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help with labs

Hi!! Here are my latest labs. I am confused - why is my TSH going toward hyper?? I am on 37.5 synthyroid, since Aug 08. I had lt thyroid lobectomy for large benign nodules Aug 06.
I have symptoms of hypo ( fatigue, some weight gain, dry hair, skin, hair loss) and hyper symptoms of tachycardia, anxiety, heart palps, heat intolerance, sweating., which have NOT changed much these past years.
Thank you for any help.
  

Dec 08
TSH        1.46  
Free T4   1.3.  ( range .8-1.8)
Total T3   97    ( range 76-181)

Dec 09

TSh         .95
Free T4    1.1     ( range .8-1.8)
Total T3    96  ( range 76-181)


June 10

    TSH    .73
Free t4     .9   ( range .8-1.8)
Total T3     79  ( range 76-181)
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Avatar universal
Not smart Tamraw...just some knowledge with what I know about medications.
I studied to be a RN and passed in February.
2 years of studies and employment in the medical field paid off...even though I was Hypo when I sat my exams lol.(Now that was HARD! lol)
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Avatar universal
Thank you Smilerdeb:)
I have only been on the PS for 2 weeks now. It was given to me for high am /pm cortisol shown in saliva tests and "adrenaline surges" especially at night.
My dr knows I am taking it... but  I will research it further. I had not previously saw any interactions with any meds listed.
My free T's have always been very low, or below normal range while my TSH was always "optimal" levels ,  so dr says.  It is hard to find a good dr who does NOT focus on TSH... :) sigh...
Thanks again.
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Avatar universal
Smilerdeb, you are so smart! :) T.
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Avatar universal
Why are you being prescribed Phosphatidylserine?
And the question you need to ask your Doctor is....Is it a contraindication with a T4 med.
Maybe this is what is mucking up your FT4 and FT3???
These are the questions I would be asking and maybe a short break from the PS med may help your levels.

Phosphatidylserine, or PS for short, is a member of a class of chemical compounds known as phospholipids. PS is an essential component in all our cells; specifically, it is a major component of the cell membrane. The cell membrane is a kind of "skin" that surrounds living cells. Besides keeping cells intact, this membrane performs vital functions such as moving nutrients into cells and pumping waste products out of them. PS plays an important role in many of these functions.

Good evidence suggests that PS can help declining mental function and depression in the elderly, and it is widely used for this purpose in Italy, Scandinavia, and other parts of Europe. PS has also been marketed as a "brain booster" for people of all ages, said to sharpen memory and increase thinking ability. However, the evidence to support this use is incomplete and inconsistent.
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Avatar universal
Thanks Tamra,
  I did have 24 hour saliva test. It showed very High AM cortisol, normal ranges for lunch, dinner, slightly elevated late night. For this I am on phosphatylserine in am and pm and it has helped alot with those "adrenaline surges" I feel.
  My Free Ts, have always been very low, while TSH is in normal range. Just finding an endo to check free T's was tough. These labs were ordered by my primary dr, I go back to endo in Sept for thyroid utlrasound ( I have 1/2 lobe left) and routine labs. He is great but will say they are "in range".
I have finished the book by Dr. K... so interesting. I intend to take it to my endo just to see what she she says.Hmmm, could be interesting seeing her reaction.
  Thanks again for your help.
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Avatar universal
TSH is a pituitary hormone and not always reliable, especially if you have no thyroid!

My TSH is a 0.04. My endo goes by my free levels. I see no FT3. Your doc should be testing and treating FreeT3 as well, the most direct measurement of active thyroid hormone.

Yes, you do have some hyper symptoms, all of which can also be due to adrenal fatigue. http://www.adrenalfatigue.org/

Your FT4 and total 3 is on the low end still. I'd be hesitant to lower your hormone without a 24 hour saliva adrenal test. Are you still seeing a homeopathic doctor? He can order this test for you. Don't rely on a 24 hour urine or blood cortisol test. NOT RELIABLE!

Remember, adrenal fatigue and Hashi/hypo almost always go hand-in-hand.
:) Tamra
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