Thyroid Disorders :: Normal T4, Free But Elevated TSH
May 12, 2016
Last week I found that my my TSH was 5.73 mIu/L and shortly after that, that my Thyroid Peroxidase AB was 393 Iu/mL. My T4, Free came back at 1.3 ng/dI which I believe is in the normal range. I am currently waiting on my Thyroglobulin AB. Has anyone has an elevated TSH and Thyroid Peroxidase AB but a normal range T4 and still been diagnosed with a Thyroid problem?
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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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I just received my latest thyroid lab results and my TSH was a 0.06 (range 0.34-5.60) and my T4 FREE is 0.99 (range of 0.61-1.12). My Dr said to continue my dosage of medications and we would recheck in a year. Should I be concerned
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I've had Hashimoto's Disease for 12 years and started taking Levothyroxine. For the past 8 years, I've been on a constant dose, and been very happy with no symptoms of hyper or hypo. Recently I moved and had to go to a new dr, who is very upset about the low (almost zero) TSH even though my Free T3 and Free T4 were normal. She wants me to totally go off all Levothyroxine for 6-8 weeks to "reset" my pituitary. I am very worried about what will happen to me if I did this. I tried going down in dosage, but all my hypo symptoms (gained 10 lbs in a month, extreme lethargy, depression, etc.) returned. Anyone out there have any ideas on what to do?
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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 37 years old and about 16 weeks pregnant. When I had my first set of prenatal labs, my TSH came back as low at 0.0643. They called me back in to do a thyroid panel, and I just got my results back which were TSH 0.092, free T3 3.6, and free T4 0.95. The nurse made note that T3 and T4 were in normal range, but TSH is "very low" and they referred me to maternal fetal medicine. The doctor's note says "may need small dose of Synthroid."
I am very confused now. Doesn't a low TSH mean HYPERthyroidism? And wouldn't Synthroid be for HYPOthyroidism? I am finding so much conflicting information online, and I have to wait until my appointment on the 21st to get an answer on all this. Of course, it's all making me very nervous. Can someone help explain or shed some light on my lab results as far as what they could mean? I was seeing that a lower-ish T4 and low TSH can actually indicate hypo, so I'm really confused now.
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My parathyroid hormone is 98.1 intact, the reference range is 14-72. My calcium is 9.7, reference range is 8.7-10.4, my vitamin D level is 50, reference range 33-100.
My parathyroid hormone has been elevated for a couple of years now, but usually my vitamin D levels were a little low, so the doctors seem to think my parathyroid was elevated because of my vitamin D level. Now that both calcium and Vitamin D levels are normal my parathyroid hormone is still elevated. Not sure if there is any correlation to why my parathyroid hormone is elevated, but I have multiple nodules on both left and right lobes of my thyroid. My left lobe has 3 nodules under 1 cm with one measuring 3.1 x 1.3 x 1.6 cm and my right lobe has one under 1 cm with the other 1.0 x 0.4 x 0.6 cm.
December 2013 I had a biopsy on the larger one on left lobe 3.1 cm and was benign.
I haven't been feeling well for more than two years now, doctors just tell me to see a psychiatrist, I am on a antidepressant but it really hasn't helped me that much.
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I am getting really frustrated with my dr. D not really giving me answers! In april 2013 my TSH levels were .48 (within normal range) I got tested last week on Friday and my TSH levels are .25 and my free T4 is 1.1 (within normal range). I have been feeling really sick lately with very bad nausea (I am not pregnant) and have just been feeling really down with a rapid heart rate of 103 bpm! My dr says I'm obese and that's why I am having these symptoms but seems to be ignoring my thyroid test results. Is it because it's not low enough to worry about and it's really no big deal yet? I also have many nodule and one takes some color.
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I've been on Synthroid medication for 20 plus years and have done pretty well on it until recently. This routine test showed a TSH level > 100 and my Free T4 at .24 which is low. I've been placed on Synthroid at 300 mg and I'm waiting to see a specialist. In the meantime, I'm wondering what does this means?
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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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What's your take -patient has normal T3 and T4 levels, no symptoms and a TSH elevated at 4.8 on a .358-3.8 range
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Received my results back with no explanation as usual haha.. shows my anti tpo as <6 is that normal range?
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Is it normal to retain water while on Synthroid? I never experienced water retention before I began my Synthroid. Now that I am on Synthroid, I am retaining water pretty badly. I often wake up with swollen fingers and I tend to weigh 5 or 6 pounds more in the morning than I do in the evening. This is very out of character for me. Anything I can do to help alleviate this issue?
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Just recently I was diagnosed with a small goiter & nodule on the left side. The doctor ordered all of the tests (TSH, T4 and TPO antibody level) and everything came back normal. The biopsy on the nodule is normal as well. Benign and no signs of cancer. My concern now is regarding my goiter & nodule. If my test results are all normal, what caused it to enlarge? What do I do to shrink it? My doctor will not give me anything because he said there's nothing wrong with my thyroid. The functions are normal. It just enlarges for a reason sometimes.
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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 was diagnosed with hypothyroid about 6 months ago and put on synthroid which has started to to bring the number down. I just got back my recent lab tests and my thyroglobulin ab is very elevated at 1074.0 and my thyroglobulin is low at 0.62. I am very confused as to hat this means. I would so appreciate any help understanding this I am so nervous.
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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've been on dessicated thyroid for a few years and my dosage is still not right.
I feel worse than I ever have - I have no energy, so completely exhausted but have trouble sleeping or fall asleep during the day. Iron level is fine. Here's my latest test results, which my doctor said is fine, to leave dosage as is:
Result Reference
Thyroid Stimulating Hormone [TSH] 2.55 0.30 - 4.00mIU/L
Thyroxine Free [Free T4] 10 9 - 23pmol/L
Triiodothyronine Free [Free T3] HI 7.3 3.5 - 6.5pmol/L
Desperate to find out what's wrong with me - please help.
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