TSH 0.61 T4 15.

[Gcart]

TSH. 0.61. Range 0.3 - 4.2

T4. 15 Range

12-22

Before TT These were my bloods. NoT 3

No hormone treatment at that time

What would you think of them

I was very wakeful only slept about 2 fitful hours a night, hot, wired, tired etc

Told it was normal ?

Thanks

[shaws Administrator]

I am assuming the TT stands for total thyroidectomy.

'Normal' by the doctor means you're results are 'within the range'. That makes them happy but is the patient? Has the clinical symptoms improved? Have they diminished or resolved altogether?

If not you need an increase in dose - the aim being TSH of 1 or lower (they think that if TSH is somewhere in the range that we're on a sufficient dose. Not so if we're still symptomatic.)

Many GPs think that if our TSH is low or very low that we're taking too much thyroid hormone replacements. Without FT4 and FT3 results (rarely are these tested) we don't know how much is in our blood. Your T4 is 15 Range 12-22 and you might feel a lot better if it was nearer 22. It's a pity they don't test the 'frees' i.e. FT4 and FT3 which give a bigger picture.

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

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

If you've had a TT, I think it would be more humane to prescribe a T4/T3 combination. I have my thyroid gland but was far more unwell on levothyroxine than a TSH of 100 (diagnosed myself).

[Gcart in reply to shaws]

Those bloods were taken the day before I had total thyroidectomy .

No known checks before despite complaining of my symptoms ☹️Removed because of cancer diagnosed , quite by chance !!

I was very unwell with above symptoms and I wondered if the very low in range TSH could imply TSH not responding .

I have a known pituitary adenoma .

Since TT and Levo plus thybon (self sourced) I am much better with relief of much of the symptoms I’ve described.

I have just obtained these test records from the hospital as op was done 3 yrs ago .

I was just trying to prove to myself that they could have been responsible for how I was before the TT . Despite being told ‘normal’.

Thought the TSH was rather low ?

[SlowDragon Administrator in reply to Gcart]

Obviously with no Ft3 result or vitamins either ...only getting limited view

Have you got any historic vitamin test results ?

[Gcart in reply to SlowDragon]

Sadly no . Thyroid issues was never considered by docs at that time .

Thanks though for trying to help

[Angel_of_the_North in reply to Gcart]

Very normal. But hard to say without free T3. However my TSH was similar when I first had central hypo (although FT4 a little lower). What was the reason for the TT?

[Gcart in reply to Angel_of_the_North]

Papillary carcinoma in both lobes

As I say no good without the T 3.

My symptoms were so much worse then.

Thyroid was never investigated or mentioned and I had no knowledge at that time .

I was very hot, wired , tired sleepless to name but a few symptoms.

Things are easier now though ,

Central hypo I now wonder as I have s known Pituitary adenoma .

What would you think ?

[Angel_of_the_North in reply to Gcart]

Well, I didn't have any of those symptoms - really bad headaches, fainting/dizziness and nausea on exertion mainly, plus weight gain. GP thought I might have Cushings and was gobsmacked to find I had low cortisol.

[Gcart in reply to Angel_of_the_North]

We are all so different. So difficult I guess . Well I am ok ish now

Hope u r. Keep safe.