Thyroid :: T3 Of 4.35 High Enough To Cause Symptoms?
May 26, 2013
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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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 was recently diagnosed with a T3 Reverse High of 35 ng/dl and the range should be 8-25. This test was done by an Integrated Internal Medicine Dr. that is insisting that most of my symptoms like ringing in the head, twitches in my legs or sometimes throughout my body, brain fog and fatigue could be coming from that number being high. I brought this test to two Endocrinologists that refuse to even look at the number saying that it has noting to do with how I feel and because all my other numbers are fine, I shouldn't worry about that number being high. Currently I am taking Synthroid 112 mcg and the Integrated Dr. suggested I switch to Nature Thyroid 97.5 mg. and on the third day of taking this, I felt like a drug addict without their drug and chickened out and went back to Synthroid again. Does anyone have any suggestions on what to do and if there is another medication I can take together with Synthroid to lower the T3 Reverse?
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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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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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Have been on L-Tyroxine probably 30 years. When I weighed 120, cholesterol was 190, now that I am 68 and 30 lbs more, 150 at 5'4", my cholesterol is 416 (LDL in 300 range). I eat clean, no breads, cereals, carbs, etc (except only once in a while) eat wild game, game hen, fish, chicken, loads of fruits, veggies, etc., every thing super lean, fresh. take loads of supplements. I lift weights, do yoga, stretches, heavy gardening. Therefore, I find it absurd that my LDL is that high! I have absolutely no health issues except high cholesterol. Would Armour be better?
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So a couple of months ago I found out that I have 2 small thyroid nodules. Of course I freaked out but now calm and just waiting for the results of my 2nd thyroid ultrasound. I am also struggling with my blood pressure. For the past months I have been nervous all the time because of all the stuff that has been happening to me (different tests). My doctor keeps on saying that I have high blood pressure (which is weird cause I am younger than 18) because it would be 130/80 to 150/90 to 145/80 or around those readings. But when she does check it I am always nervous and freaking out and shaking. I am wondering if its cause of that. When I do check it at home, it sometimes is high or normal. Since my doctor and parents have been talking about high blood pressure and what it could do to your body I have been scared to take it being afraid it would be sky rocket high. Im wondering if it is my thyroid, fast heart rate (which my doctor thinks it's because of my nodules) my nervousness, my family history, or just me. I'm going to a cardiologist to check with my heart next month which is freaking me out.
*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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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 finally saw a naturopathic physician and she agreed that TSH levels over 4 were not good. So, she put me on a half tab of Nature throid to start. I see her again in a week.
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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just wondering if anyone here has a reverse T3 problem and if so, how long did it take before you saw an improvement in symptoms after taking medication?
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I am 33 years old and have just been diagnosed with having OA Thyroid, but have symptoms of UA Thyroid. I have always struggled with my weight and bloating (from having food intolerances), but have recently gained a lot more weight than normal, despite eating sensibly, walking everywhere (as I don't drive) and swimming.
I have days where I feel really thirsty and have to drink lots and lots of water, unable to concentrate, have a husky voice and morning coughing/ gunk on my chest, rapid heart rate, anxiety, feel achey and exhausted all the time. I also have Fibromyalgia (was diagnosed in 2005). I used to work full time for 17 years, but recently had to reduce my hours to part time, where I constantly felt ill...and I have now had to leave work altogether.
What I don't understand is how I can have the symptoms of UA but be OA. The Doctor has prescribed me 5mg of Carbimazole to take 3 times a day. No Propranolol yet, but I have taken these before as I used to suffer with high blood pressure.
I am worried that I am going to gain even more weight on this medication, when I have already gone up nearly two dress sizes from being so ill. Is this medication usually only given for people with OA? Will the effects be reversed in my case, where I have UA? Are there many of you out there who have the same symptoms as me and who are taking this medication and if so, what has happened in your situation?
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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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I have been taking Zyloric 100 for the past couple of years, Uric Acid level was 7.5 prior taking medicine, but during taking medicine it was 4.5, my question, should I continue taking Zyloric, though I never suffered from severe illness, like toe inflammation.
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i had 2 cold nodules in my thyroid and had a total Thyroid lobectomy on 16 sep (8 days ago) and still waiting for the results if the they were benign or malignant so that i start take the hormone replacement in case if benign or start to go into 6 weeks hypo in preparation for the RAI treatment in case if malignant problem is, i fear the result will take more days to finish, and my body is completely without thyroxine now if benign than this wait & deprivation was pointless, and i fear i will need many weeks to fix the damage the hyop state will impose on me so my question is, when will the hypo symptoms start to show in my case (no thyroid at all) ? considering my TSH levels were normal at 2 before the surgery i'm feeling really anxious about this whole thing, and i need your knowledge, i can't even get in touch with my doctor before tomorrow.
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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 am not overweight. Drink a healthy smoothie and whole grain cereal almost every morning yet my BP is still high. (100/170). I was told it may be because of elevated insulin levels caused by the fruit drinks and whole grains (as well as the potato, rice, pasta and breads) that I eat. These are things that easily break down into sugars and cause the issue. (Basically a carb issue). Am I supposed to go on one of those caveman diets? Has anyone tried lowering their carb intake to lower their BP?
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I had an ultrasound today and it says that there is "a homogeneous appearance to the echotexture of the thyroid gland. Bilateral thyroid nodules are observed. There is evidence of a complex cystic and solid lower pole right thyroid nodule measuring 1.8 x 1.0 x 0.9 cm. Within the left thyroid lobe there is evidence of a hypoechoic midpole left thyroid nodule measuring 0.6 x 0.4 x 0.7 cm. Bilateral thyroid nodules. Dominant nodule is a complex cystic and solid lower pole right thyroid nodule measuring up to 1.8 cm. what does this mean?
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