If you read my previous posts, this all started about a year ago. Thyroid tested several times (not all tests that should be done, though) and every Dr says since numbers are in-range, they're normal. Even saw an Endo that ran everything EXCEPT T3 (FT3 or RT3). She said I was vit D and B12 deficient. Sent me back to my primary for b12 and he was nasty, saying, "You're not b12 deficient - why did she send you to me??" Then he was nasty saying that I could take all I want but there was nothing wrong... I now have an appt with another Endo. I KNOW something is wrong! I have such bad symptoms: painful, heavy legs, ankles don't want to bend, feet hurt to walk on them, legs/ankles/top of feet swell, left hip makes an audible snapping noise in the morning, total and utter exhaustion, brain fog, 30 pound weight gain (even though I barely eat), eye twitch, was cold all the time, now I sweat heavily when I exert myself, my temp is generally low (97 - 98.1), night sweats, cystic acne, etc. I am the completely opposite from the person I was last year. I used to be up and going 20-22 hours a day, I was productive, intelligent, and confident. I was fit bc I have superior self-control with my eating. Now I could sleep all day long and never feel rested. My self-esteem and confidence have been damaged by my brain fog and large amount of weight gain. I still control my food strenuously, but I continue to gain anyway, which is so frustrating, that I cry often. My family thinks I'm "loosing it" mentally. I just want someone to figure out what's wrong, and help me!!
It seems that my TSH and FT4 are continually at the bottom of the range. I know this is not the standard hypothyroidism. I've researched extensively and found it could be secondary hypo, estrogen dominance, T4 to T3 conversion process, adrenal insufficiency or what???? What tests should I ask for at the new Endo appointment?
T3, FT3 and RT3?
TBG test? High = hypothyroid
TSH 1.23 (0.178-4.530)
T4 7.2 (4.9-12.9)
T3UPTAKE 30.9 (24.3-39.0)
FT4 0.95 (0.80-1.73)
FT4 INDEX 2.2 (1.5-3.8)
T3 TOTAL 134 (72-180)
IRON 116 (30-160)
TSH 0.458 (0.40-4.2)
T4 TOTAL 6.4 (5.0-12.2)
Vit D,25-HYDROXY 18.9 (30-100)
FT4 1.0 (0.9-1.8)
Iron total 74 mcg/dL (40-190)
Ferritin 27 GN/mL (10-232)
FT4 1.1 ng/dL (0.8-1.8)
Vitamin B12 240 pg/mL (200-1100)
Folate 9.9 ng/mL (>5.4)
!Thyroid Peroxidase AB 8 IU/mL (<9)
An exclamation mark (!) indicates a result that was not dispersed onto the flowsheet. (What the heck does this mean??)
Anti Thyroglobulin Antibodies <1 IU/mL (<=1)
Cortisol 7.4 mcg/dL (taken at noon) (Cortisol a.m. 4.0-22.0 / Cortisol PM 3.0-17.0)
Testosterone (Free & Total) 42 ng/dL (2-45)
Vitamin D, 25-OH, TOTAL 22 ng/mL (30-100)
Vitamin D,25-OH, D3 22 ng/mL
Vitamin D,25-OH, D2 <4 ng/mL
25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an indicator of exogenous sources such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels between <20 ng/mL indicative of Vit D deficiency, while levels between 20 ng/mL and 30 ng/mL suggest insufficiency. Optimal levels are > or = 30 ng/mL.
TSH III G 1.05 mIU/L (0.40-4.50)
Sooooo what are your thoughts?? What's happening to me? How do I get this new Endo to "see the light"? What additional testing should be done?? BTW, my appt is March 28th at 9:30 am. Also I am supplementing 4,000 vit D3, 5,000 b12 methylcobalamin, and a high potency multi vitamin from the vitamin store...
Thanks so much,