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normal tsh with symptoms

Result Name          Result     Abnl Normal Range     Units    
TSH                         2.60            0.40-4.6              uIU/mL  

I have so many symptoms of a messed up thyroid....and it runs in my family...yet this is my test result.  I am assuming that since i am about in the middle...it is totally normal right?
Best Answer
649848 tn?1534633700
COMMUNITY LEADER
Having a "normal" TSH doesn't mean that you don't have a thyroid issue.  In addition, your lab is using an outdated reference range for TSH - new range 0.3-3.0 - so using that range, yours is actually at the high end.

As Stella said, TSH is a pituitary hormone and can fluctuate greatly over the course of a day.  You need to get the Free T3 and Free T4 tested.  These are the actual thyroid hormones, with FT3 being the most important because that's the actual "readily usable" hormone; whereas FT4 must be converted to FT3.  

FT3 and FT4 seem to correlate best with symptoms, so without those, you just can't know where you are.
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Avatar universal
hi,  i am in the usa if it matters.....
still subclinical?
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Avatar universal
If you are UK based then that reference range is considered normal. The amended range is what is considered normal in America. Why there is such a difference is beyond me.

If you go over the top of the range for tsh ask your gp for a trial of levothyroxine but don't expect a miracle cure. It can take a long time.

If your gp has valid reasons for not givingmeds, such as thinking it could be something else then freaking out wont help. Until they are 100% sure you won't get meds. Ask for a referral to an endochrinologist but I don't see how demanding you need meeds will help.
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Avatar universal
ok yah, no pulm. embolism....yay!
so back to the thyroid.
how is this subclinical?

i need meds.  i realy need meds.  i am soooo fatigued and if my gp is going to play dumb and not give me any freakin meds i will take these results to someone else.  
Helpful - 0
1139187 tn?1355706647
ok so she has subclinical hypothyroidism.  THats what my post was about.  They think i dont need meds.  Does she need meds?

bruce
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Avatar universal
hi, no actually quite a while apart.
I just talked to my doc, and I have some other possibly serious issues....and she said she was not going to do anything about my thyroid right now!  
I am having heart palps, chest pain, she found a heart murmur and the most troublesome was a .positive d-dimer test....  argh.   urgent ct with radiation iv tomorrow morning for possible pulmonary embolism.
Helpful - 0
Avatar universal
Hi, are your two TSH tests really only a day apart because that is a big difference.
Helpful - 0
Avatar universal
Hey, i had a tsh test done today...here are the results....
Result Name          Result     Abnl Normal Range     Units
TSH                         5.20       H          0.40-4.6              uIU/mL  
Helpful - 0
Avatar universal
Wow.  I am stunned.  The lab here is still using older numbers.  I feel like a person who has something seriously wrong...tired all of the time...yet i have been to several doctors who all just push off the "fatigue" like it is nothing.
I am going to try to find a good local doc....but iam not sure how.  

thanks for the information.  it is VERY HELPFUL.

I am actually also going to make an appt with my gp who is the one who took this test, and make her order more tests to begin with.
Helpful - 0
393685 tn?1425812522
The TSH is a signal off the pitutiary telling the thyroid to pump out hormone. Its a signal for more or less to come from the thyroid. So, in the spectrum of knowing that we find the TSH is very inconsistant with actual thyroid hormone levels measured only by the FT3 and FT4 labs.

With symptoms as you say you have, your doctor's responsibility would be to look further into these free levels and see if those are off. Most likely they are and no one is looking at the frees to really know how to treat you.
Helpful - 0
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