Very Low TSH normal T3 T4...Any Endocrinologists out there?

Question

T3, Total...........176 (in range)
T-4, Total......... 9.5 (in range)
TSH.................0.01L (out of range)

I'm going to see an Endocrinologist soon but what do my results mean exactly? They said that it is hyperthyroidism but it seems like hypothyroidism...? If that makes any sense. I mean I've been absolutely exhausted lately, my vision has changed, I've gained a significant amount of weight in only a short time, my menstrual cycle is out of whack (usually six weeks, but now its 7 weeks here, three weeks there, four weeks and then eight weeks)! Thyroid disorders also run in the family.

Rather my question is are my T3 and T4 results normal? and would it be, according to those stats, hyperthyroidism or hypothyroidism???

Answer 1

I am not a doctor but someone who had a thyroidectomy after thyroid cancer. Your test results seem odd to me, so I looked it up.

On the web page I looked up there was a chart.

Low TSH, with normal T3 and T4, it reads as either Mild (subclinical) hyperthyroidism or rare pituitary (secondary) hypothyroidism.

By your symptoms I would guess hypothyroidism.

Answer 2

Tsh Low T4 Normal

Answer 3

I am not an endocrinologist, but I have hypothyroidism and your symptoms sure sound like hypo, not hyper, but it all depends on the levels of each and how they work together, not just each one individually.
I was first diagnosed with hyper and was administered radioactive iodine as treatment. The treatment killed too much of my thyroid, resulting in hypothyroidism. Hence, I have experienced the symptoms of both conditions. With hyper, I had excessive energy, was unable to sleep, lost the weight I had gained from pregnancy very quickly while having an enormous appetite. My hair fell out terribly and I was constantly hot. When my levels are off now, I gain weight, have a small appetite, retain water, am constantly cold.

Your best bet is to keep your appointment with the endocrinologist and have your levels checked as often as the doctor recommends. If you feel your levels are 'off' schedule an appointment in between visits. I have been taking thyroid pills for 18 years now and my levels are checked every 6 months and often fluctuate. I don't think I have been on the same dosage for more than 2 years at a time. I actually just visited my doctor this past Friday because I feel my thyroid levels are low again.

Good luck!

Answer 4

Better get a second test in a different lab. Your TSH is too low and indicates hyperthyroidism, but your T3 and T4 don't match. And your symptoms don't match hyperthyroidism either. There is some testing error it looks. The ranges for normal are:

TSH = 0.3-3.0 mIU/L (mU/L)

FT3 = 230-420 pg/d

FT4 = 0.8-1.5 ng/dl

T3= 70-180 ng/dL

T4 = 5.6-13.7 ug/dL

See

http://www.gravesdiseasecure.com/tshresults1.html

for better understanding.

Answer 5

Hair changes (thinning, brittle, allopecia = hair loss) are typical of hypothyroidism. If her thyroid function comes under control with sufficient thyroid hormone supplementation (levothyrosine), the problem of hair loss should also come under control, however for the hair loss specifically, your daughter can also take some herbs, namely: Eclipta, and Indian Gooseberry. With regards to her thyroid medication, an endocrine consultant once taught me that lots of people think that for a lower body weight, you would prescribe a lower dose, however, the dose then prescribed may not be enough to surpass the body's natural tendency to compensate for environmental / ingested changes. What this means is that, if she is taking a level of medication that is not strong enough, then the medication is basically a waste of time because any addition of thyroid hormone to the body is just going to cause the functioning thyroid in your daughter's neck to under-produce thryroid hormone (because the blood levels of thyroid in your daughter's blood stream are telling it not to work so hard...), and yet it is not bumping up the levels high enough to address the EFFECTS of low overall levels of thyroid hormone in your daughter, which are causing all these problems. I would personally go for a second opinion elsewhere, and raise the concern that your daughter's prescription may not be strong enough. With regard to celiac, yes it can cause allopecia as well...healthy hair needs proper nutrients to grow. In celiac disease, the intestinal lining of the small bowel is inflammed, and does not absorb nutrients quite so well. it is really important to get celiac disease controlled with a completely gluten-free diet (note: trace amounts of gluten are enough to flare up celiac), because if you think about it, the fact that she is absorbing poorly from her small intestines, could have an impact on her absorption of her oral medication. I would recommend seeing a gastro-enterologist, and a celiac clinic, and a dietician. -- all for the celiac disease. With regards to the endocrine aspect of things, there are not many management options except to review the medication dose, which is really all you need to do, before looking for problems elsewhere (but sounds like the problem now is celiac).

Answer 6

Making dietary changes is your first line of defense in treating hypothyroidism. Learn here https://tr.im/O2nY2

Many people with hypothyroidism experience crippling fatigue and brain fog, which prompts reaching for non-nutritional forms of energy like sugar and caffeine. I’ve dubbed these rascals the terrible twosome, as they can burn out your thyroid (and destabilize blood sugar).

1. Just say no to the dietary bungee cord. Greatly reduce or eliminate caffeine and sugar, including refined carbohydrates like flour, which the body treats like sugar. Make grain-based carbohydrates lesser of a focus, eating non-starchy vegetables to your heart’s content.

2. Up the protein. Protein transports thyroid hormone to all your tissues and enjoying it at each meal can help normalize thyroid function. Proteins include nuts and nut butters; quinoa; hormone- and antibiotic-free animal products (organic, grass-fed meats, eggs, and sustainably-farmed fish); and legumes.

Answer 7

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