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High TSH levels with normal T3 and T4 - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Good mrg doctor
Doctor :   Hi
Doctor :   Good morning.
Doctor :   How can I help you?
User :   i have done my thyroid test and the results are as under
User :   tsh-10.01
User :   t3-98.66 and t4-8
Doctor :   Ok
User :   i had done this test around 6 mths back and the results were normal t3 and t4 but TSH was higher. same as the current one where tsh is high and t3 and t4 is normal
Doctor :   Ok
User :   what do u think should i start taking medicines for the same
User :   will be meeting my doctor on monday .just wanted an opinion also
Doctor :   May I know if you have symptoms of hypothyroidism such as dry skin, over weight, menstrual irregularities, hair growth changes, intolerance to cold and so on.
Doctor :   Do you have family history of thyroid problems?
User :   no family history
User :   but yes i am a little overwt, seems prone to cold but nothing worrisome hence did not realise that i would be a thyroid patient
Doctor :   Ok
Doctor :   Let me brief you.
User :   yes doctor
Doctor :   Increased TSH levels is an indication of hypothyroidism and since you do have few symptoms of hypothyroidism, you will need thyroid hormone supplements.
User :   i am 39 yrs and have the same weight for the past 5-6 yrs
Doctor :   You will be suggested to take thyroid hormone supplement, your symptoms and TSH functions will be assessed after few weeks
User :   i was comforted by the normal t3 and t4 readings
Doctor :   Apart from these you other tests such as free t3, free t5 levels and thyroglobulin levels may also be needed too.
User :   infact i was not planning to see a doctor
User :   but i think i will keep my appointment with my physician
Doctor :   Let me explain that.
User :   should i visit any specialist
Doctor :   Thyroid hormones are secreted in the body as T4 and T3.
Doctor :   They are available in the body as bound to a protein and as free T3.
Doctor :   It is the free T3 that is responsible for the effects of thyroid hormone in the body.
Doctor :   So either if the free T3 levels are low, or if the thyroid hormones are not ineffective on the tissues, you can have symptoms of hypothyroidism with high TSH levels.
Doctor :   Both need to be treated with thyroid supplements.
Doctor :   Hence you may asked to take supplement while further evaluation are done.
User :   ok. does this effect cholestrol levels. since i also have high cholestrol
User :   what further evaluations will be done for thyroid
Doctor :   Hypothyroidism can result in increasing body weight and other body metabolism.
Doctor :   They inturn can effect cholesterol levels.
Doctor :   And as far as other evaluation goes, free T3 levels along with free T4, thyroglobulin levels and occasionally antibodies against thyroglobulins may be needed.
User :   ok and one last question doctor do i need to visit any special doctor or ask my gp to suggest any specialist
Doctor :   The necessary evaluation will be performed by an endocrinologist.
Doctor :   Hence you can visit an endocrinologist near your locality or you may request your GP to refer you to an endocrinologist for both evaluation and further monitoring.
Doctor :   Have you followed what I have suggested?
User :   yes doctor and thank you doctor.
User :   Bye
Doctor :   Do you have any other query?
User :   no right now no other query
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
User :   thaks you so much
Doctor :   Bye for now.
User :   thank you
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