Hi I have been told that I have a benign nodule on the right of my thyroid. This was discovered during a neck ultrasound. I was told it was benign due to the small size. I am just trying to get to the bottom of my extreme fatigue and noticed some replies to TSH levels suggesting that they should be 1 or lower despite the normal ranges in blood results being higher?
Please can anyone offer some advice as my results for TSH and T4 came back as normal, but if TSH should be lower than 1 then do I need to challenge this with my GP?
Thanks!
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Sparkle44
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TSH levels suggesting that they should be 1 or lower
That is for people who are on Levo. Most treated hypo patients generally feel best if TSH is 1 or lower with FT4 and FT3 in the upper part of their ranges, but it does vary with the individual.
TSH levels vary through the day - highest in the very early hours, dropping through the morning and at their lowest in the afternoon. Towards or just after midnight, up it goes again.
Were all your tests at the same time of day? Unfortunately the difference between, say, 08:00 and 14:00 can be enough to make the difference between diagnosis and being told all is well.
Hi yes, all my tests were at the same time of day which was around 11am. My GP has asked to see me but my Prolactin levels are elevated due to a pituitary adenoma. My inorganic phosphate is extremely low. My folate is extremely low and my cholesterol is really bad, so I am not sure if the GP will be concerned about my thyroid results given that they appear to be in the normal range?
Just that your blood test results are not out of range. Yet. But that does not mean you are not suffering from the effects of inadequate thyroid hormone.
Of course, with your other issues, things are more complicated but my view is that hypothyroidism is a genuine problem for you.
That's it, Sparkle44, and all of the other problems you've posted about in the past year. I study done many years ago in Russia found that, among a cohort of nearly 1,200 people with lymphedema (635 primary and 536 secondary disease cases), "hypothyroidism-like thyroid dysfunction was found in 80% of patients with primary lymphedema. Measurements of thyroid hormones confirmed the above findings. It is hold that lymphedema patients should undergo the thyreoidin test and combined treatment including thyroid hormone therapy."
The test numbers are not as important as all of the symptoms that you've suffered, since all of them can be attributed to hypo metabolism due to hypothyroidism. In future, be sure to take your blood test as soon as the lab opens and you'll have the most persuasive TSH result.
Bless you thanks!! Don’t suppose you can provide me with a quote so I can take it to my GP concerning the link between Lymphedema & Hypothyroidism?? I am at the stage where I am so fatigued that I spend weekends in bed... this isn’t right!!!
Sadly, much research on hypothyroidism and its effects have been lost over time, causing doctors to focus on individual symptoms and find names for individual diseases (lymphedema) and ignore the underlying cause (hypothyroidism).
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Any feedback on TSH level
Is this a dangerous tsh level? 
High TSH, normal levels
TSH below low reference level
Replacement therapy and TSH levels 
