I am 47 years old and have been feeling quite sluggish for a very long time. The past years, I have noticed the following symptoms: tinnitus (constant high frequency tone), swollen/sore fingers on waking, hair fall, hairstrands have become VERY thin/fine, sometimes sore from teeth clenching on waking, fingernails are slightly curved downwards, frequent dry cough, blood pressure is normal with pulse around 50-60 bpm, sometimes as low as 45 bpm. Thirsty all the time and a healthy appetite. From what I can understand my D, B12, Iron/Ferritin and folate levels are ok. However, my Albumin levels are elevated. What I don't understand is that I have high TSH with normal Free T4 and high Total T3. Is this subclinical hypothyroidism or possibly secondary hyperthyroidism?
TSH 5,09 mU/l (range 0.4-4.6 mU/l)
T4(free) 18,1 pmol/L (range 9,1 - 23,8 pmol/L)
T3(total) 3,6 nmol/L (range 1,10 - 2,50 nmol/l)
TRAb <0.8 IU/L
Anti-TG <12 kIU/L (negative)
Anti-TPO <28,0 kIU/L
Albumin 50 g/L (range 36-45)
D-Vitamin 174 nmol/L
B12 638 pmol/L
Iron 17 umol/L (range 9-34)
Ferritin 142 ug/L (range 12-300)
Transferrin saturation 0.33 (range 0.20-0.50)
Transferrin 1.99 g/L (range 1.91-3.26)
Folate 49,4 nmol/L (range >8.6)
HBa1c 32 mmol/mol (range <48), calculated=5.1%
Average blood glucose 99.17 mg/dL (5.5 mmol/L)
Cholesterol 3.9 (normal <5.0)
Cholesterol HDL 1.26 (Normal >1.0)
Cholesterol LDL 2.2 (normal <3.0)
Cholesterol Non-HDL 2.6 (normal <3.9)
Cholesterol VLDL 0.4 (normal <0.9)
Written by
Tomchr
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I am male. I have been supplementing around 11 months with magnesium, selen, zinc, Vitamin C and vitamin B complex. Before supplementing my cholesterol was 5.0. However, my overall vitamin levels were quite good before as well. Ferritin was a little higher at 173 ug/L a year ago.
After feeling sluggish for the last 8 years which I somehow thought was normal, I started noticing significant hairfall after wash around two years ago. 20-30 hairstrands would come out just by combing it wet compared to 3-4 strands before. Now my hairstrands are frizzy, superdry and very fine allover. Density and growth is still intact, though.Suddenly, I started experiencing tinnitus and teeth clenching on an almost daily basis. Occasionally, I would be lying in bed freezing hands and feet. Other times, I would have nights sweats. Another thing, I will occasionally feel right side abdominal tenderness.
About a year ago, I had blood tests to check my thyroid function. Here a year after supplementing, the results are the more or less same, ie. High TSH, normal FT4 and HIGH TT3. I am still tired, sluggish, experiencing tinnitus, occasional teeth clenching, hair is frizzy, dry and fine.
Yes, but my heart rate is generally low - ~60ish bpm. My antibody levels are low. My tinnitus is continuous high pitch, not pulsating. Hairstrands are dry, frizzy and thin. They do not break but fall out.
No, I have not started any treatment. My doctor does not seem to know that much other than following the general protocol looking at TSH, cholesterol, B12, D and iron status.
Unfortunately that's not unusual. I just wondered about your blood sugars as you said you were thirsty. Your TSH is over range so you need to keep an eye on it as you may need thyroxine eventually.
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