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Blood Test Done For Thyroid. What Does The Report Suggest?
Question: iam otherwise normal 47 yr old male.recently facing following symptom. i got my complete blood test through thyrocare lab. i am writing the reports. manually. will upload after scanning soon.
as per my blood report TSH is 6.91 seems to be hypothyroid, but my symptoms are opposite as of hyperthyroid. as per my doctor he said it is borderline case. u dont take medicine rightnow. pl suggest as per my complete blood report.
symptom
Lost wt from 74.5kg to 71kg in 1.5 yrs
Tiredness, fatigue, & dizziness, feel comforts in resting
Heartbeats fast 100-120 beats /min specially during the days & come down normal in the evening & night. More anxiety in morning & afternoon during working days in office. Feel comfortable on holidays
Eyes feel tiery & slight burning sensation with slight redness at the end of the day
Palpitation of heart more significant during days & working hours & normal at evening & night & in holidays
Skin is ok
Hair receding
slight puffiness below eyes
sweating sometimes,nervousness mood swings,
Bowel ok once in a day slight loose
My fasting blood report are as follows(without any type of medication taken till now)
T3 - 87 ng/dl
T4 - 6 ug/dl
TSH- 6.91 uIU/ml
Vitamin B-12 - 255 pg/ml
vitamin D total - 7.79ng/ml
Testosterone - 235.37 ng/dl
Alkaline phosphatase - 103.6 U/l
Bilirubin- total- 0.73mg/dl
Bilirubin- direct - 0.23mg/dl
Bilirubin indirect - 0.5mg/dl
GGT 12.6U/l
Protein total 7.36gm/dl
Albumin serum - 4.51gm/dl
SGOT - 23.3 U/l
SGPT 14 U/l
Serum albumin\globulin ratio - 1.58
Cholesterol total - 177 mg%
Cholesterol HDL- direct - 51mg%
Triglycerides - 145mg%
TC\HDL cholesterol ratio - 3.5
LDL cholesterol 97mg%
LDL/HDL ratio - 1.9
VLDL cholesterol 28.96mg%
HBA1C (Glycosylated hemoglobin - 5.2
Avg. blood glucose (ABG) - 87 mg/dl
HEMOGRAM TEST
total leucocytes count - 4.8 x 10*3/uL
Neutophiles - 41.7%
lymphocyte % - 44.3
monocytes - 6.7%
Eosinophils - 6.5%
Basophils - 0.8%
Total RBC - 4.6 X 10*6/uL
hemoglobin - 13.3gm/dl
Hematocrit - 47%
Mean corpuscular volume - 101fL
Mean corpuscular hemoglobin - 29pg
Mean corpuscular hemoglobin conc. - 28%
Red cell distr. width - 15.7fL
Platelet count - 165X10*3 uL
Platelets distr. width - 16.7%
mean platelets volume - 11.4 fL
ESR - 3 mm/hr
Iron - 88.4 ug/dl
Iron binding capacity - 340.7 ug/dl
transferrin saturation - 25.95%
Blood urea Nitrogen (BUN) - 10.29 mg/dl
Creatinine- serum - 0.94 mg%
bUN/Sr. creatinine ratio - 10.95
calcium - 9.46mg/dl
Uric acid - 6.71mg/dl
as per my blood report TSH is 6.91 seems to be hypothyroid, but my symptoms are opposite as of hyperthyroid. as per my doctor he said it is borderline case. u dont take medicine rightnow. pl suggest as per my complete blood report.
symptom
Lost wt from 74.5kg to 71kg in 1.5 yrs
Tiredness, fatigue, & dizziness, feel comforts in resting
Heartbeats fast 100-120 beats /min specially during the days & come down normal in the evening & night. More anxiety in morning & afternoon during working days in office. Feel comfortable on holidays
Eyes feel tiery & slight burning sensation with slight redness at the end of the day
Palpitation of heart more significant during days & working hours & normal at evening & night & in holidays
Skin is ok
Hair receding
slight puffiness below eyes
sweating sometimes,nervousness mood swings,
Bowel ok once in a day slight loose
My fasting blood report are as follows(without any type of medication taken till now)
T3 - 87 ng/dl
T4 - 6 ug/dl
TSH- 6.91 uIU/ml
Vitamin B-12 - 255 pg/ml
vitamin D total - 7.79ng/ml
Testosterone - 235.37 ng/dl
Alkaline phosphatase - 103.6 U/l
Bilirubin- total- 0.73mg/dl
Bilirubin- direct - 0.23mg/dl
Bilirubin indirect - 0.5mg/dl
GGT 12.6U/l
Protein total 7.36gm/dl
Albumin serum - 4.51gm/dl
SGOT - 23.3 U/l
SGPT 14 U/l
Serum albumin\globulin ratio - 1.58
Cholesterol total - 177 mg%
Cholesterol HDL- direct - 51mg%
Triglycerides - 145mg%
TC\HDL cholesterol ratio - 3.5
LDL cholesterol 97mg%
LDL/HDL ratio - 1.9
VLDL cholesterol 28.96mg%
HBA1C (Glycosylated hemoglobin - 5.2
Avg. blood glucose (ABG) - 87 mg/dl
HEMOGRAM TEST
total leucocytes count - 4.8 x 10*3/uL
Neutophiles - 41.7%
lymphocyte % - 44.3
monocytes - 6.7%
Eosinophils - 6.5%
Basophils - 0.8%
Total RBC - 4.6 X 10*6/uL
hemoglobin - 13.3gm/dl
Hematocrit - 47%
Mean corpuscular volume - 101fL
Mean corpuscular hemoglobin - 29pg
Mean corpuscular hemoglobin conc. - 28%
Red cell distr. width - 15.7fL
Platelet count - 165X10*3 uL
Platelets distr. width - 16.7%
mean platelets volume - 11.4 fL
ESR - 3 mm/hr
Iron - 88.4 ug/dl
Iron binding capacity - 340.7 ug/dl
transferrin saturation - 25.95%
Blood urea Nitrogen (BUN) - 10.29 mg/dl
Creatinine- serum - 0.94 mg%
bUN/Sr. creatinine ratio - 10.95
calcium - 9.46mg/dl
Uric acid - 6.71mg/dl
Dear XXXXXXX,
Your thyroid reports are indeed suggestive of mild form of hypothyroidism known as subclinical hypothyroidism. Subclinical hypothyroidism is usually not associated with any major symptoms. So as you have noted your symptoms are unrelated to thyroid problem. As for your thyroid report is concerned you need to repeat the test from a more reliable lab because we see discordant reports from different labs on a day to day basis. If the second report confirms the report you've got then the diagnosis is confirmed. In subclinical hypothyroidism, there are 2 criteria to initiate treatment- 1st the presence of goitre (enlarged thyoid gland) and second positive TPO antibodies. We usually treat hypothyroidism if these criteria re met because treatment of hypothyroidism is life long thyoid hormone replacement. Even if we treat you there wont be any symptomatic improvement because the symptoms you are suffering from are unrelated to thyroid problem -they have to taken as a separate problem and treated accordingly.
So my advice to you -
1. Get T3, T4, TSH, TPO antibody levels from a second lab.
2. Consult your family doctor for the symptoms you are ahving and request evaluation and treatment for them.
3. Get back to me with the repeat thyroid test.
Hope your doubts are cleared.
Shivaprasad
Your thyroid reports are indeed suggestive of mild form of hypothyroidism known as subclinical hypothyroidism. Subclinical hypothyroidism is usually not associated with any major symptoms. So as you have noted your symptoms are unrelated to thyroid problem. As for your thyroid report is concerned you need to repeat the test from a more reliable lab because we see discordant reports from different labs on a day to day basis. If the second report confirms the report you've got then the diagnosis is confirmed. In subclinical hypothyroidism, there are 2 criteria to initiate treatment- 1st the presence of goitre (enlarged thyoid gland) and second positive TPO antibodies. We usually treat hypothyroidism if these criteria re met because treatment of hypothyroidism is life long thyoid hormone replacement. Even if we treat you there wont be any symptomatic improvement because the symptoms you are suffering from are unrelated to thyroid problem -they have to taken as a separate problem and treated accordingly.
So my advice to you -
1. Get T3, T4, TSH, TPO antibody levels from a second lab.
2. Consult your family doctor for the symptoms you are ahving and request evaluation and treatment for them.
3. Get back to me with the repeat thyroid test.
Hope your doubts are cleared.
Shivaprasad
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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