Hypothyroidism Diagnosis: Not sure what to do at this point

Posted by rneedham1 @rneedham1, Jan 14, 2020

Hello. For reference I am a 27 y/o female. I recently had some blood tests done that showed my TSH levels at an 8.26 so my Dr. reordered the blood tests. I had the same tests done the next day as well as additional tests for T4 and T3 and everything showed normal the second time around with my TSH levels at a 4.12. I don't understand what would cause this fluctuation and additionally my doctor seems to think I am fine. However, I have been having the following symptoms for at least the past year and feel like they might be related to a thyroid issue. I don't know what to do at this point...My symptoms include:

-Shakiness, dizziness, sweating, weakness, light headedness whenever I start to feel hungry
-Severe lack of sex drive
-Overly emotional, feeling tearful, almost crying for no reason
-Feelings of being lost, hopelessness that seemingly come out of nowhere
-Brittle, breaking nails and hair breakage
-Feelings of anxiety
-Feeling cold often even when others feel warm or hot
-Decreased Appetite
-Mood swings, snapping at my SO
-Random loss of desire to do things I enjoy

I'm not sure what to do at this point. I am frustrated and I am tired of having these symptoms and being told I am fine.

Interested in more discussions like this? Go to the Diabetes & Endocrine System Support Group.

Profile picture for amara98 @amara98

@khauert Hi how are you? I’m going through the same thing right now but my Dr checked my Vitamin D levels and I was severely low so apparently that’s what was causing the joint pain it isn’t related to the adenoma or prolactinoma did you ever get this sorted out ? And find a solution and if you did what kind of solution ? I hope you don’t mind me asking I’m just going through the exact situation

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Hello @amara98 and welcome to Mayo Clinic Connect. As I see that you posted to a member who has not been actively posting on Connect for several years, I wanted to respond to your post.

As you say that you are going through the exact situation, I'm wondering if you have been diagnosed with an adenoma. If so, what treatment, if any, are you having for this issue?

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Profile picture for linh @linh

Did you test your thyroid levels under the same conditions i.e. same time of day? I have read recommendations thyroid labs are best drawn first thing in the morning before your thyroid medication & any breakfast.

I recently participated in the American Thyroid Association Patient Education Forum. I specifically asked (in a break out group) why FT3 (Free T3) was not tested. I recall the doctors saying something to the effect it was difficult to register a accurate FT3 blood level. That the body has FT3 located in multiple sites. A good doctor will work with a symptomatic patient to understand why.

My limited general understanding is that when one has a “Hashi flare” thyroid hormones may be spilled into the blood stream & consequently spike the blood level afterwards. Many thyroid patients test for any gluten issues & make other dietary changes to try & reduce these flare ups.

You are very smart to start so young troubleshooting your thyroid signs & symptoms. A Pharmacist by the name of Dr. Izabella Wentz was afflicted by Hashimoto’s at a young age too & she has chronicled her early struggles in books as well as online. She has turned her thyroid journey into a life long career passion seeking to help others struggling with this diagnose.

If you haven’t read her story you might cull helpful pointers you can discuss with your doctor from viewing online how she mastered her thyroid setback. She has published much & continues to be a source of inspiration to those trying to sort all this out!

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@linh I would purchase the book written by Isabella Wentz, Pharmacist. She breaks down how to eat with Hashimoto’s and I learned a bucket load of information from her book. Have you had your TPO Antibodies checked, along with your Thyroid Panel? If not, that result will tell you if you have Hashimoto’s and if you do, this book will tell you what to do for it. Much luck to you on your health journey.

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Profile picture for amara98 @amara98

@khauert Hi how are you? I’m going through the same thing right now but my Dr checked my Vitamin D levels and I was severely low so apparently that’s what was causing the joint pain it isn’t related to the adenoma or prolactinoma did you ever get this sorted out ? And find a solution and if you did what kind of solution ? I hope you don’t mind me asking I’m just going through the exact situation

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@amara98 ,@khauert
Are you going to an endocrine doctor or just a PCP . I found that my PCP did not know enough about prescribing or interpretations of symptoms. I'm much happier going to a specialist.

I had the unique experience of crossing over from hypothyroidism to hyperthyroidism. Yikes it was crazy. I had hot flashes, hair loss, mood changes, leg cramps, etc .... The PCP was useless. The specialist was right on top of it.... I had moved to a lower level of hypothyroidism and was over medicating. The dr check levels every three months until it stabilizes with appropriate level of medication. Then he tests it every 6 months to see that I'm maintaining

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Profile picture for jeshaw6801 @jeshaw6801

@amara98 ,@khauert
Are you going to an endocrine doctor or just a PCP . I found that my PCP did not know enough about prescribing or interpretations of symptoms. I'm much happier going to a specialist.

I had the unique experience of crossing over from hypothyroidism to hyperthyroidism. Yikes it was crazy. I had hot flashes, hair loss, mood changes, leg cramps, etc .... The PCP was useless. The specialist was right on top of it.... I had moved to a lower level of hypothyroidism and was over medicating. The dr check levels every three months until it stabilizes with appropriate level of medication. Then he tests it every 6 months to see that I'm maintaining

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@jeshaw6801 hi, wow but how are you feeling now ?

I’m going to an endocrinologist we re did blood tests and she will recommend treatment waiting on that

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

Hello @amara98 and welcome to Mayo Clinic Connect. As I see that you posted to a member who has not been actively posting on Connect for several years, I wanted to respond to your post.

As you say that you are going through the exact situation, I'm wondering if you have been diagnosed with an adenoma. If so, what treatment, if any, are you having for this issue?

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@hopeful33250 hi, yes iv been diagnosed with an adenoma , my endocrinologist re ordered blood tests to see possible cause of high prolactin etc so from that result she will be able to advertise treatment

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Profile picture for amara98 @amara98

@jeshaw6801 hi, wow but how are you feeling now ?

I’m going to an endocrinologist we re did blood tests and she will recommend treatment waiting on that

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@amara98
My thyroid is stable. I have other problems right now. A year ago I had a leiomyosarcoma tumor removed. In March it returned metastasized into the liver. Since April I had a two staged chemo for Six cycles and now am on a single stage chemo...for a unknown length of time. The lesions are still shrinking. I'm hoping the will be gone by Christmas. 🎄
Meanwhile I have developed thyroid nodules and they are scheduled for removal in February
Then endocrine specialist will modify meds as needed

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Profile picture for amara98 @amara98

@hopeful33250 hi, yes iv been diagnosed with an adenoma , my endocrinologist re ordered blood tests to see possible cause of high prolactin etc so from that result she will be able to advertise treatment

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@amara98 Please let me know how you are doing. Will you be having scans or other tests in the near future?

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I has my Doctor to kill my Thyroid, they gave me a capsule, that’s Radioactive Iodine, it safe, it takes about 6 months, to die, I was experiencing the same symptoms, as you, it was very bad, I am doing so much better now hope you get better soon, God bless you.

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Profile picture for marie5918 @marie5918

I has my Doctor to kill my Thyroid, they gave me a capsule, that’s Radioactive Iodine, it safe, it takes about 6 months, to die, I was experiencing the same symptoms, as you, it was very bad, I am doing so much better now hope you get better soon, God bless you.

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My Endocrinologist, she killed my thyroid, and now I am hypo, I got to take a thyroid pill for the rest of my life, no worries, I am just doing fine, now.

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