Hypothyroidism :: High TSH But Normal Free T4 - Panic Attacks
Sep 17, 2015
For sometime I have had panic attacks and frequent infections of chest and ears and viruses.Last April things moved on quickly and I was covered in painful itchy blisters, neuropathic pain, vertigo and feeling shut down. I was covered in bruises. Ambulanceman reported an ischaemic looking ECG and took me to A and E.
The only findings wee raised TSH with normal free t4 and normal Thyroid peroxidase abody. Also raised basophil and eosinophil. They said hypothyroid but my GP says no as no autoantibodies?
I am still suffering-eyebrows gone, no energy, dry wrinkled skin and 3 more courses of antibiotics for chest and throat infections. Any ideas, anyone? Also sight got really bad and joints ache ++
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I would be grateful if anyone could offer me advice. I am 27 years old and was diagnosed as having an overactive thyroid at the beginning of March which was due to having Graves disease. Since then I have been on 20 mg of Carbimazole alongside beta blockers. However apart from a few days I have not felt well since then. I am exhausted every day, I have heart palpitations and often feel dizzy. I feel like I am constantly living in some sort of fog, I know that sounds strange! I have extremely bad anxiety and panic attacks, which is the prime reason I first went to the doctors as they came out of the blue.
These have still not gone away and it makes getting out of the house very hard, although I dont have the energy to do so anyway!
I saw a consultant last week, who had no time for me and seemed to be in a hurry, he didnt ask me any of my symptoms simply checked whether my hands were shaky and then told me to have a blood test.
He then e mailed me to say that I was now under active and to take Levothyroxine as well as Carbimazole. I just want my normal life back I was constantly on the go and now I barely leave the house! I am at the end of my tether I feel like its all in my head Has any one else been similar to this?
Ellen
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I have been having low free T4 (9 pmol/L), but normal although on the lower end TSH (1.69 mIU/L).
My doctor has put me on 75mg/day synthroid, because his diagnostic is hypothyroidism. However, I understand that hypothyroidism is normally associated with low T4, but high TSH.
Based on what I have read, it seems that a low T4 associated with a normal TSH may be linked to issues with the pituitary gland (and not the thyroid) or issues with binding agents.
Is hypothyroidism and the use of synthroid indicated in my case?
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I have had 3 TFTs in the last year. My TSH levels are normal but my free T4 levels have been dropping with each test.....apparently this is normal. I am 59 and female and recently I my energy and enthusiasm have taken a nose dive and even my job.
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I got labs done and my tsh is 4.83 range .50 to 4.30
Free t4 1.5 range .8 to 1.8
Free t3 3.8 range 2.3 to 4.2
My ferritin was extremely low only 13
My issue here is my free t3 and free t4 are both In the upper range yet my tsh is high do I have hypothyroid ?
I have joint pain and hairloss . I'm a 19 year old male . Many women in my family have hyper and hypo thyroid issues .
Looking at my t3 and t4 my thyroid looks optimal to me yet the high tsh has me confused .
I have no issues gaining or losing weight I just have a very puffy face .
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I was feeling itching dryness, heat in hands & feet so i contacted doctor. he suggested TSH, RANDUM SUGAR, ALT tests. After conducting tests the report indicated normal sugar & ALT but high TSH 12.2 (RANGE WAS 0.4 TO 4.5). after that FREE T3 & T4 TESTS CONDUCTED. T3 was 1.3 (range 0.6 to 1.6) and T4 was 7.0 (range 4.9 to 11.7). this all is done in last two days and uptill now no medicine is taken yet. i am very anxious about the situation so please suggest me the best solution, treatment, medication, precautions of this problem.
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I am a 51 year old female and had a physical last week with my general practitioner because it has been a long time. It included blood tests. One test was about the thyroid and I've got conflicting information about the result.
The report says:
TSH Reflex to Free T4
TSH RFLX is 8.25 - and is high, the normal range is shown as 0.40-4.50
T4, FREE
Thyroxine, Free, Direct - 0.8 - and is in range, range is shown as 0.8-1.8
I've done some research and it looks like this combination falls in the hypothyroidism range. However, my doctor says it is fine because the T4 FREE number is in range. There is no family history of thyroid problems. I'm concerned because I have some of the symptoms of hypothyroidism (fatigue, depression, feeling cold).
Does this sound right to those of you who have experience with thyroid disease? Should I see an endocrinologist?
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i am malaysian recently did my blood test and found out that my TSH within the normal range (1.8) but my free T4 was 26.33 (12-22). free T3 was not done. i am experiencing all the symptoms related to the hyperthyroidism such as palpitation, tremor, intolerance to heat, weight loss(from 78kg to 65kg), always hungry, muscle weakness.i went and visit my endo, he said since the TSH reading normal, so you are not having hyper and he discharged me. but i can realise that i am having all the symptoms of hyper. can anyone help me?what i should do after this?
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My son had some blood work done due to chronic diarrhea among many other things (he's on the autism spectrum, ADD, sweetest kid ever-had to throw that in) and we were trying to rule out celiac and who knows what else. Anyway his TSH and Free T4 were normal, but his Free T3 was slightly high. We rechecked it 4 weeks later and it's still just slightly high, with the other numbers being normal. His doctor thinks we shouldn't worry and should just monitor, I'm just looking for any advice if anyone has seen this because I keep reading that typically Free T3 is high when TSH is low?
1/18/16 test results
TSH: 2.44 UIU/ML (ref range 0.600-4.840)
T4,FREE(DIRECT): 1.48 NG/DL (ref range 0.90-1.67)
TRIIODOTHYRONINE,FREE,SERUM: 5.5 (ref range 2.7-5.2)
2/20/2016 test results
TRIIODOTHYRONINE,FREE,SERUM 5.3 (ref range 2.7-5.2)
TSH: 2.940 UIU/ML (ref range 0.600-4.840)
T4,FREE(DIRECT) 1.43 NG/DL (ref range 0.90-1.67)
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Here are my lab results from 2/7/14:
tsh- .028 range- .45-4.5
t4 free direct- 1.86 range-.82-1.77
t3 free serum- 3.2 range- 2.0- 4.4
Last year:
lab results from 3/26/13:
tsh- .096 range- .45- 4.5
t4 free direct- 1.53 range- .82- 1.77
t3 free serum- 3.1 range- 2.0-4.4
It looks like I might benefit with the addition of t3 meds. (cytomel) to lower my free t4 and raise my free t3. I feel fine, and anytime I've tried to lower my dose of levothyroxine (.125) even a little bit (.112), I get brain fog, lethargy and GI symptoms. I've been on the same dose for 13 years and my tsh has been low since I started medication. I've only recently requested the free t3 & free t4. My main concern with adding cytomel is that it will further reduce my tsh & the dr will be concerned. This is my 3rd dr in the 7 years since I moved south & every one has been concerned about bone density & heart issues. Any suggestions when I talk to the dr? btw- no hyper symptoms :-) Thanks!
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I had RAI done long ago and been on Synthroid 175. My test always come back with low TSH, high free T4, and low Free T3.
My last results were 1 week ago...
TSH .012
Free T4 1.48 (range .52-1.21)
Free T3 2.09 (range 2.20-3.80)
I have depression and would like get my thyroid ranges in a more normal profile to see if it had a positive effect on the depression.
I have tried cytomel which made me feel hyper at only 5mcg, but only tried it for a few days...
Thanks for any suggestions....
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I'm 30 year old women, with hypothyroid and pcos. I lost almost all of my hair few years ago when i stopped the bcp for few months. Then i was told i had pcos due to high testosterone. Went back on the pill. I have been taking 50 mcg of levaxin for 3 years. My tsh is 3,5 and my free T4 is 12,3 (range: 10,5-23) and free T3 6 ( range 3-6,5). I have never regrown my hair and i'm TIRED all of the time.
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I hear these go hand in hand and wondered if anyone who is following a gluten free diet has actually gotten better thyroid results without the meds?
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I am also coping with hypothyroidism and I've been searching for the best possible ways to get my health (and life) back. The doctor I have been working with has made the suggestion to go on a gluten free diet. She didn't go into great detail about it, but mentioned that she'd like for me to nix the gluten. I have also read numerous times on the internet about how gluten is a thyroid destroyer. I have tried countless times to go GF, but boy is it hard. I tested negative for gluten and dairy allergies but my doc (a naturopath) was still adamant that I give up the gluten. I feel like such a failure because I only manage to stay gluten free for about 2 weeks at a time until I cave and have something like a slice of pizza or some pasta or bread. There are gluten free alternatives to these items but sometimes they are hard to obtain or are a pain to cook. I have a very healthy diet for the most part but I've found that removing gluten entirely isn't easy. I've also lost weight while going gluten free, which I did NOT want to do. I'm actually already a little bit underweight.
Does anyone have any tips for me? Has anyone out there successfully gone gluten free long-term, and did it affect your condition in a positive way? I feel like a failure because I keep trying to give it up but it never works out in the long run. I always slip up.
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I've made an appt with a naturopath next week as I'm having an increase in bad symptoms since starting levothyroxine 4mths ago and cannot stand it any longer.
I'm expecting to be told to go gluten free. However there's corn/maize starch (contains gluten) in the meds so I'm wondering about those of you who are gluten free - what type of meds are you on?
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Does anyone know any more about gluten and thyroid function? Read somewhere that going gluten free will improve health. Any thoughts?
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I have had extreme trouble breathing lately, i can't take deep breathes and it feels like i have to yawn in order to get my breath. I also have depression and ocd could these just be some form of panic attacks?
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How do some of you overcome your panic attacks ? Or at least make them a lot more comfortable to live with?
Any advice apart from deep breathing would be useful as I'm continuing to have them almost every few hours .
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I first started sertraline in 2012 after getting pnd and fluoxetine not suiting me, then I stopped sertraline gradually in march 2014 as I felt I no longer needed them. First few weeks I was fine, then panic attacks came back awful maybe 7/8 a day for no reason at all :-( In august i went back on sertraline and started on 25mg and it has took Me all of this time to gradually build up to 100 mg due to anxiety. I have been on 100mg for 3 days now and suffering awful headaches, feel as though i'm going to fall over when I walk,(this scares the life out of me) and chest pains, I can deal with these as I have for over 4 years. Its the new symptom of feeling I have excess saliva and swallowing all the time, also upper stomach pains that is worrying me. I have lost weight and have no appetite but the actual panic attacks have subsided almost. Just wondered if anyone is on 100mg for panic and if they feel normal.
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Can someone please help, my anti-TPO antibodies (range 0-34) have gone from 33.5 in March to 141 in August despite being told to go gluten-free and did so consistently for 3 months? My endocrinologist said going gluten-free would definitely sort the antibodies out. I am on 50mcg T4.
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I have been on sertraline for about 4 months starting on 50 mg and now on 100 I have started to feel better but today had a panic attack I'm also on propranolol I was just wondering if people on sertraline still get panic attacks it wasn't as bad as others but still scary ...
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