Thyroid UK

Does my thyroid makes these symptoms?

Hi all,

I hope you all doing well.

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.

6 Replies

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. :)

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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.

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i don`t know but i have over medicated thyroid and thats what i feej


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

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iam american my thyroid endo makes sure all with thyroid problem know not to eat gluten if they want there gut gluten will damage it


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