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What Does My TSH Blood Test Report Indicate?

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Posted on Tue, 27 Oct 2015
Question: Dear Doctor
I had my thyroid checked and my numbers are TSH 0.95,T4free 1.2,T3 free 3.2, T3 total 92 and ReverseT3 13.
I 'm not able to sleep well, having horrible muscle cramping in my head and neck and shaky.I have a small nodule and was diagnosed with "empty sella" a few yrs ago.
I take 1grain of NatureThyroid. Had been on .75mgs of synthroid in the past.
I've lost about 12lbs.
Am I taking to much thyroid?
doctor
Answered by Dr. Shehzad Topiwala (53 minutes later)
Brief Answer:
Possibly

Detailed Answer:
Although your thyroid laboratory results do not look very abnormal at face value, it is very likely that the nature thyroid that you are on is potentially causing the symptoms you are experiencing.

Most endocrinologists worldwide prescribe only levo thyroxine (T4) for the treatment of correctly diagnosed 'hypothyroidism' i.e. an under active thyroid whether it is due to a direct thyroid or pituitary problem.

Expert guidelines have repeatedly emphasised this, and discouraged the use of other forms of treatment such as nature or armour thyroid as unsafe.

This is because they can have variable amounts of T3 in them which can have direct effects on the heart and bone. Generally most people are able to convert T4 to T3 inside the cells of the body, based on the requirement.

So it is best to let the body determine it's need for T3 rather than taking T3 in inconsistent and variable doses daily.

I would still like to know the exact ranges for normal mentioned on your lab report because different labs use varying methods at times for measurement of thyroid hormones.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (40 minutes later)
I agree with you 100%. My Pcp believes in the natural approach however I feel like naturetroid is killing me.
Here are my numbers and the ranges: TSH 0.95 range is 0.40 -4.50
T4 free 1.2 range is 0.8-1.8
T3 free 3.2 range is 2.3-4.2
T3total 92 range is 76-181
T3reverse 13 range is 8-25
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Follow up

Detailed Answer:
Ok so they are all well within normal range, although I must comment that there is no practically no role of measuring reverse T3 in the routine management of hypothyroidism.

You will be best served by seeing an endocrinologist in-person who will assess you thoroughly and treat you according to the current best-practice evidence-based guidelines.
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
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My TSH Blood Test Report Indicate?

Brief Answer: Possibly Detailed Answer: Although your thyroid laboratory results do not look very abnormal at face value, it is very likely that the nature thyroid that you are on is potentially causing the symptoms you are experiencing. Most endocrinologists worldwide prescribe only levo thyroxine (T4) for the treatment of correctly diagnosed 'hypothyroidism' i.e. an under active thyroid whether it is due to a direct thyroid or pituitary problem. Expert guidelines have repeatedly emphasised this, and discouraged the use of other forms of treatment such as nature or armour thyroid as unsafe. This is because they can have variable amounts of T3 in them which can have direct effects on the heart and bone. Generally most people are able to convert T4 to T3 inside the cells of the body, based on the requirement. So it is best to let the body determine it's need for T3 rather than taking T3 in inconsistent and variable doses daily. I would still like to know the exact ranges for normal mentioned on your lab report because different labs use varying methods at times for measurement of thyroid hormones.