Tsh 27.14

[mrbackhand]

Hi my last labs were taken in April with a tsh of 27.14
Thyroglobulin 0.1
100% of
My thyroid was taken out 3 years ago and have been
Taking synthroid. I was on a lower dose but over time it has been increased. There has been a few times that my level was in range. I have been  taking 250 mcg and the doctor
Saw the results of the lab and raised my synthyroid
To 275mcg now I feel hot and worse then normal.
I have absolutely no energy and feel horrible all of the time.
At 250 I felt bad at 275 I feel hot and horrible. Any ideas
Why my tsh is so high? I take my synthyroid as prescribed
. I have another appointment with the endocrinologist .
what
Should I ask for to feel better?
Im just soooo tired of feeling sick and tired.
Any opinions are appreciated
Thank you

Ps did not see a t3 test on this test. Everything tested was in range
Except the tsh and thyroglobulin.

[Barb135]

I commented on the new thread you started.

http://www.medhelp.org/posts/Thyroid-Disorders/Help-with-lab-results/show/2726284

[mrbackhand]

Thank you for the information Gimel.
I have not felt good in many years and lately I feel absolutely miserable. I called my endocrinologist
But the next available appointment is on the 8 th so I scheduled it. I called my primary dr and have an appointment this Monday morning. At this point I can not live like this anymore . I'm sick and tired of being sick and tired!
I have every symptom and a few not listed .
I also could not sleep for 40 hours then slept almost 4 hours . I'm sitting here typing all of this on my phone Praying that I can get some help Monday ! I do not want to wait till the 8th ... I'm considering going to the hospital... I need help :(

[mrbackhand]

Hi
The doctor found a nodule that tested positive for cancer.
He said my thyroid needed to be removed.here are labs from the 1/02/2015
Parathyroid hormone, intact -66  Range 14-64
T3  - 79   Range 75-200
T4-11.75
Dhea sulfate- 81  Range 106-464
T4 free 1.8  Range 0.8-1.8
Tsh- 1.43. Range 0.40-4.50
Fsh- 2.4. Range 1.6-8.0
Lh -2.8. Range 1.5-9.3

Labs from 4/21/2015
Tsh-27.14. Range 0.40-4.50
Thyroglobulin -0.1. Range 2.8-40.9
Testosterone ,total -176. Range 250-1100
Vitamin d,25-oh, total 32  Range 30-100
Thyroglobulin antibodies - 2 iu/ml range 0-1
Thyroglobulin- 0.1    Range 2.8-40.9

[Barb135]

You said the thyrogloblulin result was out of range... what was the reference range for that?  

I'm curious as to why you had your thyroid removed.  If it was due to thyroid cancer, thyroglobulin is, typically, used as a marker for recurring cancer, since thyroglobulin is only produced and used by the thyroid.

[gimel]

Many hypo patients taking T4 meds find that their body does not adequately convert the T4 to T3.  Since Free T3 is the biologically active thyroid hormone that correlates best with hypo symptoms, you need to make sure they test you for both Free T4 and Free T3 every time you go in for tests.  

In view of your high TSH level, I expect that your Free T4 and Free T3 will be in the lower half of their ranges, which is too low for many hypo patients.  Many of us find that symptom relief required Free T4 at the middle of its range, at minimum, and Free T3 in the upper third of its range, or as necessary to relieve symptoms.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and FreeT3 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.  You can get some good insight from this link written by a good thyroid doctor.

http://www.hormonerestoration.com/Thyroid.html

Be aware that being an Endo does not assure a good thyroid doctor.  Many of them specialize in diabetes, not thyroid.  Many of them are hung up on the "Immaculate TSH Belief"  and basically only pay attention to that. That is very wrong.   If they go beyond TSH they typically only test for Free T4 and then use "Reference Range Endocrinology" and will tell you that a test result that falls anywhere witin the range is adequate.  That is also very wrong.  So you may need to look elsewhere for a good thyroid doctor.  

Whichever doctor you see you need to insist on being tested for both Free T4 and Free T3 every time you are tested.  In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin.  Low levels can cause symptoms that mimic hypothyroidism.  Low D and low ferritin can also adversely affect metabolism of thyroid hormone.  So you need to get those tested also and supplement as needed to optimize.  D should be about 55-60, B12 in the upper end of its range, and ferritin should be 70 minimum..