even the word to describe it, there are no words. I feel so out of my body. I cannot focus, can barely drive myself home from work, zero libido, hair falling out..ect Here are some of the test results, I have had 50 + done but thought these were relevant. Aparently total t3 is the only test available.
TSH 1.49 0.10 - 5.50 uIU/mL
TPO AB <10 <=35 IU/mL
Thyroglobulin 9.1 0.0 - 55.0 ng/mL
Thyroglobulin AB <20.0 <=20.0 IU/mL
T3, Total 67 50 - 170 ng/dL
CK 604 <=200 U/L
TPO AB <10 <=35 IU/mL
Free T4 0.8 0.8 - 1.7 ng/dL
TSH 1.49 0.10 - 5.50 uIU/mL
TPO AB <10 <=35 IU/mL
Thyroglobulin 9.1 0.0 - 55.0 ng/mL
Thyroglobulin AB <20.0 <=20.0 IU/mL
T3, Total 67 50 - 170 ng/dL
CK 604 <=200 U/L
TPO AB <10 <=35 IU/mL
Free T4 0.8 0.8 - 1.7 ng/dL
Best Answer
Unless my pineal adrenal or pituitary gland hav been affected he said my cortisol was find I pray that my glands r ok
Thank u so much I will let u know what happens I am so happy your doing great. I have one more question Hun I don't get y I'm suffering from insomnia I can't sleep unless I take something do u think it could be the synthroid I never had this issue they have prescribed me so many poisons like ambien Xanax ativan hydroxicine Hcl then my body gets adjusted so fast and the med doesn't work I tired melatonin 1mg it didn't do anything and valerian I don't get it . I have cold feet and funny feeling in arms and hands neck when I lay down I wonder if the synthyroid is to high. Before surgery I was on 88 mcg of synthroid I never had these issues with sleep and then I was hyper? Thank u so much for all ur help
Sorry, I overlooked that the doctor did reduce your Synthroid. That was the right direction. I would not worry about the Free T3 for the short term. I would go ahead and start on iron supplement now. There are several good forms of iron supplement. I happen to like ferrous fumarate, or ferrous gluconate. I'd start with about 28 mg daily and over 3-4 weeks work up to 3 times that amount and then make sure to have ferritin tested when you go in next. Also, don't take any of the iron supplement for about 24 hours before the tests, to prevent artificial high result. Once you get your ferritin high enough and see how you are feeling, if needed you can take the doctor up on putting you back T3 med.
For the Vitamin D test, this is the recommended one.
total 25-hydroxyvitamin D (25-OH-VitD) level
And I am feeling just great, thanks.
For the Vitamin D test, this is the recommended one.
total 25-hydroxyvitamin D (25-OH-VitD) level
And I am feeling just great, thanks.
Huny what supplements are good for ferritin and iron levels so sorry to bombard you love and thank u so much
Thank u so much huny I appreciate u sooo much he did take the cytomel away but decreased the synthyroid nfrom 137 to 125 I have been experiencing heart palps and low blood circulation in legs and arms like a tingling when I take the synthroid and no sleep do u think my synthroid is still high. I'm not sure y he took the cytomel away but I think because of my heart palps breathing and no sleep he said he just wants to c if things change and if my t4 isn't converting he'll put back the cytomel it's so fig gin confusing I'm 30 and weigh 115 I can't believe my iron is low I knew it and he said no
What kind of vitamin d test love I did calcium test so far Hun ? Thank u so much Gimel
What kind of vitamin d test love I did calcium test so far Hun ? Thank u so much Gimel
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This is because the "normal" ranges are established poorly or just plain incorectly.
the "normal" ranges are established by taking the data of all the people in the area of the lab that takes the tests. Then they throw out the Highest 2.5% and the lowest 2.5% and call the remaining 95% as "normal".
The problem with that is the only people likely to get tested for Free T4 and Free T3 are people that are likely showing signs of being at least suspected of having INCORRECT thyroid levels.
So the population of the data they are using are LIKELY people who have ABNORMAL thyroid. So the ranges are simply messed up.
As has been found here over and over again that most people who have symptoms need to have their ranges well up into the range. That is 50% or higher of the range in order to feel well.
Same is true with something line B-12. Which has a tremendously wide range. Many people need to be way up towards the top end of the range to feel well. And they were told by their Dr that simply because they were near the bottom end but still within the range that they were "normal". What a load of dung!
You will find that you need to be your own best advocate in this journey you are on. You cannot just accept the Dr telling you the tests were normal. Ask for a copy of the tests, In the USA they are leagally required to give them to you if you ask for them. I would recommend that you do that and keep a record of the tests. Write down on them how you are feeling and what medications you are taking and at what dosages.
This medical record associating symptoms and dosages with lab results is absolutely invaluable. Especially if you have to find a new Dr due to a retirement or moving out of the area etc.
The rule of thumb that has proven to work for many people here is to have BOTH of the following.
1) Free T4 to be in the MIDDLE of the range (50%) or slightly higher.
AND- that means in addition to
2) Free T3 to be in the UPPER 1/3 (66.7%) of the range
Notice that these are both WELL up into the range and not simply "somewhere" within the range.
This is a rule of thumb and each person feels well at a different level. It is best to start slow and low dosages and work up to a point where you feel well.
But that all assumes you can convince a Dr to at least start you out on medication in the first place.