Im asking about my symptoms which are extreme fatigue, slight shaking hands and legs, high heart rate, and dizziness. I have done many tests for many other issues and they are normal. Today, I had T3, T4, and TSH tests an the results are as follows:
F. T4 (Roche): 1.98 (0.8-1.8)
F. T3 (Roche): 4.05 (2-4.4)
TSH (Roche): 0.82 (0.47-4.64)
It seems that T4 is a bit higher than normal while TSH is in the lower normal range. Im not sure if this is my problem and whether I need medication. My doctor just look at T4 ad said it is near normal so no problem. He didnt even looked at the other numbers. Could you please help me if you have any idea? Thanks in advance.
Note: Im taking 10 mg Proprenolol daily to reduce the heartrate since 2 weeks.
Written by
samsam1234
To view profiles and participate in discussions please or .
I think you need to have your antibodies tested, because if they are high, levels can fluctuate. One unique thyroid test is just like a snapshot, only tells you what it's like the snap was taken, not what it was yesterday, nor what it will be tomorrow.
Fatigue and dizziness can be due to so many things. It might be as well to have some nutrients tested, too : vit D, vit B12, folate and ferritin.
Thanks for the reply. Actually I have done many other tests including that you mentioned. Only vit D is 21, which I think is low. Other tests are normal. But my main symptom is fatigue and anxiety and shaking. Do you mean that I should repeat the test?
Without seeing the results, I really can't say. 'Normal' just means 'in-range', but that's not the same as 'optimal'. And I can't comment on your vit D without seeing the range - although it does look low.
Are you in UK? Vitamin D units vary according to country
In UK the units are nmol and aim for around 100nmol
What are the actual results for ferritin, folate and B12?
Just being in range is often not enough
You need to know if you have raised Thyroid antibodies. This is Hashimoto's also called autoimmune thyroid disease
Propranolol is used to slow conversion. Usually used in hyperthyroidism, but can be used when hypo to, if you can't tolerate the dose you need
You might find strictly gluten free diet helps, especially if you have Hashimoto's
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels stop Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
Thyroid, HRT
ATA document on Thyroid Hormone Treatment
Thyroid in young age
