No tsh. T3 through the roof

Got my preliminary numbers:
TSH < 0.01
T4 Free 22.3
T3 Free 10.7
Everything else is normal in numbers including B12, Ferritin, Glucose, Hemoglobin Alc, Sodium, Potassium, Creatinine, GFR, Bilirubin, Gamma GT, Alanine Aminotransferase, LDL, HDL Cholesterol, Cholesterol, non HDL Cholesterol, Triglycerides, WBC, RBC, Hemoglobin, Hematocrit, MCV, RDW, Platelet count, Neutrophils, Lymphocytes, Monocytes, Eosinophilia and Basophils.
Not that I even know what all of this means …
Waiting for endro appt.
Thank you everyone, for your input. Your comments mean alot.
Only odd symptom I’ve experienced is my heart jumping around. Normally I’m healthy, active and no family history of this. Under extreme prolonged stress for far too long and isn’t over yet. My sleep was bad throughout for three years straight, then heart rate spiking plays havoc on a good nights sleep. On a whole food properly combined diet. This came out of left feild. Didn’t show in blood work in the recent years prior. See what Specialist has to say.
All thoughts in light of these numbers welcome, appreciated and grateful for. Thank you very much.
I am in Canada btw.

A thyroid stimulating hormone (TSH) of < 0.01 is in the hyperthyroid or subclinical hyperthyroid range, depending on your T3 and T4 numbers and symptoms. Low TSH numbers mean your pituitary gland isn't cranking out the hormone that alerts your thyroid into making more thyroxine (T3 and T4) hormones because there is already enough in your system. I have hypothyroidism (other extreme) and if my TSH approaches 0.15 I get an irregular heartbeat that is solved by decreasing my Synthroid (synthetic thyroxine).

Are you/were you on thyroid meds when labs were drawn?
With your TSH being so low (HYPERthyroid). Your high Free T3 and high Free T4 also indicates you are HYPERactive. This would explain tour heart fluttering. Did they run a TPO and/or TgAb test?
With the amount of stress you described, you may also have some adrenal issues going on.

Thank you for this response. I will take a look at suggested reading.
Diet is very important. Consumption consists of whole food only, no caffeine whatsoever, grains known to cause problems, zero dairy products. As much live and in season food as possible. No refined sugars, only good fats but most important that I’ve found is regular before 10pm sleep and up before sunrise. Only drink water with lemon or lime as well as herb t until nine then fruit only until noon. Proper food combining essential. Regular elimination daily a must, clean teeth and mouth, feet and body. Daily exercise, even just walking.
I got my test results Jan 06. What has the above protocols done for me so far?
Has brought resting heart rate down, lowered, at least eliminated the over 100bpm just sitting and the booming of my heart in pillow when trying to sleep.
I was supplementing with acerola C, probiotics, ComplexB but now not regularly, at the moment.
I am meditating twice daily which makes a huge difference.
Were low adrenals and haven’t recently checked back on that yet.
Stress has been large and is the contributing factor as my lifestyle is fairly clean and much more now.
Other stay had huge recurring stress factor I couldn’t avoid. That night boom boom in pillow again. Upped meditations, sleep and avoidance of all stressors best I can.
I believe my body has ability to heal itself, with my help and mindfulness.
I’ve started incorporating a herbal blend formulated for hypothyroidism sourced locally. Will report back in a mnths time so again, thank you for suggested read.

Hi thank you. Not on any meds fir anything. Still waiting for specialist appointment. Yes adrenal low in self test and haven’t checked back with that yet.
No doctor wont do TPO or TgBa, said she didn’t think I needed it.
Nice.
Please see my response below to covidstinks as to what Ive been doing to get positive results.
Have had bloodwork all as recent as 2022. Wanted some tests Dec 2024 and this bizarre result with tsh and t3 showed up Jan 2025. Is all stress related. Thank you for your response.

Thank you for this. In my numbers also showed monocites a bit high.
Last I spoke with Dr., she said she wasn’t concerned about that and when I asked what she thought she said Graves.
Still waiting for specialists appt.
I find heart rate irregular. Fitbit watch in last two months has given me 2 low heart beat alerts -45/46 as well as an afib warning I woke up to at 345 am one morning in Jan.
If you see my response to covidstinks below you can see what I’ve been doing to create positive results.
I am not on any medication for anything and will avoid at most all costs. Is all stress related. This no tsh and hi t3 has only just occured. The booming in pillow of my heart when trying to sleep started last fall. Other than that basic and fairly clean lifestyle, active and healthy. These numbers appeared Jan 2025. Is all new to me.
Thanks again.

Wow an eye opener here I must say. Thank you for this.
Hoping when I get specialist appt that he will do full panel including proteins and antibodies, Tpo ect. Which in my opinion are critical part of a larger picture regardless of dr saying she didn't think i need them. Like to see what TPO says, especially now in light of your response. Dr says she thinks I have Graves.
Wait and see. Ive been doing all i can to stabilize my heart rate and with success as long as the stressors stay at bay. My blood pressure is fine.
I wish you well also

Thank you. Am waiting for specialist appt to get booked, anticipating full panel.

There’s a condition called T:3 toxicosis and it’s a form of hyperthyroidism. This can be dangerous, and predispose to cardiac arrhythmias including tachycardia and atrial fibrillation which can cause heart attacks or strokes. Zero or extremely low TSH and very high T3 is the hallmark of this and you need a good endocrinologist for treatment. There’s a Mayo Clinic in Phoenix area and your PCP could refer you to someone temporarily until you can get into the Mayo. Please take this seriously and get medical help, not try to DIY with diet, supplements etc.

My initial thought is that you have hyperthyroidism. When your TSH is that suppressed and your T-3Free is high, that could also point to Hashimoto’s Thyroditis, which I also have and I have eliminated eating Gluten, Dairy and Soy for that and my body inflammation and head fog has gotten so much better. See your doctor or see if you can find a GOOD Endocrinologist, they’re hard to come by in the Chicagoland area. Don’t mess around and try diagnosing yourself, seek real medical help. Good luck!