Thyroid results: are they really in normal range?

[Watchyourownbobber]

TSH = 1.09  range = 0.36-3.74 mIU/mL

T3 total = 94  range = 75-180 ng/DL

T4 free = 0.89 range = 0.76-1.46 ng/dL

Thyroperoxidase antibody = 128
Range= <=60 units/mL

I was told....
Your thyroid tests are normal. The antibody is slightly elevated, but that is likely a normal fluctuation, not enough to consider any type of treatment.

Symptoms-

My hands and feet are always cold.
Dizziness
I'm either hot or cold no in between
I overheat easily
Low blood pressure
Horrible memory -
My periods are light
Secondary infertility
Dry skin
Heart palpitations
Constipation
Vitamin d deficiency
Tired
Headaches

[gimel]

I just sent you a PM with info.  To access just click on your name and then from your personal page, click on messages.  

[Watchyourownbobber]

I went to a GP because you usually need a referral to see an endocrinologist.
I had my ferritin checked it's 43 (8-388)
It use to be 578 a couple years ago, was referred to an oncologist. They said it was probably due to my Celiac's and inflammation from it.

b12 is 637(211-911) was deficient in 2008 had injections

both checked on June 9 2015.

Vitamin D 27 (20-50) I take vitamin d3 2000 iud a day. It use to be 12.

I live in Minneapolis Minnesota. If anyone can recommend someone that would be great.

[goolarra]

The only thing I'd consider "normal" is your TSH.  That looks great, and many doctors just never get beyond TSH.  They're taught in med school that TSH is the gold standard in thyroid testing, and they never get beyond it.  FT3 and FT4 are much more direct assessments of thyroid status.

Your FT4 is at 19% of range, which is very low of the 50% rule of thumb.  50% is based on where many of us had to be for our symptoms to be relieved.  Your doctor didn't test FT3 (which is an indication he isn't a very good thyroid doctor), and FT3 is the test that correlates best with symptoms.  

I would not consider your TPOab a "normal fluctuation".  The reference range tops out at 60, and that's because the "normal fluctuations" should be under 60.  I'd consider 128 positive.  The other marker for Hashi's, TGab (thyroglobulin antibodies), wasn't tested.  If it's elevated also, it would confirm Hashi's and bolster the somewhat "weak" positive of your TPOab.

With all your symptoms, your low FT4 and your positive TPOab, I'd go doctor shopping.    

[gimel]

Well the first thing to do is fire that doctor and find a good thyroid doctor.  So, if your thyroid tests are "normal" what is the reason for all the symptoms?  Hmmmm.  

If you have a look at this link it lists 26 typical hypothyroid symptoms.  I think you will find most of yours on the list.  If not, there is another, longer list that will include all of them.  

http://endocrine-system.emedtv.com/hypothyroidism/hypothyroidism-symptoms-and-signs.html

So your TPO ab test being twice the upper range limit is only " a normal fluctuation" , and not enough to consider treatment.   LOL  I don't know where they come up with all this rationalization.  Your TPO ab test, along with those symptoms and your Free T4 and Total T3 being so low in the ranges, adds up to Hashimoto's Thyroiditis.  The doctor is just looking at TSH and ignoring everything else.  TSH is a pituitary hormone that is affected by so many things that at best it is only an indicator, to be considered along with more important indicators such as symptoms and also levels fo the biologically active thyroid hormones, Free T4 and Free T3.  Your doctor did not even test for Free T3, which is far more useful than Total T3.    

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms without being constrained by resultant TSH levels.  Typically that seems to be Free T4 in the middle of its range, at minimum, and Free T3 in the upper third of its range, or as needed to relieve symptoms.  Symptom relief should be all important, not just test results, and especially not TSH results.    You can get some good insight from this link written by a good thyroid doctor.

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

Also be aware that 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 or ferritin can adversely affect metabolism of thyroid hormone.  So you need to test and supplement as needed to optimize.  D should be about 55-60, B12 in the upper end of its range and ferritin should be about 70 minimum.

If you will tell us our location, perhaps we can suggest a doctor that has been recommended by other thyroid patients.