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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by viper1431 on February 7, 2010, at 1:13:21
Just wanted some opinions on the results from my TFT's. They appear to be ok except for TSH but i'm stuck trying to figure out the causes of my problems and i notice hyperthyroidism has most of the effects that i have which i always thought would actually be hypothyroidism..
results:
TSH 0.24 mu/l reference range: 0.35-4.94
free T3 4.2 ref: 2.6-5.7
free t4 13.4 ref: 9-19These are the syptoms listed on wiki
Major clinical signs include weight loss (often accompanied by an increased appetite), anxiety, intolerance to heat, hair loss, muscle aches, weakness, fatigue, hyperactivity, irritability, apathy, depression, polyuria, polydipsia, delirium, tremor, pretibial myxedema, and sweating. Additionally, patients may present with a variety of symptoms such as palpitations and arrhythmias (notably atrial fibrillation), shortness of breath (dyspnea), loss of libido, nausea, vomiting, and diarrhea.Of those the ones i -don't- have:
polyuria, polydipsia, delirium, pretibial myxedema, palpitations and arrhythmias, hyperactivity and hair loss.Doctor does say thyroid results say everything is fine though. I'm losing patience trying to figure this out.. it's been going on for so long!
Posted by Phillipa on February 7, 2010, at 11:00:22
In reply to Thyroid test results, posted by viper1431 on February 7, 2010, at 1:13:21
Oh do I know that feeling as have had the autoimmune most common for for both hypo and hyper Graves is the hyper. When I first presented 15 years ago had all the symptoms of hyper but tested hypo. And the synthroid has me in range now but doesn't effect how I feel. Google Mary Shoman lots of good info there in interpreting results also. Phillipa
Posted by Alexanderfromdenmark on February 7, 2010, at 13:19:51
In reply to Thyroid test results, posted by viper1431 on February 7, 2010, at 1:13:21
Check thyroid antibodies and total T4.
Posted by bleauberry on February 7, 2010, at 14:21:02
In reply to Thyroid test results, posted by viper1431 on February 7, 2010, at 1:13:21
Free T4 doesn't really mean much without being able to compare it to Total T4, and to calculate the difference which is ReverseT4. The antibodies are also important in any thyroid test, but often overlooked.
Insulin resistance, thyroid, adrenal...all stuff that could be at play here, and all hard to diagnose by lab. It's really a trial and error thing with lab tests basically providing hunches or clues but not definitive answers.
On your test results, if you were to plot them on a graph, I notice the TSH level is far to the left on a graph, while the other values are way toward the middle. Actually just looking at the numerical values within the reference ranges they gave you shows the same pattern.
I'm not well schooled on this topic but did spend some time researching thyroid and adrenal issues. The basic message I got was that the numbers should all be balanced within their ranges without any being skewed way far left or far right, and that symptoms are more important than numbers when making a diagnosis.
Without TotalT4, it is hard to see the whole picture.
Posted by viper1431 on February 8, 2010, at 1:23:26
In reply to Re: Thyroid test results, posted by bleauberry on February 7, 2010, at 14:21:02
alrighty, well i'm seeing the doc tomorrow and have printed out a list of tests, looks like it should cover most thyroid stuff.
Thyroid Stimulating Hormone (TSH) Test
Total T4/ Total Thyroxine
Free T4 / Free Thyroxine
Total T3 / Total Triiodothyronine
Free T3 / Free Triiodothyronine
Thyroglobulin/Thyroid Binding Globulin/TBG
T3 Resin Uptake (T3RU)
Reverse T3
Thyroid Peroxidase Antibodies (TPOAb) / Antithyroid Peroxidase Antibodies
Antithyroid Microsomal Antibodies / Antimicrosomal Antibodies
Thyroglobulin Antibodies / Antithyroglobulin Antibodies
Thyroid Receptor Antibodies (TRAb)
Thyroid-Stimulating Immunoglobulins (TSI)
Posted by viper1431 on February 9, 2010, at 17:08:57
In reply to Re: Thyroid test results » bleauberry, posted by viper1431 on February 8, 2010, at 1:23:26
Well unfortanatly the doc refused to give me the extra thyroid blood tests since free t3 and free t4 were ok.
This is the end of the thread.
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