What are the findings from the blood work?
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Posted Tue, 7 Jan 2014 in Thyroid Problem and Hormonal Problems
Answered by Dr. Shehzad Topiwala 2 hours later
Brief Answer: Thyroid Detailed Answer: If one is to go by your TSH alone then it suggests you're receiving a dose of thyroid medication that is a bit higher than you need, although the TSH can look lower when a person is taking prednisone/steroids or opioid pain killers. So it is important to know the Free T4, Total T4 and Total T3 levels to get a better idea if your thyroid medication dose needs to be reduced. I see a few other things are on the lower side too. I would like to know the exact ranges on your lab for each of those items. Each has a separate evaluation. For example, low K could be from the use of water-pills if you are taking them.
Follow-up: What are the findings from the blood work? 16 minutes later
I am takeing lithyronine 25mcg,levothyroxin 50 mcg spirono /hctz25/25. T3 Uptake 29, T4 Free 0.84 T4, Thyroxin 6.3 Tsh 0.02 Eos 0.8 K 3.4 When I went to the dr a few weeks ago my side has been hurting he seems to think it could be my appendicitis I have to have a ct scan done a couple of them next week. the pain is bad but I have no insurance so I have to wait till January for the test.
Answered by Dr. Shehzad Topiwala 12 hours later
Brief Answer: Follow up Detailed Answer: Generally, liothyronine is not recommended by thyroid experts. Levothyroxine alone is sufficient. So if you and your doctor agree to stop it, then check TSH and free T4 in a couple months to see if TSH comes up into the desirable range of 0.4 - 2, although sometimes the TSH takes a while to recover if it has been forced to stay low like this due to liothyronine. The low-ish K is likely due to the HCTZ. The spironolactone is a good choice considering it does not lower the K despite being a water pill. So talk to your doctor to address this as well. It would be prudent, in the interim, to eat more K rich foods like bananas. The low eosinophils are unrelated to the thyroid condition. Consult your primary care doctor for the same.
Follow-up: What are the findings from the blood work? 30 hours later
I am thinking about switching drs, I been going to this one since January of last year. their is not many good dr in my area.so I appreciate the advice and information. I eat a lot of bananas ,and fruit and take a potassium vita. I felt so bad this weekend I never feel like this with no energy. I am trying to loose the weight it seems like a XXXXXXX wall that never goes away. do you want to move to our area their needs to be more good dr like you