Thyroid :: High FT3, FT4 And TSH

Apr 1, 2016

I have done a health check and have gotten my thyroid blood results back:

fT3 25.70 lab range: (1.4 - 4.2 Pg/ml)
fT4 2.87 lab range: (0.80 - 2.20 Pg/ml)
TSH 4.95 lab range: (0.40 - 6.00 mIU/ml)

The T3 value is sky-high, and T4 and TSH are high as well.

The doctor was also stumped and said the results don't match an ECG that was done at the same time. I should be having heart problems, but everything looked fine.

I have done a lot of Googling, but can't find how to interpret these results.

I have taken supplemental iodine 150 mcg for the last 5 months, following the advice of a common popular diet regime. For a while, I have also taken selenium 55 mcg, but stopped this about a month ago.

To me these results look hyperthyroid (T4 and T3) and hypothyroid (high TSH)

Can you make more sense of these results?

A bit more background
I have had a pulsating "tinnitus," - something like a heartbeat in my left ear for the last week, but maybe 4 times a normal heart rate. This was the original reason for wanting to do a checkup, and also including the thyroid. My resting heart rate is about 78, which is about my normal.

I have recently had two strong cups of coffee every day - maybe about 300 mg caffeine total.

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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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TSH and free T4 were in range and free T3 was high at 4.35. I have some symptoms of hyperthyroid. Heat intolerance, anxiety, stress, hypoglycemia but no weight loss. I attribute the no weight loss to eating all the time to keep my blood sugar from getting to low and I have actually gained some weight over the last few years. I started getting these symptoms 5 years ago and they can kind of come and go but the heat intolerance is always there. If I go out in the heat and work it just zaps my energy.

Also my red counts are just a tad high and liver enzymes are always elevated and in the 70-80 ranged. Non drinker and non smoker.

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*Now my doctor is prescribing me hypertension medication (Enalapril 5mg once a day) when im not even 18 yet! I am very young having to take BP medication?? My doctor thinks my hypertension is because of my thyroid or, nervousness.I feel so old. I feel like when I take this medication, my blood pressure will drop tremendously. Not I don't even know what to do now.

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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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This is my first time on meds and I'm just wondering what I should be looking for as far as results? If they work, is it like coming out of a fog or something? How long does it take to start to notice the effects?

I've been this way for as long as I can remember, so suddenly having energy or feeling perky or something like that would be really strange for me. I'm not expecting a miracle, but I can't say I'm not hoping for one.

I also have high blood sugar, so I'm supposed to cut things like beer and sugar, etc. out of my diet. She also thinks I have a dairy allergy, so I have to cut that out for a week to see how it goes. I note that Nature throid has lactose in it though... Weird.

Anyway, I'm just looking for some advice or guidance through the process.

She's a great doc and, I have to say, that actually having someone listen to my symptoms and BELIEVE me was dang near one of the best experiences of my life. I got all choked up when I left!

Oh, and meanwhile, I still haven't even received a call from my PCP's office regarding the blood tests I took over 3 weeks ago. Nice.

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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

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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Last year:
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t4 free direct- 1.53 range- .82- 1.77
t3 free serum- 3.1 range- 2.0-4.4

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My last results were 1 week ago...
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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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