Thyroid readings?

[Stefcon]

I have just had blood tests with results T3 4.8. T4. 23.5. TSH 0.09.

Can someone explain. I have had thyroid irradiated. On 100 mg levoxathyrine.

[Clutter]

Welcome to the forum, Stefcon.

Do you have the ref ranges for the results (figures in brackets after results)?

[Stefcon in reply to Clutter]

Sorry no. Just had telephone results.

[Hidden in reply to Stefcon]

Stefcon,

Guessing your ranges then...TSH looks ok, T3 looks low and T4 looks high....but this a guess.

Below is a link explaining the importance of iron and vits in the synthesis of thyroid meds in the body. Your results indicate you need help in converting T4 to T3 in order to raise T3 levels. Supplementing deficiencies will help with this.

Ask your doctor to test Vit B12, Vit D, Ferritin and Folate and post results complete with ranges for members to comment. A doctors "normal" is not the same as the levels that members have found to be most beneficial.

Are you symptomatic?

Flower

thyroiduk.org.uk/tuk/treatm...

[Stefcon in reply to Hidden]

Yes. I have aching legs, night sweats, insomnia, thyroid eye disease, hair loss, weight gain.

[Hidden]

Hello Stefcon,

Welcome to our forum and sorry to hear that you are having thyroid problems.

Advising of test ranges together with the results will enable members to get a better picture and give a more accurate answer.

Flower

[Stefcon]

Just found old lab report ranges.

T3 4-6.8

T4 12-22

TSH 0.3-4.2

[Clutter in reply to Stefcon]

Stefcon, TSH 0.09 is below range, but doesn't necessarily mean you are adequately dosed as TSH of previously hyperthyroid patients can take months/years to recover.

FT4 23.5 is slightly over range which I hope, with the low TSH, doesn't incline your GP to think you are over medicated, as your FT3 4.8 is low in range and it's low FT3 which will be making you feel crap.

Read Treatment Options in thyroiduk.org.uk/tuk/about_... and email [e-mail] if you would like to show the Pulse article to your GP.

Please make sure your GP is aware that suppressed TSH will suppress Graves antibody activity in TED patients and resist any attempt made to reduce your dose. Are you being monitored for TED by an opthalmologist?

[Stefcon in reply to Clutter]

My endocrinologist refuses to send me to an ophthalmologist.

[Clutter in reply to Stefcon]

Stefcon, Put in writing to your endo or ask your GP or highstreet optician to refer you.

[Stefcon in reply to Clutter]

Thank you for your support and advice.

[Stefcon]

I feel crap. I have thyroid eye disease n my eyes drive me nuts.

[Stefcon]

Thank you for your reply. I didn't have eye problems before RAI. I will take your advice re vitamins.

[Clutter in reply to Stefcon]

Stefcon, that's why RAI can be contraindicated in Graves patients. My sister was advised to have RAI to prevent TED worsening. RAI made it cosmetically worse but doesn't appear to be causing the problems you have. You need to see an opthalmologist either via GP referral or optician referral.

[Stefcon in reply to Clutter]

My endocrinologist refuses to refer me to an ophthalmologist. I'm going to see a private doctor this week as I have had enough of not being monitored by my consultant and GP.

[Stefcon]

I am seeing a private doctor this week. I want proper treatment m monitoring and paying for it will ensure I get decent treatment. I have no faith in my consultant. I will let you know how I get on.

[galathea in reply to Stefcon]

Unfortunately, paying for treatment is still a minefield. Some private docs are great, some just take your money and do very little. You might do better to go for an eye check up and let the optician refer you.

Good luck,

G x

[Rush2112]

Sorry to butt in really fed up I'm in remission for graves and have been told I can't have rai as I have thyroid eye disease but I also have hashi antibody so was intrestested by your last comment is there a problem with op if you have both

[Clutter in reply to Rush2112]

Rush2112, Thyroidectomy is better for Graves/TED patients as RAI can make TED worse. If the surgeon is able to leave very little in the thyroid bed your Hashi's may fade away when there is no target thyroid to attack.

[Rush2112 in reply to Clutter]

Thanks clutter I'm still in remission at moment but I know with graves there is a good chance it won't hold so better to know the facts in advance so they don't bulldoze me into the wrong. Treatment

[Clutter in reply to Rush2112]

Rush, I think they're supposed to give steroids six weeks prior to RAI to dampen Graves but if TED is there I wouldn't have RAI.