Thyroid Disorders :: When To Start Drugs According To TSH Levels ?


Dec 4, 2014

I have very recently been diagnosed with hypothyroidism. I've taken the thyroid uptake scan and my dr. Office says it came back abnormal and enlarged thyroid.

According to my blood work my TSH is 0.227. (0.450-4.500)T4/free is 1.80 (0.82-1.77)

My question is should medication begin with these levels?

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Thyroid Disorders :: T4 Levels And Cortisol Levels Low?

Why are my T4 levels and Cortisol levels low?

I have been having symptoms of depression, fatigue, low libido and weight gain over the last few years. I am 50 and have gone through menopause. My latest lab results are:

TSH  1.064   (0.358-3.74)
Free T4   9.7    (9.8-18.8)
ferritin  16   (3-105)
B12   498   (156-672)
Cortisol  28   (155-570)
RBC's    normal

I am not taking any thyroid meds......only nexium and Cymbalta.

What do these results mean?  Can someone give me some insight into the results please?

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Thyroid Disorders :: Normal T3 And T4 Levels With Raised TSH

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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Thyroid :: What Drug/drugs Do You Take?

My doctor 20 years ago prescribed Synthroid and later switched to Levoxyl. After several more years I started Levothyroxine and am still on it. After more years on this my test result yesterday was .003. She did T3,T4 and the TSH and didn't say which test showed .003. She didn't give the other results and I didn't think to ask since this is the first time in 20 years that any doctor wanted the T3/T4. She mentioned that the number was way off(which explains hair loss,brain fog,flaky skin and other stuff. Wonder if she will eventually switch my meds again.

Have any of you had a number like mine and if so what were your symptoms?

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Ramipril :: Blood Pressure Drugs Affect Thyroid Tabs ?

Im 40 and was diagnosed with high bp 4 months ago and an underactive thyroid the doc thinks my thyroid may be to blame. I was originally on amplodine but this caused bad swelling in my feet and legs but it brought my pressure down to normal. The doc changed me to ramipril which doesnt seem to be as effective but i have no side effects! I had a thyroid test and even tho I had been taking levothyroxine my tsh levels doubled so soc doubled my thyroxine dose! do u think the blood pressure tabs effect thyroid tabs and also can you drink a cup of tea soon after taking tabs in morning or is this bad

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Thyroid :: Raised Parathyroid And Calcium Levels - Low Vitamin D

I have had a raised parathyroid hormone blood result recently also a raised calcium in the blood result. I had raised calcium levels several years ago but after a scan of my parathyroid glands which showed no growths it was put down to lack of Vitamin D and called secondary parathyroidism

I was told to increase my Vitamin D levels which I did and my calcium level dropped. I have continued on the supplementation. I have severe sleep problems, am tired and grumpy, my hypothyroidism been under control for the last 8 years. I am borderline diabetic. Almost 73 years old.

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Pituitary Disorders :: High Prolactin Levels

I found out about 6 months ago that I have high prolactin levels. They have put me on 2 different medications to reduce the levels. The first one made me sick so they lowered the dose. I am still experiencing abdominal cramps when I take them and my doctor doesn't seem to be concerned about it.

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Pituitary Disorders :: Prolactin Levels But No Tumor?

I'm a 30 year old active female with a history of prolactin/pituitary problems.

- When I was 17 I was diagnosed with a pituitary macro adenoma. I responded well to cabergoline so no surgery was carried out to shrink the tumour.

- When I was 19 my MRI showed a small bleed to the tumour which caused it to shrink completely.

- when I was 21 I was taken off cabergoline and my prolactin levels remained normal for a few years.

- when I was 25 I noticed familiar symptoms, breast discharge and fatigue so went back to my consultant. My prolactin levels creeped back into the abnormal range and I was put back on cabergoline. MRI showed no tumour.

- 3 months back into treatment I found that cabergoline was making me incredibly tired and low so my consultant switched me to Quinagolide (norprolac) which worked and gave me no nasty side effects.

- I'm now 30years old and last year my consultant and I thought it was time to stop medication as my prolactin levels remained in the normal 300 mark. 2 weeks after coming off my medication I noticed my moods changed significantly and my sex drive vanished. I went back for immediate blood tests and my prolactin levels had raised up to 700! I went back on Quinagolide to reduce the levels and once again felt OK.

- I recently had another MRI to see if there had been any changes. My MRI was once again clear.

I'm incredibly frustrated and gutted to still be taking medication for something that I simply don't understand. Why are my prolactin levels continuing to rise yet I no longer have a pituitary tumour!? I go back to see my consultant in a couple of weeks but I fear that nothing will change and I will continue to treat a problem rather than get to the bottom of the cause.

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Pituitary Disorders :: High Prolactin But Normal Testosterone Levels?

I am a 27 year old male. For some time I've shown symptoms of a lack of sex drive and erectile dysfunction but as I suffer from anxiety always attributed it as the cause. I had some blood tests done privately and my results showed a slightly raised prolactin level but my testosterone seems average.

TSH 0.70 mIU/L (0.27 - 4.2) 

Prolactin 397 mIU/L (86 - 324) 

Testosterone 21.3 nmol/L (7.6 - 31.4) 

SHBG 35 nmol/L (16 - 55) 

The results seem to suggest Prolactinoma but a common side effect is low testosterone where my results prove otherwise. I'm afraid if I speak to my doctor he will tell me it is all in my head so I'm trying to make some sense of the results.

I guess the question I'm asking is is it possible to have raised Prolactin/Prolactinoma and normal looking testosterone levels? 

Should I speak to my doctor anyway?  

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Your Hair Grow Back When Your Thyroid Levels Are Back To Normal?

I was diagnosed with hypo this past november but i started feeling sick in september of 2011 when i was 17, im 19 now and my life has changed drastically due to this! My hair was falling out at a rapid rate, i was gaining weight even though i barely eat and had some really bad mood swings! Went to the doc and prescribed me levothyroxine 50mg it has been 9months since im on this medication, my levels are back to normal but i still feel as though nothing has changed, my hair is falling out i'm almost bald, its really hard to lose weight and according to my mom i have become unbearable! How long does it take to see actual progress with levothyroxine? does your hair grow back at all? will i ever feel better? i just want my life back :'( I had take a year off university because of this and i need to know if anything is gonna change! I'm sorry for the long note i'm just fed up and frustrated, thank you for your time i really appreciate it :D

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Pernicious Anaemia :: B12 - Low Cellular Levels, High Serum Levels After 5 Years Treatment

I found out I had a B12 deficiency 5 years ago.  My levels were very dangerously low at the cellular/functional level.  I was told I was near paralysis. Now, after 5 years, they are still low.  They have come up to almost borderline, but it still flags red on my tests.  My serum levels though are too high for the lab to measure! Its just not getting into my cells so it's not able to be used.  I do twice a week injections plus twice a month IV B12 and still it has taken my body 5 years just to go up a little bit. I feel the effects of the shot for about 15 hours barely then I just feel awful again, thankfully it's prescribed every 2 days.  But I don't want to do it every 2 days forever! 

In the beginning I was told it would take a month or two to get my body back to normal and then just a shot every few months for maintenance. My drs have not only increased my dose but also the frequency and STILL after all these years I'm deficient.  

 

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Thyroid Disorders :: Leg Foot And Toe Cramps

i have my lab results, and the same goes for me my dr. changed my prescription from .5 to .75, i think .75 is to strong for me so i talked him into me alternating .5 one day and .75 the next. i did this for 60 days and felt pretty good, i had leg cramps but not as severe as now. i am back up to .75 because  of my lab test showing me to have very high numbers. its pretty much just my right leg cramping , you can actually see the muscle tighten up starting at my lower calve and climb right up yo my knee. my foot contorts and stays like that  for a few minutes , its unbelievably painful. what should i change, I'm willing to do anything .

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Thyroid Disorders :: TSH , 3RD Generation With Reflex To FT4?

What is this test? I had this test done last month among others and this one came back as 7.46 mIU/L and the reference range is 0.40-4.50 . Dr. Wrote "elevated-over 7."

Also my calcium was high at 10.6 mg/dL and reference range from 8.6-10.2
Free T3- 4.3 ph/mL reference range from 2.3-4.2 , slightly elevated.
T-4, free- 1.5 B&G/dL reference range from 0.8-1.8

My main question is what is the tsh 3rd generation with reflex to ft4?

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Thyroid Disorders :: Intolerance To Levothyroxine

how do I control hypothyroidism when I can't tolerate the meds?

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I am a 17 year old male and I have a severe hgh deficiency. I was diagnosed when I was 12 and have been put on a shot for the past 5 years and it has helped a ton. I used to have a very small head because I was hgh deficient and even now I feel it is small. The circumference of my head is 21.6 inches and according to Google that's below average. I really hope it doesn't look small but I feel like no one will give me an honest answer. I am still on the shot and will be for 3-6 months. If my doctor sees no growth next visit he will take me off it. I see my doctor every 3 months for a checkup to see how much I've grown and stuff. After I am done with the shot I have to see my doctor a month after to see if I make enough hgh without the shot or I will get osteoporosis, but I want to know if my head will still grow to the average size which is 22 inches around according to Google even without the shot. Also my head has grown a ton in the past 6 months. In the best 6 months my hats have increased in size. Please help me. If you need to know im 5'9" also I take the hgh shot 6 days a week.

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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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Thyroid Disorders :: Low TSH; Normal T4 FREE

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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Thyroid Disorders :: TSH Zero, Normal Free T3 And T4

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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Thyroid Disorders :: How To Get Rid Of Choking Feeling?

I have had choking feeling for the last 2 months. It is now almost everyday. I sleep very well and do not wake up with it. I start getting it by the afternoon until bedtime. It is really bothering me. I have had hypothyroidism for 12 years but my tests are fine and my ultra sound is good too. The ENT doctor says it is stress related but I think there is more to it than stress. It is really bothering me and I do not know what to do?

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Thyroid Disorders :: Someone Choking Me Feeling

Over the past one-two years I have been getting stressed about school work, my appearance, my friends etc. and I had a conversation with some of my friends and they thought I may have had anxiety. I thought nothing of it because it wasn't much at the time but lately it's been getting worse. I feel sick all the time and the most common thing is the choking part. I feel like someone is trying to choke me, but obviously no one is. I have trouble breathing when this happens and my throat closes up and I kind of feel a bit dizzy. I have looked at some websites and they all say it may be a certain infection or something but I want to know if this has anything to do with anxiety? I still have not told anyone about the choking thing except my mum because I want to be sure I am getting this right before I start seeking help.

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Thyroid Disorders :: Hashimoto's -TSH Below Zero! Safe?

I have an important question.

My last blood work from one mouth ago revealed a TSH of - 0.16. (ranges 0.3-4.5)
Though my levels of free T3 & T4 were midrange and maybe even slightly lower than they should be.
FT3: 3.30 (ranges 2.1-4.2)
FT4: 1.02 (ranges 0.7-1.8)

I'm on 112,5 levothyroxine and 12,5 cytomel daily dose.
Is it safe to have a TSH that low?
Can I even upgrade my meds to 125 levo a day? I still feel hypo and under medicated.
I did hear about the 'optimal' values between the ranges were a lot of people are on their best in their 'sweet spots'.
If the rule of thumb is that FT4 has to be 50% of the range and FT3 upper half to upper third, i's logical that I'm still hypo. This all being said, will my TSH drop even more when I go to 125?

I don't understand the link between TSH and the FT3 & FT4 results. How can I have such a low TSH and still not reach the recommended levels?

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