Hey I need help

[Cookies673]

So my tsh came back 1.950 , my symptoms are having trouble regulating body temp like one second in cold next I'm burning up weak nails , exhausted Charlie horse cramps in my legs plus I have been gaining weight and I don't know why

[greygoose]

Hi Cookies673, welcome to the forum.

Could you give us a bit more information, please? We'd love to help you all we can, but you haven't given us much to go on. Firstly:

- do you have a hypo, or any other thyroid diagnosis? Hypo? Hyper?

- are you taking any form of 'medication' for it? Anti-thyroid drugs? Thyroid hormone replacement?

- was TSH all that was tested? Not FT4? FT3? Antibodies? Nutrients?

- what time of day was the blood draw for this test?

If you can answer all these questions, we'll be better able to help you.

[Cookies673 in reply to greygoose]

Time of day was about 2:30 in the afternoon, um no to being diagnosed with thyroid hyper or hypo,um tsh was all that was tested. Normal 3 month check up for chronic conditions, no I'm not on any medicines for thyroid

[SlowDragon Administrator]

welcome to the forum

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once to see if your hypothyroidism is autoimmune

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high TPO and/or high TG thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and (if on levothyroxine) last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)