Normal tsh, normal ft3 high ft4. Help!

[Letmeeatcake]

I wonder if anyone has some advice, I have recently had some bloods done with both Medi checks and my G.P, results as follows -

MEDICHECKS

TSH - 0.6 (0.27 - 4.2)

FT4 - 42.5 (12 - 22)

FT3 - 6.29 (3.10 - 6.80)

GP

TSH - 0.5 (0.4 - 6)

FT4 - 38.5 (9 - 21)

FT3 - 6.2 (3 - 6.5)

I am not symptomatic and feel quite well. I am on PTU, currently 100mg twice daily, had an appointment with my gp who is unsure whether to up my dose (been on this dose since April) or leave it, due to my nornal tsh and ft3 levels. He said he doesn't want my ft3 getting too low and is seeking advice from the endo, who discharged me when I refused a TT.

Sorry for the rambling. Any advice would be very much appreciated.

[Raventhorpe]

I agree with reallyfedup 123 and your GP.But am most surprised at your endo discharging you because you wouldn't have a TT, I thought they weren't allowed to do this, surly they have a duty of care to their patients.

[Letmeeatcake in reply to Raventhorpe]

So did I! The same endo discharged a friend of mine for the same reason. A TT was suggested at my first appointment and I declined each and every time, so his attitude was, well if you want to just treat it with meds, your gp can do that. I honestly felt like he thought I was a waste of his time because I'd not accept surgery.

[Raventhorpe in reply to Letmeeatcake]

Sounds to me like you could do with a different endo! Obviously don't know your medical history but normally endo's will try meds first and see how you do on them before talking about surgery or Radio active iodine treatment. I have graves desease and I was on and off carbimazole for 12 years and felt well endo then told me I needed to have RAI as couldn't stay on meds indefinitely so I decided to take their advice and it was the worst decision of my life now am hypothyroid and it's taken me 8 yrs to get the right medication to feel well and that's down to the lovely people on this forum and their great advice, So you stick to what you believe is best for you and don't let them pressurise you.

[Letmeeatcake in reply to Raventhorpe]

Thank you for sharing your experience, it's awful that you've had a rubbish time because you were pushed into something. I wish they'd understand everybody is different, it's not all about reference ranges! I'm definitely sticking to my guns on this one, because once my thyroid is gone there is no going back and that terrifies me.

[Letmeeatcake]

I've had no symptoms from the PTU and my gp has always been really good at carrying out bloods when I've had as much as a sore throat. I feel well and only tend to feel unwell when my t3 is too high. Thank you for your reply!

[Letmeeatcake]

He recommended the TT because I have 2 young children and he said RAI wouldn't suit my circumstances, so I do appreciate the fact he considered me in that respect

[Letmeeatcake]

Well on my dad's side, he has Graves and my nan had hasimotos, on my mum's side she has pernicious anaemia and my nan had rheumatoid arthritis. My sister also has anaemia

[Letmeeatcake]

I am yes, as I really do worry. They've both had thyroid checks as I was on PTU while pregnant and breastfeeding. The doctor believes my mum's anaemia is related to alcohol abuse, so I'm less concerned, but still mindful of that.

[Letmeeatcake]

I didn't know thyroid conditions ran in my dad's family until I was diagnosed. My dad was actually diagnosed after me and it was only discovered after he was advised to get bloods, when a pre op assessment for another condition, showed that his heartrate and blood pressure were high. I think he's had is for a number of years though, because he's always had trouble keeping weight on, always had a lot of nervous energy and never seemed to be affected by cold weather