high tsh normal free t3 and t4

[Blazinshotguns]

I got labs done and my tsh is 4.83 range .50 to 4.30

Free t4 1.5  range  .8 to 1.8
Free t3  3.8 range 2.3 to 4.2

My ferritin was extremely low only 13

My issue here is my free t3 and free t4 are both In the upper range yet my tsh is high do I have hypothyroid ?

I have joint pain and hairloss . I'm a 19 year old male . Many women in my family have hyper and hypo thyroid issues .
Looking at my t3 and t4 my thyroid looks optimal to me yet the high tsh has me confused .

I have no issues gaining or losing weight I just have a very puffy face .

[Barb135]

It's nice that your doctors let you "practice" on yourself, because you're getting good experience.

Your temperature IS on the low side and here's nothing wrong with keeping tabs on it, so long as you remember that many of us don't have the 98.6 temperature, no matter what.

You should get the full iron panel, as well as the other tests I suggested (for alopecia, RA and ANA.

You should also find out if your family, who have thyroid disease have autoimmune disease.  

[Blazinshotguns]

Oral temperature 97.7 at waking up .

I'm a medical student that my doctors allow me to pic my lab work and put trust in my I guess I should say .

I'll get full iron tested .
Idk if my family has autoimmune thyroid disease.

I'm gonna keep checking my temperature because it seems low .

[Barb135]

So you're a medical student, treating yourself - is that what I'm understanding?

The only temperature that really counts is the first temperature upon wakening in the morning, and while it can be useful in some cases, I've never been a big fan of it.  Temperature naturally fluctuates.  My temperature doesn't, typically, run at the 98.6 level either, unless I'm ill - it never has, even before I became hypo.

You're still supplementing iron, and vitamin D, so I'd retest after a few more weeks to see what the levels are and possibly, drop down to a maintenance dose.

Have you done a complete iron panel?

I'd also test for the alopecia and RA factor, as well as an ANA.

Do your family members have autoimmune thyroid disease?

With your thyroid hormone levels as high as they are, I don't think you need thyroid medication at this point.   TSH is affected by many variables and can fluctuate by up to 75% over the course of a day, so it's not a reliable diagnostic.

[Blazinshotguns]

Over the years I have never seen my temperature at 98.6  

[Blazinshotguns]

Tempature at 5pm today 97.8

I'm taking 325mg ferrous sulfate daily for iron

10000 iu daily for d3

Thyroglobulin antibodies <20
Thyroid peroxidase 11    Range. <35
Actually I'm a medical student myself and I know about testosterone and growth hormone replacement I don't know much about thyroid replacement

The docs my mother and family sees lack much knowledge also .
The docs I see ask me what labs  I think I need tested .  
I go to endo that's go to school for 11 years and they ask me what I think I need.

I could get on thyroid replacement now if I wanted . It's just I don't know if I need it .
The hairloss I have is on the front temples and a bit on the sides .
The only good think is I can get any labs I want tested whenever I want without any arguing ,so yes I moniter myself frequently . Insulin levels,  testosterone ,estrogen , lip

[Barb135]

Hope you're not going to shoot me for this... lol  

Hair loss can be a symptom of low ferritin and even though your ferritin level is in the upper 50's, you could try supplementing iron to get it higher (70 - 80) to see if that would help stop the hair loss.

Another thing I forgot to ask - you said other family members had hyper and hypothyroidism... do you know if they had Graves or Hashimoto's, which are autoimmune thyroid diseases?  If so, there's an autoimmune condition called condition called Alopecia Areata that causes hair loss...

Let me explain a bit - autoimmune diseases tend to run in families, but not all members of the same family will get the same autoimmune disease.  For instance, in my family, I have Hashimoto's Thyroiditis and Pernicious Anemia, my son has Type I Diabetes and my daughter has Lupus... all different, but all autoimmune and I suspect that my daughter also has Hashimoto's and I really think my son has Graves.  

I go back to asking your doctor to test for RA, Alopecia Areata, and supplement iron to bring up your ferritin levels, plus get tested for the thyroid antibodies I mentioned above.

[Barb135]

You said you got your ferritin to the high 50's; does that mean you'd been supplementing?  Are you still?  

Are you supplementing the 10,000 IU vitamin D daily under a doctor's supervision?  Vitamin D is toxic if levels get too high, so supplementing at that high dosage should be done with great care and for short periods.  

I don't think you need thyroid replacement - your FT4 is already at 70% of the range and your FT3 is at 79% of its range.  Rule of thumb is for FT4 to be at 50% of range and FT3 to be in the upper half to upper third of its range.

You might ask your doctor to test thyroid antibodies, Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb) to determine if you have the autoimmune disease Hashimoto's Thyroiditis.  

[Blazinshotguns]

B12 was in the 800s which is top 1/4
D3 in the 30s ,but now in the 60s  10000iu daily

I'm not on thyroid replacement

I'm trying to figure out if I need to get on thyroid replacement or if my thyroid is excellent

[Barb135]

Your TSH is not so high that it should cause concern, particularly since TSH neither causes nor alleviates symptoms.  Some people just have a naturally high TSH.

Ferritin should lie between 40-60, so if you're in the 50's you should be good.

What's your actual vitamin D and B-12 levels?   Just being "in range" may not be good enough.

There are other things that cause hair loss and joint pain.  Have you been tested for alopecia or Rheumatoid Arthritis?

Are you on a thyroid replacement hormone?  If so, what med, what dosage and for how long?

[Blazinshotguns]

I got my ferritin levels to the high 50 . I read RT3 should be ran when you have low free t3 and my free t3is great . Were should my ferritin levels be for a man ?
I'm going to start checking my tempeture .

Does anyone else have any other suggestions ?
This issue is real affecting my energy levels . I feel like an old man and I'm only 19 .
I tested and my shgb is low  which is a sign of hypothyroid .  
Testosterone levels are around 980 high . Igf levels 450 high .

[Alittleblues]

I'm still learning a lot myself, but it seems to me if you have low iron and normal lab ranges then your lack of iron may be causing you to have hypo symptoms such a loss of hair or puffiness. TSH can take forever to catch up with symptoms but that is a hypo number. When I increased my iron, I noticed my basal temps were a lot more stable, though still low. Increasing iron may be a good place to start.

Try taking your basal temp for five days with a liquid metal thermometer and see if temps are low, below 98 or so. You can track temps every three hours, three times a day too, to see if they are unstable or stable. There are knowledgeable people here who can help you interpret the results.

You should probably get a Reverse T3 the next time you test Ft3. I don't know enough to give much advice but Rt3 is worth looking into.

[Blazinshotguns]

B12 levels are in the upper range vitamin d3 was low ,but supplementing d3 corrected my d3