I have a very high TSH level, but no symptoms of hypothyroidism - in fact the total opposite. What's the deal?

Question

I'm an extremely skinny and cannot gain weight. I'm a 29 year old male. I'm 6'3" and can't break 140 lbs. even though I eat constantly. I don't have any problems with my energy levels, skin, hair, or libido. I got a blood test last week and it shows my TSH level is 31.63. (normal is .35 - 5.5)

Everything I read on the internet says I should be sluggish and overweight, etc. But I feel fine.

Am I some kind of freak of nature, or could there be another explanation?

Answer 1

A high TSH in itself can't diagnose a thyroid problem. By the way, the most common interpretation of an elevated TSH is hypothyroidism. Hopefully your doctor has run other tests, such as a T4 and T3 level, as well as antithyroid antibodies; and possible an ultrasound of the thyroid. If you don't have symptoms of an underactive thyroid, and the T3/T4 levels are normal, then you have "subclinical hypothyroidism"; in this situation there is no urgency to start thyroid replacement medicine. However, you should follow the blood levels of TSH, T4, T3 over time, as well as monitor your symptoms, as you may develop overt clinical hypothyroidism in the future, which would require medication.

Answer 2

1

Answer 3

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RE:
I have a very high TSH level, but no symptoms of hypothyroidism - in fact the total opposite. What's the deal?
I'm an extremely skinny and cannot gain weight. I'm a 29 year old male. I'm 6'3" and can't break 140 lbs. even though I eat constantly. I don't have any problems with my energy levels, skin, hair, or libido. I got a blood test last week and it shows my TSH level is...

Answer 4

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Answer 5

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A good doctor, especially an endocrinologist, should be able to assist you in figuring out your problem. First, the shift from 2.6 to 0.5 would suggest you were going from leaning hypo to leaning hyper (the TSH refers to the thyroid stimulating hormone in your body. The more you have of this hormone, the harder your pituitary gland is trying to tell your thyroid to make more T4. So when your TSH is high, it means you have less T4, and when it is low, you have too much T4--opposite of what it intuitively would be.) Anyway, if you have both symptoms, you're not uncommon. People who have Grave's Disease are considered hyper-thyroidal, but they will have occasional hypo symptoms. My mother had Grave's, and I know that was such a hard thing for her. Me, I've got Hashimoto's which makes my hypo. That I can explain a little better. Your levels when you have Hashimoto's fluctuate because you have antibodies that are actually attacking your thyroid as if it were a disease. As time goes on, your TSH level gets higher and higher because your thyroid is breaking off into your bloodstream. This can also cause a swing from hypo to hyper because as pieces break off they introduce T4 in heavy doses to your system. Your best bet is to find a good doctor to diagnose & treat you based on symptoms rather than on tests. TSH tests and "normal" levels vary from doctor to doctor and test to test. Some doctors recognize the possible faults of the TSH test (it doesn't actually measure the use of T4 in your body, and you may have problems actually converting the T4 to the usable T3, rather than a problem with making the T4), and instead they will use things like your basal temperature. Don't be discouraged if the first doctor you see tells you are normal and not to worry or maybe you are depressed or getting old. This is a hormonal problem and can be treated. It is unfortunate that many women are suffering because of the ignorance of doctors who tell us these symptoms are in our heads. Arm yourself with some literature, too. Mary Shomon is a an author and patient advocate. Her books are meant for a general audience and will assist you in knowing what you need to find and, if necessary, educate your doctor. You might want to check Broda Barnes as well. Although he wrote before the current TSH test was developed, he actually anticipated the test in his writings and showed why it would not be accurate.

Answer 6

High Tsh Symptoms

Answer 7

Have you been to an endocrinologist? I'd get there fast. That TSH is off the chart! Maybe it's a lab error. I would bet on another explanation, rather than the freak thing.

TX Mom
Hypothyroidism
not a dr

Answer 8

Thyroid disease is one of the most common health problems we face today. From a practical standpoint, there are many ways to approach this issue. Learn here https://tinyurl.im/aH6se Hypothyroidism, or underactive thyroid, is a very common problem, and there are many reasons for this, including drinking chlorinated and fluoridated water, and eating brominated flour. Chlorine, fluoride, and bromine are all in the same family as iodine, and can displace iodine in your thyroid gland. Secondly, many people simply aren't getting enough iodine in their diet to begin with. The amount you get from iodized salt is just barely enough to prevent you from getting a goiter.

Answer 9

High Metabolism Maby
also i think the opposite of HYPOthyroidism is HYPERthyroidism i have hypothyroidism which makes me gain weight so i guss you can have the other one

hope i helped

Answer 10

naw, you're just a worry wart who has nothing else to do so is spending a lot of time on the net searching stuff you shouldn't worry yourself sick about. Find yourself something more interesting to research.