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HIGH TSH AND HIGH T4

Posted by alexandriagarcia0611 @alexandriagarcia0611, May 4 3:43pm

Hello All,

7 months ago September 2025, I noticed my throat was enlarged and that's when I got an ultrasound on my thyroid. The findings where the texture was heterogenous, left lobe was increased 5.1 x 1.5 x 2.7cm and right lobe was 5.3 x 1.7 x 3.3cm. no nodules were noted.

I got a thyroid panel done at the same time sept 2025, I found that my T4 was 2.17 ng/dl and my TSH was 15.227 ulu/ml, T3 is normal, my thyroid peroxidase AB is 600 iu/ml and thyroglobulin is 4,000 Ui/ml. Since sept 2025- Mar 5 2026 my TSH and T4 are both consistantly high.

So I was referred to an endocrinologist and I mentioned if this had to do with my pituitary gland so at first he was saying no because my prolactin levels were good but a couple days later he called and put in an order for me to get one. The results were that pretty much everything was normal except my pituitary gland was midly prominent in size. thats all.

I am and have been experiencing all the symptoms of hypo and hyper, waking up feeling hungover, heart racing and heart fluttering, headaches, foggy vision, brain fog, bone pain, along with back pain, heat and cold intolerance extreme fatigue and dry eyes. My next appointment is later this month.

Id like to know your thoughts and what I shouldnt except for treatment and what ideas you have that should be ruled out. I have felt like death for 2 years now and only 7 months ago im getting an idea on why.

I am 24yr FM.
No kids
Never been on hormone medication
I don't take Biotin

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dragonflylady | @dragonflylady | May 13 7:13pm
In reply to @alexandriagarcia0611 "@dragonflylady do you have high tsh and high t4?" + (show)
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@dragonflylady
do you have high tsh and high t4?

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@alexandriagarcia0611
Hi! My TSH seems to spike every other year but my T4 as far as I can remember has always dropped when my TSH went up. Don’t know about my T3 they don’t seem to think it’s important.

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lkirnbauer | @lkirnbauer | May 14 10:20am
In reply to @alexandriagarcia0611 "@lkirnbauer Thank you, I appreciate your quick response, I am a female but yes, that's just..." + (show)
Profile picture for alexandriagarcia0611 @alexandriagarcia0611

@lkirnbauer

Thank you, I appreciate your quick response, I am a female but yes, that's just the way the hospitals work for military. I won't say all of them are bad but that's just my experience. I am sorry to hear that, but relieved that the surgery went well! I have gotten all of those labs' multiple times, my most recent is still the same, high TSH and high T4, all of my T3 's are normal and my antibodies (AB is 600 iu/ml) and (thyroglobulin is 4,000 Ui/ml). They haven't diagnosed me yet, since I am experiencing both hyper and hypo symptoms. The endocrinologist is stumped because he's never seen someone with persistent high TSH and HIGH T4. It's not common for Hashimoto's, the beginning stages of Hashimoto's may cause high TSH and T4 but not over a span of 8months. I have my next appointment with my ENDO next week, I am nervous. I have been experiencing crazy symptoms for over a year now with nothing to help. Whatever it is is also causing my bones to heal slow. I had an Austin bunionectomy in Jan this year and my bone still isn't healed from the surgery, even my podiatrist was concerned because it should have healed about 5 weeks ago.

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@alexandriagarcia0611 I see your AB is 600 and thyroglobulin is 4.000, you have Hashimoto’s. It’s all about your diet. Has your doctor mentioned foods to avoid? I would start by avoiding gluten, dairy, soy and seed oils. They are inflammatory foods and cause body inflammation. Hashimoto’s will also slow your healing process. Don’t wait too long to get this under control. Wishing you all the best!

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