HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

I Have A Normal TSH , But Slightly Low Free

default
Posted on Tue, 27 Jun 2023
Question: I have a normal TSH, but slightly low free T4 at 0.7 (reference range being low end 0.9). Is this low enough to be considered hypothyroid (secondary)?
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Do more examinations because secondary Hypothyroidism is suspected

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

Free T4, is low referring to the range. I suspect it may be secondary Hypothyroidism which is caused by low levels of pituitary glad hormones.
To confirm that you should measure the levels of LH, FSh, total testosterone, cortisol, Prolactin, TSH and fT4. Even a MRI of pituitary glad.
If this hormones are low it may be a secondary Hypothyroidism.

Hope I have answered the question. Let me know if I can assist you further.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10167 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I Have A Normal TSH , But Slightly Low Free

Brief Answer: Do more examinations because secondary Hypothyroidism is suspected Detailed Answer: Hello dear, welcome to Ask a doctor service. I read your query and here is my advice. Free T4, is low referring to the range. I suspect it may be secondary Hypothyroidism which is caused by low levels of pituitary glad hormones. To confirm that you should measure the levels of LH, FSh, total testosterone, cortisol, Prolactin, TSH and fT4. Even a MRI of pituitary glad. If this hormones are low it may be a secondary Hypothyroidism. Hope I have answered the question. Let me know if I can assist you further.