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What Does This Blood Report Indicate?
Question: I have been experiencing major nervousness, rapid heartbeat, sweaty hands, anxiety, insomnia, difficulty sleeping and increased appetite without weight gain. The worse symptom of all is by early afternoon i cant keep my head up, i get double vision, lighthead and extreme fatigue(indescribable). My ultrasound came back with a small hypoechoic collid cyst measuring 3mm. Blood work was repeated and came back as elevated thyroid.
TSH .94
Free t4 25
Free t3 4.8
Can you give me some feedback on these findings? Diagnosis and treatment
Thank you in advance,
XXXXXXX
TSH .94
Free t4 25
Free t3 4.8
Can you give me some feedback on these findings? Diagnosis and treatment
Thank you in advance,
XXXXXXX
Brief Answer:
Thyroid
Detailed Answer:
I understand what you are asking.
1 Your thyroid ultrasound does not have worrisome features
2 You do have symptoms suggestive of an over active thyroid condition called hyperthyroidism.
When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination:
CBC
Electrolytes
Calcium
HbA1c
Liver function tests
Kidney function tests
TSH
Total T3
Total T4
T3 resin uptake
25 hydroxy Vitamin D
Plasma Free Metanephrines
Prolactin
8 am Serum Cortisol
Thyroid
Detailed Answer:
I understand what you are asking.
1 Your thyroid ultrasound does not have worrisome features
2 You do have symptoms suggestive of an over active thyroid condition called hyperthyroidism.
When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination:
CBC
Electrolytes
Calcium
HbA1c
Liver function tests
Kidney function tests
TSH
Total T3
Total T4
T3 resin uptake
25 hydroxy Vitamin D
Plasma Free Metanephrines
Prolactin
8 am Serum Cortisol
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is the treatment plan? How ling for me to feel myself again?
Brief Answer:
Follow up
Detailed Answer:
Treatment will depend on the cause found.
For example if you truly have hyperthyroidism then the reason for that needs to be determined too. If it is from the pituitary then surgery is an option , otherwise there are medications too.
There is an uncommon condition called Pheochromocytoma which also causes symptoms similar to the one you are reporting. The test above called Plasma Free Metanephrines checks for that.
The treatment for that is often surgical
Follow up
Detailed Answer:
Treatment will depend on the cause found.
For example if you truly have hyperthyroidism then the reason for that needs to be determined too. If it is from the pituitary then surgery is an option , otherwise there are medications too.
There is an uncommon condition called Pheochromocytoma which also causes symptoms similar to the one you are reporting. The test above called Plasma Free Metanephrines checks for that.
The treatment for that is often surgical
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
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