Thyroid test results

Posted by branbud @branbud, Jan 18, 2023

This month my test results are:
Thyroid Stimulating Hormone [TSH] HI 7.31 Reference 0.274.20MU/L
Thyroxine Free [Free T4] 18 Reference 10-22PMOL/L
So it looks like my tsh is very high but t4 is normal.

4 months ago my results were:
Thyroid Stimulating Hormone [TSH]HI 4.97 Range 0.27-4.20
Thyroxine Free [Free T4] 18 Range 10-22
Triiodothyronine Free [Free T3] 2.8 Range 2.6-5.8pmol/L

What is going on?

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

Subclinical hypothyroidism but you are measuring thyroid function indirectly. Tsh is measuring your pituitary.. how you are feeling with the normal thyroid levels is what counts. tsh varies with the time of the day. Stress levels. Etc. Don't worry

REPLY

This commonly happens when your thyroid is failing. Have you been diagnosed with hashimoto's?
As your thyroid finds it harder and harder to keep up and provide your body with enough thyroid hormones, your TSH gets higher and higher to attempt to produce enough. (It stimulates your thyroid to produce hormones, thus thyroid stimulating hormone ie, tsh ). Since your thyroid levels are normal, I would say that's what it appears is happening. But you should certainly talk to your doctor 🙂

REPLY
@olivesn

This commonly happens when your thyroid is failing. Have you been diagnosed with hashimoto's?
As your thyroid finds it harder and harder to keep up and provide your body with enough thyroid hormones, your TSH gets higher and higher to attempt to produce enough. (It stimulates your thyroid to produce hormones, thus thyroid stimulating hormone ie, tsh ). Since your thyroid levels are normal, I would say that's what it appears is happening. But you should certainly talk to your doctor 🙂

Jump to this post

And plan on at least 2 additional tsh levels in 3 or 6months

REPLY

interesting what did md say ?

from the book I am reading , tsh can be normal, but free t3 and free t4 can be out of balance.
free t3s should be at the top of the range and free t4 should be in the middle of the range to be 'in balance' .

I am reading Hashimoto's taming the beast and Stop the thyroid madness, both by the same author Bowthorpe, Janie

REPLY

What is the t3 result for the current test? You don’t have it listed. TSH is a poor way to monitor when having issues. You need the t3 and t4 levels done consistently for quite a few times in a row to really understand what’s going on.

REPLY

Hello, I was diagnosed with Graves’ disease a few months ago. Was placed on 30 mg methimazole. After 2 months of medication . My levels on September 8 2023 were TSH- 1.747 FreeT3 2.4 & FreeT4 .5 I experienced every side effect listed. Felt as if my body was shutting down. Endocrinologist said to remain on the 30mg. I see my primary care dr told him my symptoms he rushed ordered another panel October 26 TSH-7.446 FreeT3 2.3 & FreeT4 .7. My Dr reduced the daily dosage of methimazole to 20 mg a day. I’m still experiencing pretty terrible side effects. I have heard nothing from my endocrinologist. My endocrinologist never ordered the additional blood panels that I think actually confirm the auto immune Graves’ disease diagnosis. However both doctors mostly talk about radioactive ablation. I disagree with this idea at this time for several reasons. For one the blood panels that were ordered seems as if my thyroid is in the hypo state. Wondering if staying in the hypo state is actually creating more damage? Also I think I need to find a different endocrinologist. The wait time for appointments is concerning.

REPLY
@heatherann6

Hello, I was diagnosed with Graves’ disease a few months ago. Was placed on 30 mg methimazole. After 2 months of medication . My levels on September 8 2023 were TSH- 1.747 FreeT3 2.4 & FreeT4 .5 I experienced every side effect listed. Felt as if my body was shutting down. Endocrinologist said to remain on the 30mg. I see my primary care dr told him my symptoms he rushed ordered another panel October 26 TSH-7.446 FreeT3 2.3 & FreeT4 .7. My Dr reduced the daily dosage of methimazole to 20 mg a day. I’m still experiencing pretty terrible side effects. I have heard nothing from my endocrinologist. My endocrinologist never ordered the additional blood panels that I think actually confirm the auto immune Graves’ disease diagnosis. However both doctors mostly talk about radioactive ablation. I disagree with this idea at this time for several reasons. For one the blood panels that were ordered seems as if my thyroid is in the hypo state. Wondering if staying in the hypo state is actually creating more damage? Also I think I need to find a different endocrinologist. The wait time for appointments is concerning.

Jump to this post

I can tell you about my experience with Graves’ disease. It may or may not be applicable to your situation. I was diagnosed with Graves’ disease (hyperthyroidism) in 2001. I was prescribed methimazole. I don’t recall any side effects with it. My endocrinologist did not feel that radioactive ablation was a good option for me. She also explained that sometimes over time the hyperthyroidism can change to hypothyroidism. In 2005 I had a pancreas transplant due to brittle, uncontrollable diabetes (different ailment, different story). At that time the methimazole medication was discontinued because it presented an interaction problem with the immune suppression meds required for being post transplant. At present I no longer have Graves’ disease. My endocrinologist continues to monitor my thyroid levels and I have not reversed to having hypothyroidism. I think diagnosing, monitoring and treating thyroid conditions can be tricky. Have you had anymore thoughts on finding a new endocrinologist?

REPLY
@cehunt57

I can tell you about my experience with Graves’ disease. It may or may not be applicable to your situation. I was diagnosed with Graves’ disease (hyperthyroidism) in 2001. I was prescribed methimazole. I don’t recall any side effects with it. My endocrinologist did not feel that radioactive ablation was a good option for me. She also explained that sometimes over time the hyperthyroidism can change to hypothyroidism. In 2005 I had a pancreas transplant due to brittle, uncontrollable diabetes (different ailment, different story). At that time the methimazole medication was discontinued because it presented an interaction problem with the immune suppression meds required for being post transplant. At present I no longer have Graves’ disease. My endocrinologist continues to monitor my thyroid levels and I have not reversed to having hypothyroidism. I think diagnosing, monitoring and treating thyroid conditions can be tricky. Have you had anymore thoughts on finding a new endocrinologist?

Jump to this post

Thank you for sharing your story. Seems like you have been through a lot. Your a fighter and a survivor hugs to you. I will try to find one more endocrinologist. I have incorporated some of the informed advice that was thoughtfully written by Dr. Childs. The supplements seem to be helping. Will try my best to stay optimistic.

REPLY
Please sign in or register to post a reply.