hypothyroidism?

[Linda92]

Hi. It is so that I have tried different forms of diets. Also tried eating more and healthy as well as less and healthy, lots of sallad and proteins. I have followed my dietician's advice and eaten the same as I did between 2015-2016 when I went down 25 kg. But it no longer works. I have been with a doctor and have taken tests. The tests show that I have folate deficiency, the iron needs to be better, vitamin D can be better, B12 is almost short of, Magnesium can also be better.

TSH is 3.1 me / l,

p-TPO-ak is 47 kie / l,

T3 4.5 pmol / l

T4 16 pmol / l

I am basically never hungry and eating just as little, max 1500 kcal per day but usually under 1200 kcal. I walk about a mile a day and exercise quite often (cardio). The dietician says that I do everything correct and that I loose weight. Count the calories and always make sure I get rid of more calories than I eat. Weighs at least 105 kg on 167 cm. Just wants to feel good, be healthy and slim like everyone else. I am extremely tired, poor sleep quality where I always sleep easily and never end up in deep sleep than max 1 hour deep sleep a night, never feel energized, have no sex desire, can hardly exercise anymore unless I force myself but then I feel bad, gets dizzy and it hurt in the side. I like to sleep after the dinner around 15-16 time, takes long time on answering questions, a little depressed, sometimes have memory loss and easily forget things, confused right often, mentally tired, has difficulty concentrating sometimes, becomes easily sad, wants to be alone more often, has a bad mood where I easily get irritated, easily breathless, often low pulse (58-60), gets slight dizziness, has drier skin (always had baby's skin before), pale skin, sensitive eyes in sunlight, no hair on the legs and has never had to shave me there, loses a lot of hair on the head, is heat sensitive at the hands, always freezes, always cold about hands and feet, sweating a lot at night, never hungry, often constipated, my partner and mother say my voice has become a little darker, gets light migraine quit often, has lower back spine pain, sometimes gets tingling in the hands, increases in weight even though I eat a little and healthy. Please help me. The health care in Sweden refuses to help me and says that everything is normal.

Regards linda, 27 years old from sweden

[shaws]

Welcome to our forum Linda91.

I am sorry you may have hypothyroidism. There's no information on your Profile, only your name.

Have you been diagnosed with hypothyroidism? I note you have a question mark after the TSH. When we state our results always give the ranges. Ranges are in brackets after the results. Due to laboraties using different machines, the ranges can be different and they enable members to comment upon them.

I shall give you some links:-

thyroiduk.org.uk/tuk/about_...

Your TSH is a bit high and if you have some of the symptoms in the link above you could be hypothyroid.

Unexplained weight gain can be due to hypothyroidism. In some countries people are diagnosed if TSH is above 3. In the UK it has to reach 10, which can mean many people suffer much longer before being diagnosed.

Some hints:-

When getting a blood test for thyroid hormones, blood draw should be at the very earliest possible, fasting (you can drink water). If you were taking thyroid hormone replacements you'd allow 24 hours gap between last dose and test and take it afterwards.

thyroiduk.org.uk/tuk/testin...

Were thyroid antibodies tested in your last blood test.

A Full Thyroid Blood Test is:-

TSH, T4, T3, Free T4, Free T3 and thyroid antibodies.

Also get B12, Vit D, iron, ferritin and folate tested.

[Linda92 in reply to shaws]

Hi and thank you. TSH reference is around 0.4-4.0, i have 3.1 so in the higer reference. P-TPO-ak is reference <60, I have 47. Tyroxin (T4) reference 10-22, i have 16 and T3 reference is 3.3-6.0, i have 4.5. The doctor said they wer normal but I think its odd cause I have so many symptoms and my grand other had struma (goitre) and needed to be operated.

[Linda92 in reply to Linda92]

I have tested all the vitamin to. Took all the test at 8 at morning, 12 hours without good and only slight amount of water. I need extra vitamin pilla so i am taking them now since i have poor levels of them

[Linda92 in reply to Linda92]

My cortisol was normal, the test also found that my MCV value is high and my MCHC value is low. But my blood value is good

[anonymous45]

If you could comment the reference ranges for each of those, that would be helpful as these can differ.

The obvious point is that if your vitamin levels are poor, these need to be optimised first. Low iron/ferritin, B12, Folate, and Magnesium can all cause fatigue. If you have adequate amounts in your diet, you should discuss why you are losing them (kidney, diabetes etc.) or not full absorbing them (GI issues, inflammation, infection, parasitic).

Pulse oximetry (O2 sat and BPM) over night could be useful. When I was clinically hypothyroid, I experienced drops in heart rate down to around 41-42 nightly. For someone who is cardiovascularly fit, a resting pulse of 55-60 isn't uncommon. It would also help rule out things like sleep apnoea, which would cause a drop in O2 saturation during the night. A medically certified pulse oximeter can be picked up online for relatively cheap.

It would also be wise to consider mental health aspects, since this can mimic many illnesses and present with phsyiological symptoms. High or low cortisol, serotonin, and dopamine concentrations (in depression) can wreak havoc with normal homeostasis.

[Linda92 in reply to anonymous45]

Hi and thank you. TSH reference is around 0.4-4.0, i have 3.1 so in the higer reference. P-TPO-ak is reference <60, I have 47. Tyroxin (T4) reference 10-22, i have 16 and T3 reference is 3.3-6.0, i have 4.5. The doctor said they wer normal but I think its odd cause I have so many symptoms and my grand other had struma (goitre) and needed to be operated. I take extra vitamin pills now. The doctor said that my vitamins were okay, but they couöd be a little better. Only B12 was to low and not good. I have an fitbit. Will check it surfing this night, what my pulse is. My cortisol was normal, the test also found that my MCV value is high and my MCHC value is low. But my blood value is good

[SlowDragon Administrator]

Low vitamin D, folate, ferritin and B12 are often linked to being hypothyroid

Ask Doctor to do ultrasound on your thyroid

Can you add actual results and ranges on vitamins and say what supplements you are taking to improve levels

[Linda92]

Hi and thank you My TSH reference is around 0.4-4.0, i have 3.1 so in the higer reference. P-TPO-ak is reference <60, I have 47. Tyroxin (T4) reference 10-22, i have 16 and T3 reference is 3.3-6.0, i have 4.5. The doctor said they wer normal but I think its odd cause I have so many symptoms and my grand other had struma (goitre) and needed to be operated. I take extra vitamin pills now. The doctor said that my vitamins were okay, but they couöd be a little better. Only B12 was to low and not good. I have an fitbit. Will check this night, what my pulse is. My cortisol was normal, the test also found that my MCV value is high and my MCHC value is low. But my blood value is good. I take this daily vitamin for females that has all the vitamin that women need daily, its called "Ditt val kvinna".

[HughH]

T3 reference is 3.3-6.0, I have 4.5.

T3 is the active thyroid hormone which controls the metabolism and therefore the symptoms. The Free T3 test is therefore the most accurate way to diagnose hypothyroidism. Your Free T3 is about 41% up the normal range, which is fairly good and means that you are not likely to be hypothyroid.

Your Free T3 with your symptoms and your grandmother's goitre could indicate of a genetic condition: Impaired Sensitivity to Thyroid Hormone (more often known as Thyroid Hormone Resistance). It causes hypothyroid symptoms and requires very high T3 levels (often above the top of the normal range) in the body to overcome the resistance.