Lab Test

[palberts01]

Good Morning,

Have not posted in awhile have new labs, this has been 3 years this month since total thyroidectomy for cancer. My labs have been all over the place, and I gave tried 5 different medications. My physician doesn't want to try Naturthroid, Armour they keep try traditional synthetic levothyroxine, Synthroid, Unithroud, Tirosint, Levoxyl are the ones I have tried. I take 5000 Vitamin D daily for the past 6 months. Symptoms some heart palpitations, trouble sleeping, constipated, hair very dry

TSH. 0.511. 0.45-4 500

T4. 9.3. 4.5-12.0

T3 Uptake 30% 24-39

Free Throxine index 2.8. 1.2-4.9

Thank you for help

[Clutter]

Hi Palberts,

TSH is low-normal but not suppressed. I was advised to keep TSH suppressed <0.1 after thyCa. FT4 is just over halfway through range which is about average for someone taking Levothyroxine only.

Is there any way you can get a blood test for Free T3? Thyroidectomised patients often find it difficult to convert sufficient FT3 on Levothyroxine only. I was very unwell on doses between 200mcg - 100mcg and only felt well when Liothyronine (T3) was added to Levothyroxine.

[palberts01 in reply to Clutter]

I was told the t3 uptake is the free t3....is there another test to request?

[Clutter in reply to palberts01]

Palberts01,

They're different tests as far as I'm aware. I've no idea what your T3 Uptake result means.

[palberts01 in reply to Clutter]

Here is the definition..left me know if it is a different test..I will be sure to,get thus one next time

Tri iodothyronine (T3) Uptake Thyroid Blood Test. Why is this test important? T3 uptake is an indirect measure of the quantity of thyroxine binding proteins (thyroid binding prealbumin, albumin, and TBG) in plasma. It is directly proportional to the degree of saturation of the binding proteins by thyroxine.

[Clutter in reply to palberts01]

Palberts01,

It is a different test. Free T3 is unbound to proteins and is the amount of T3 available to cells.

[palberts01 in reply to Clutter]

Ok thank,u I will be sure to get that one next time

[Clutter in reply to palberts01]

Palberts01,

Perhaps one of the American fora can interpret the T3 Uptake test result. Try Dana Trentini hypothyroidmom.com or Mary Shomon or stopthethyroidmadness.com

[shaws Administrator in reply to palberts01]

It will give you a link from TUK and it explains why Free T4 and Free T3 are necessary. Dr Toft, who was President of the BTA and is physician to Queen Elizabeth when she's in Scotland.

Give a copy to your doctor and the Endocrinologist.

rcpe.ac.uk/sites/default/fi...

thyroiduk.org.uk/tuk/testin...

Your FT4 isn't high so I'd assume your FT3 isn't optimal. T4 is inactive and T3 is Active and is the only hormone needed in our T3 receptor cells.

(I am not medically qualified but had undiagnosed hypothyroidism).

[palberts01]

Thank you... everything I've read AZ said natural thyroid is the way to go but my doctor is so against it and there's not that many doctors here that take care of people with thyroid cancer I'll try again