Brief Answer:
You likely have a slightly overactive thyroid
Detailed Answer:
Your TSH is low. The free T4 is within normal limits though.
Were you taking any steroids like prednisone/hydrocortisone/
dexamethasone or opioid pain killers like
hydrocodone, at the time this blood sample was taken? Because these agents can lower the TSH without there being a real problem with the thyroid. It only makes the
blood test look like that.
Similarly, if you were in the hospital under some stressful condition or illness, your thyroid labs can look like that temporarily and it often spontaneously resolves i.e. the blood tests look normal upon retesting a couple month later.
However, it is possible you have a slightly over active thyroid too. But this may not necessarily merit treatment right away unless it is causing an irregular heart beat or angina-like chest pains, or
osteoporosis.
This link describes potential symptoms from this condition:
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A comprehensive work up includes repeat testing for
TSH
Free T4
total T4
Total T3
T3 resin uptake
prolactin (to rule out the rare possibility of a pituitary problem)
If this reveals similar results as the first one and you have symptoms suggestive of thyroid overactivity then further tests like the following may be necessary before embarking upon treatment options that include medication,
radiation or surgery.
Ultrasound of the thyroid
Radio iodine uptake and scan