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What Does My Thyroid Test Report Indicate?

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Posted on Mon, 21 Sep 2015
Question: I have had two tests where my tsh was low (0.032 and 0.132) and FT4 was high (>7.7 and 1.77). My gp just blew them off but my pulmonologist said the only way I couldn't be hyperthyroid is if I had taken a handful of thyroid pills beforehand. Am I hyperthyroid?
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
I follow your question. These laboratory results should not be ignored. They are indicative of a condition called Hyperthyroidism i.e. an over active thyroid state.

Now I understand you are not on any medication. If that is the case then you could not have taken a higher-than-necessary dose of thyroid medication like synthroid or any other brand name of XXXXXXX thyroxine inadvertently.

So then further evaluation is necessary.

When I see someone like you I order the following tests in addition to a thorough physical examination:

CBC
ESR
CMP
Radio active Iodine 123 Uptake and Scan

These tests will help us determine what is the cause of this abnormal thyroid lab result. For example, it will give us a fair idea whether this current thyroid overactivity is due to temporary bruising of the thyroid (called 'Thyroiditis', which often recovers on it's own within several weeks) or due to other causes that tend to last longer and require more prolonged treatment.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Thyroid Test Report Indicate?

Brief Answer: Thyroid Detailed Answer: I follow your question. These laboratory results should not be ignored. They are indicative of a condition called Hyperthyroidism i.e. an over active thyroid state. Now I understand you are not on any medication. If that is the case then you could not have taken a higher-than-necessary dose of thyroid medication like synthroid or any other brand name of XXXXXXX thyroxine inadvertently. So then further evaluation is necessary. When I see someone like you I order the following tests in addition to a thorough physical examination: CBC ESR CMP Radio active Iodine 123 Uptake and Scan These tests will help us determine what is the cause of this abnormal thyroid lab result. For example, it will give us a fair idea whether this current thyroid overactivity is due to temporary bruising of the thyroid (called 'Thyroiditis', which often recovers on it's own within several weeks) or due to other causes that tend to last longer and require more prolonged treatment.