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Suggest Treatment For Fatigue And Thyroid Level Of 3.00
Question: My thyroid level has gone from 1.91 to 3.00 uIU/mL in the last year and a half. I have never had an issue with my weight but I have gained about 15 pounds during the same period and can't seem to lose it, despite exercising 4-5 times a week and eating the same or less than I always have. I also have a fair amount of fatigue. I am 53 and am in "deep menopause." I am wondering if this is all menopause related, or, there could be a link to my thyroid as well.
Brief Answer:
Thyroid unlikely
Detailed Answer:
It is extremely unlikely your thyroid can be the cause of so much weight gain. Sorry to learn about your other bothersome symptoms too. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4 (this checks your thyroid too) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels
None of these tests require any fasting and can be done at any time of the day
Thyroid unlikely
Detailed Answer:
It is extremely unlikely your thyroid can be the cause of so much weight gain. Sorry to learn about your other bothersome symptoms too. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
Free T4 (this checks your thyroid too) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I also had these tests (with results)
Component Your Value Standard Range
WBC 5.4 K/ul 4.0 - 10.0 K/ul
RBC 4.61 M/ul 3.80 - 5.10 M/ul
HGB 13.4 g/dl 11.5 - 15.5 g/dl
HCT 42.2 % 34.0 - 45.0 %
MCV 91.5 fL 80.0 - 100.0 fL
MCH 29.1 pg 27.0 - 34.0 pg
MCHC 31.8 g/dl 31.0 - 36.0 g/dl
PLT 241 K/ul 150 - 400 K/ul
RDW 13.3 % 11.0 - 15.0 %
MPV 9.8 fL 9.4 - 12.4 fL
NE% 67.5 % 34.0 - 70.0 %
LY% 23.6 % 20.0 - 53.0 %
MO% 8.7 % 5.0 - 12.0 %
EO% 0.0 % 1.0 - 6.0 %
Basos 0.0 % 0.0 - 2.0 %
NE# 3.6 K/ul 1.6 - 6.0 K/ul
LY# 1.3 K/ul 0.9 - 5.3 K/ul
MO# 0.5 K/ul 0.0 - 0.8 K/ul
EO# 0.0 K/ul 0.0 - 0.4 K/ul
BA# 0.0 K/ul 0.0 - 0.2 K/ul
Component Your Value Standard Range
Sodium 138 mm/L 135 - 145 mm/L
POTASSIUM 4.4 mm/L 3.5 - 5.1 mm/L
CHLORIDE 106 MM/L 96 - 109 MM/L
ECO2 27 mm/L 23 - 33 mm/L
GLUCOSE 90 mg/dl 70 - 100 mg/dl
Nonfasting Range: 70-130 mg/dl
BUN 10 mg/dl 7 - 22 mg/dl
Creatinine, Ser 0.67 mg/dl 0.50 - 1.40 mg/dl
eGFR NON-AFRICAN AMER. >60 mL/min/1.73m^2 >60.00 mL/min/1.73m^2
eGFR XXXXXXX AMER. >60 mL/min/1.73m^2 >60.00 mL/min/1.73m^2
Ca 9.5 mg/dl 8.4 - 10.2 mg/dl
BILIRUBIN, TOTAL 0.2 mg/dl 0.0 - 1.2 mg/dl
SGPT (ALT) 31 U/L 15 - 78 U/L
SGOT (AST) 27 U/L 9 - 44 U/L
ALKALINE PHOSPHATASE 95 U/L 37 - 127 U/L
PROTEIN, TOTAL 7.7 g/dl 6.7 - 8.8 g/dl
ALBUMIN 3.8 g/dl 3.1 - 4.5 g/dl
CALCULATED GLOBULIN 3.9 g/dl 3.1 - 5.0 g/dl
CALCULATED A/G RATIO 1.0 ratio 0.7 - 1.4 ratio
Anion Gap 5 mmol/L 5 - 15 mmol/L
B/C ratio 14.9 ratio 10.0 - 20.0 ratio
Component Your Value Standard Range
VITAMIN D, 25 OH 31.8 ng/ml 25.0 - 80.0 ng/ml
Component Your Value Standard Range
WBC 5.4 K/ul 4.0 - 10.0 K/ul
RBC 4.61 M/ul 3.80 - 5.10 M/ul
HGB 13.4 g/dl 11.5 - 15.5 g/dl
HCT 42.2 % 34.0 - 45.0 %
MCV 91.5 fL 80.0 - 100.0 fL
MCH 29.1 pg 27.0 - 34.0 pg
MCHC 31.8 g/dl 31.0 - 36.0 g/dl
PLT 241 K/ul 150 - 400 K/ul
RDW 13.3 % 11.0 - 15.0 %
MPV 9.8 fL 9.4 - 12.4 fL
NE% 67.5 % 34.0 - 70.0 %
LY% 23.6 % 20.0 - 53.0 %
MO% 8.7 % 5.0 - 12.0 %
EO% 0.0 % 1.0 - 6.0 %
Basos 0.0 % 0.0 - 2.0 %
NE# 3.6 K/ul 1.6 - 6.0 K/ul
LY# 1.3 K/ul 0.9 - 5.3 K/ul
MO# 0.5 K/ul 0.0 - 0.8 K/ul
EO# 0.0 K/ul 0.0 - 0.4 K/ul
BA# 0.0 K/ul 0.0 - 0.2 K/ul
Component Your Value Standard Range
Sodium 138 mm/L 135 - 145 mm/L
POTASSIUM 4.4 mm/L 3.5 - 5.1 mm/L
CHLORIDE 106 MM/L 96 - 109 MM/L
ECO2 27 mm/L 23 - 33 mm/L
GLUCOSE 90 mg/dl 70 - 100 mg/dl
Nonfasting Range: 70-130 mg/dl
BUN 10 mg/dl 7 - 22 mg/dl
Creatinine, Ser 0.67 mg/dl 0.50 - 1.40 mg/dl
eGFR NON-AFRICAN AMER. >60 mL/min/1.73m^2 >60.00 mL/min/1.73m^2
eGFR XXXXXXX AMER. >60 mL/min/1.73m^2 >60.00 mL/min/1.73m^2
Ca 9.5 mg/dl 8.4 - 10.2 mg/dl
BILIRUBIN, TOTAL 0.2 mg/dl 0.0 - 1.2 mg/dl
SGPT (ALT) 31 U/L 15 - 78 U/L
SGOT (AST) 27 U/L 9 - 44 U/L
ALKALINE PHOSPHATASE 95 U/L 37 - 127 U/L
PROTEIN, TOTAL 7.7 g/dl 6.7 - 8.8 g/dl
ALBUMIN 3.8 g/dl 3.1 - 4.5 g/dl
CALCULATED GLOBULIN 3.9 g/dl 3.1 - 5.0 g/dl
CALCULATED A/G RATIO 1.0 ratio 0.7 - 1.4 ratio
Anion Gap 5 mmol/L 5 - 15 mmol/L
B/C ratio 14.9 ratio 10.0 - 20.0 ratio
Component Your Value Standard Range
VITAMIN D, 25 OH 31.8 ng/ml 25.0 - 80.0 ng/ml
Brief Answer:
Follow up
Detailed Answer:
I have reviewed the results.
These seem normal. The only test I do not see are thyroid auto antibody results.
Ask you endocrinologist if you could be tested for uncommon causes of weight gain such as
Cushings syndrome and Acromegaly.
Your endocrinologist will first examine you in-person and the two of you can jointly discuss whether to proceed with tests for these 2 conditions
Follow up
Detailed Answer:
I have reviewed the results.
These seem normal. The only test I do not see are thyroid auto antibody results.
Ask you endocrinologist if you could be tested for uncommon causes of weight gain such as
Cushings syndrome and Acromegaly.
Your endocrinologist will first examine you in-person and the two of you can jointly discuss whether to proceed with tests for these 2 conditions
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. Chakravarthy Mazumdar
Answered by
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