Question about TSH and T4 free

[Rsturner3641]

I developed graves disease when I was 20 and was treated with radio active Iodine I have since been on a very high dose of levothyroxine. I have over the last couple years noticed extreme fatique that reminds me of when I was first diagnosed and have also developed type 2 diabetes on top. I recently had a tsh test results at 7.49 which is almost double the normal range but my T4 free was 1.19 which is in the normal range what does this mean? I know something is off I can feel it but the doctor doesnt seem to be concerned. She has suggested however that I may have Metobolic syndrom which I currently have an appointment with a specialist to check out but does this mean I am hyper, hypo or neither. I am soooo confused. I havent seen a specialist in years other than my primary care doctor because there is only one office within 100 miles from me and they dont accept my insurance

[Rsturner3641]

Sorry I meant to add that I am now 52 years old

[Hidden]

Within range does not usually equate to having optimal health re T4 and your TSH suggests you need to have an increase.However if you are already on a high dose maybe levo is not the right medication. You are in the states I gather. I wonder if you would be much better helped by some NDT, apparently easyier to obtain over the pond.

[greygoose]

What, exactly do you call 'a high dose of levo'? What is the range for the FT4? No FT3 tested? Sorry for all the questions, but we do need all the tiny details to understand what's going on. Just saying 'in range', doesn't help us much.

But, you certainly cannot be hyper, with a TSH of 7.49. That is quite hypo. And is saying that you aren't taking enough levo, or that you aren't converting that levo into T3. And your doctor probably isn't concerned because she doesn't know that much about it. I doubt she knows anything about 'Metabolic Syndrome', either, and is just taking a shot in the dark, and passing the buck on to someone else.

[iqbaly]

pl change levo,also check ur cholesterol level.what r u eating for diabetes?