hey all,got my test results back from blue horizones,says there all within normal limits so guessing i dont have hypo,still wondering why my basal temp is so low in the mornings :S
THYROID STIMULATING HORMONE 1.45 mIU/L 0.27 - 4.2
FREE THYROXINE 12.8 pmol/l 12.0 - 22.0
FREE T3 6.1 pmol/L 3.1 - 6.8
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sunzzofman
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..interesting that your FT4 is low in the range and yet the FT3 is quite high...am afraid my knowledge is not sufficient - but am sure someone will be along soon ....Could it be Adrenal issues ?
I'm not certain if it is in this article but I have read that low body temperature is more indicative of adrenal issues than even thyroid. If you consider going that route, this may help.
I had an adrenal test a few years ago were they take Ur blood put some stuff in you and then take Ur blood twice more at 30 mins and one hour and never herd anything back so assumed there Ok. Yeh the t4 is only 0.8 over the minimum I'm kinda hoping it does mean something so I can get better if u no wot I mean
sun, The test you had is not as good as the saliva test they do now. That one measures your cortisol during the whole day and really lets you know whether your adrenal gland is functioning well. It would be better to address that and possibly avoid having to be stuck on thyroid hormone for the rest of your life but of course that is up to you.
Suggest you type in search engine: Interpretation of thyroid function tests by Colin Dayan, and choose the reference relating to the Keck School of Medicine as this is the easiest one to read and print out with no hassle, and consider whether you fit the criteria relating to Panel 4 and text headed: Low or normal TSH, low free T3 or T4.
Considering these results and Colin Dayan's text it might well be that you need a referral onwards for more detailed investigation. See what you/GP think.
I am not a doctor of course and did not mean to alarm you but rather, as your results show such a great discrepancy between the T4 and T3 results, that you need to take these results to a medically trained person for evaluation.
That's Ok u didn't alarm me I'm so glad there's people like Ur self that helps give advice to people who are having trouble with doctors. I just want to feel normal again and be able to go out and now worry about feeling faint and dizzy etc so il do wot Eva iv gota do could these still be normal?
Been hunting around for info for you, found on this link about lab values that you certainly could be hypothyroid, says: if you have low T4 and a midrange or slightly higher FT3 it means the T4 is converting like mad to give you the T3 you do have which means hypo.
To read: Scroll down to Free T4 lab test on this link:
And again, in Fast Facts: thyroid disorders, by G Daniels and C Dayan, there are two cases where there is normal TSH but low T4, (T3 not referred to) Case 1 is Hypopituitarism (Central hypothyroidism) True status: Hypothyroid.
Comment: TSH is often surprisingly normal, particularly with hypothalamic disease. Note the possibility of associated hypoadrenalism requiring urgent treatment.
Case 2 is Transition from hyperthyroidism to hypothyroidism. True status: Hypothyroid.
Comment: If TSH is suppressed for a long time it can take weeks or months to respond to hypothyroidism (common after the treatment of hyperthyroidism)
But Case 2 does not apply to you, Case 1 seems to though. I still think that you need to go to a GP with these results, plus print-out of Dayan's "Interpretation of thyroid function tests" and if you get nowhere, insist on a referral to an endocrinologist.
Wow tysm for that info I kinda hope it is this so I can start treatment yano. Do u have hypo or hyper or a different kind if it's Ok me asking?think I may buy a home cortisol test as well do that and take em both down to docs and do what you said.
If your question is directed at me I do not mind in the least sharing my experience - I have hypothyroidism finally diagnosed after 7 years of exhaustion/deafness/ hair falling out/hypoglycaemia/muscle burning/face swelling/choking fits/unable to speak properly because of orbital muscle rigidity/ etc., etc. Now on T4/T3 treatment advised by Dr Toft, am different person now. Had a brush with B12 deficiency as hypos have reduced stomach acid but resolved that using DIY methods.
If you do a cortisol test get the kind that has you collecting saliva about 4 times daily as per advice above.
The pattern of your results with such a low level of T4 indicates you are hypothyroid with complications of adrenal issues and perhaps hypothalamic issues and you will certainly have symptoms caused by low T4. And probably will have other problems with GP who might only go by your normal (so far) TSH result so you are having difficulty getting GP to take notice.
Hey again Yeh I was directing my question to you Aww I'm so sorry u had to put up with all that. Ino how u feel. Yeh doctors are stubborn they never and always think there right. That's why I paid for a private test so least if there was sumin wrong I can show em. I'm 4 years into all these symptoms 7 sounds way to long :(. Hmm I get acid reflux tho so dunno if that is low stomach acid. Don't think docs do saliva Tests normally just bloods so probs best if I get it myself lol
Acid reflux often caused by hydrochloric acid that is not strong enough to digest food, common problem with hypothyroidism. Unfortunately drs. do not recognise the reflux problem as being due to not enough stomach acid and give preparations designed to quell the acid production when in most cases they should be encouraging stronger acid to accomplish digestion. You can look on the I/net for more details, I solved problem by using Betaine hydrochloride with pepsin, Solgars.
Loads of valuable info about everything thyroid on the main site - been there yet?
Dw I won't iv gota get docs to believe me about hypo and then fix the acid as well so il probs be asking loads of questions for a few more years lol. Do u personally think I should do a cortisol test as well and take that and my thyroid values to a doc or just go with my thyroid results and try get referred? Sorry for asking so many questions il understand if u don't msg back
Yes, have to get docs to see you have a problem, you should really not have to do a cortisol test to help persuade them, maybe this will help get a referral to an endocrinologist.
Ty how do u find all this stuff. I did have an mri a few years back so hopefully that excludes tumors in the pituitary gland. This is so hard to put it finger on it so many different results etc. So if I do get a referral to an endocrinologist what tests do they normal do at the start of seeing them? Assumed it's a blood test but will Probley only check TSH levels knowing my luck lol
Sorry, really do not know exactly what tests would be carried out by an endocrinologist, can't help there, but it is certain that a competent endo will do a lot more than just a TSH test!! that is really only a first line screening test for mass use just aimed at sorting out those with simple thyroid problems. Where do I get all this stuff?I Had it in my (bulky) files as I got really interested in thyroid aspects after my own horrible experience. Nice to know from the first link to the pub-med paper that people can be treated for the issues you might have. You have a right in law to be given copies of all test results so if you want to see actual results of tests just ask your GP for them. You also have the right to be given copies of any letters between your GP and any specialist. Better brace yourself though to be fireproof, they do say some rather unbuttoned things!
If you have the time, have a browse in this thyroid patient advocacy site:
Iv found it so is medication guaranteed to work with hypo? Dunno if I mentioned about my morning basal temps were around 35.6 c for the 7 days I checked it for which normally means hypo ad well I think
Medication guaranteed to work with hypothyroidism? Well, I am absolutely fine now on T4/T3 but return to health was not overnight.
Dizziness and vertigo? Sounds could be low cortisol, sign of faulty adrenals? Plenty of info on the web, just type in Adrenal fatigue. or Adrenal insufficiency, or Amazon has book: "Adrenal Fatigue. The 21st Century Stress Syndrome" by James L Wilson. Great advice, including simple tests you can do at home. I did have d and v but with hellish four day migraines.
My basal temperatures were low like yours, and although many authorities interpret those as symptomatic of hypothyroidism most doctors these days will not even look at them.
Oh sorry, wrong name, put it down to residual brain fog!!! or something! Er, too much wine last night? E-mail to louise at this address for private doctors. She gets back to work 12th August so will probably have quite a backlog to deal with.
louise.warvill@thyroiduk.org
I am really sorry, I cannot understand how I came to type "Warwick". Better luck this time!
Can I ask so what's gives u the symptoms? Would it be that the t4 is working harder then it's ment to thus give u symptoms as if there normalish levels your Carnt getting symptoms from not having enough? I think lol
Hey all I got my adrenal results back from Genova I scaned the scale picture thing so people can see the graph etc. Could these results cause my symptoms? s16.postimg.org/rhmod58qd/g...
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