HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Are The Findings From The Blood Work?

default
Posted on Tue, 7 Jan 2014
Question: Got my Blood work back yesterday I had a few things are low. I am on a thyroid meds my TSH is 0.02, T3 Uptake 29. Eos 0.8, K,3.4. is this something to be worried about
doctor
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala (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.
doctor
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala (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
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Are The Findings From The Blood Work?

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.