Thyroid test normal but have symptoms

[tammyinwv]

I am a 55 yo woman. I have fibromyalgia and metabolic syndrome. I went plant based in Jan 2015. My cholesterol numbers came down.
May Labs: Free T4 - 1.01
                TSH - 2.031
A month ago my bp suddenly spike to 180/104. I couldnt bring it down when I started on my old lisinopril or metoprolol again. I had headaches, blurred vision, and felt bad overall. I went to the doctor. He tested my blood again and started me on Labetalol. With 3 (100mg ) pills per day it came down to 134/84, now a week later I dropped to 2 pills a day with same bp.
recent Labs- Free T3 - 2.4 (normal 1.7-3.7)
                   Free T4 - 0.95 (norm 0.70-1.25)
                   TSH - 4.081 (norm 0.35 - 5.00)
There was a pretty good jump in TSH, but all still in normal range. I have fatigue but also have fibro. also lost a lot of hair last yr, and it seems a little frizzy. My weight has refused to budge even with no oil, no sugar, no processed, almost no bread. I ate oats with fruit and no sugar, big vegan salads with no oil dressing, and gained 1/2 lb over night. I am struggling to keep weight off. Does any of this seem to be throid, or would the numbers indicate its not and there is something else going on? I forgot to mention when I went to do a month ago, he did EKG which was normal and tested cortisol level at 8AM and 4 Pm, all were normal results of 11, and 7

[Barb135]

Please check the reference ranges for your FT3 and FT4, particularly, the FT4; it's a very odd range.  Your FT levels seem to be way too low in the ranges, especially the FT3, which would certainly produce hypo symptoms, regardless off what the TSH is, since TSH is merely a messenger hormone and neither causes, nor alleviates symptoms.

As far as your diet is concerned, healthy fats are necessary for weight loss and also for proper absorption of the fat soluble vitamins (A, D, E and K).  You should begin adding healthful fats in the form of avocado, olive and olive oil, coconut oil, nuts and nut butters, seeds, etc.

Most fruit is chock full of sugar, even though it's "natural" and should be limited to 1-2 small servings/day.  For added sweetness, you can use Stevia, which is also natural, but adds no calories and does not spike blood sugar levels... Try adding a variety of beans and other high protein foods to your meals, as protein, along with fiber helps keep you feeling fuller longer.

Vitamin D deficiency can cause many hypo-like symptoms.  Vitamin B12 deficiency can cause horrible fatigue/tiredness, plus other symptoms.  Iron is necessary for the proper conversion of Free T4 to the active Free T3.

[des900]

tsh need to be brought under 2

check vitamin d, b12 and serum ferritin levels.