Check this link out. It is the Thyroid Bible.
Just had my thyroid tested again, and my TSH went up to 4.1, while my T3 Free measured 3.6 and T4 was 7. My T3 and T4 were very similar to previous results...but TSH went up 1.5 pts.
While I have observed definitive improvements as a result of test, hcg, & arimidex , I still have room for improvement and I suspect my thyroid is the next target to address.
For you thyroid experts out there, do these lab measurements point to an obvious case of hypothyroidism? I would say that I have some of the subclinical symptoms associated with hypothyroidism.
My bet is adrenal issues....Normally, since free t3 is the active hormone, if your free t3 is good, then your not hypo. You can have a TSH of O, a free t4 of O (ie...being on straight t3 rather than armour) and feel fine if your free t3 is normal.
Yet in your case, your body is telling you to make more thyroid hormones (high TSH). One cause could be that you have antibodies damaging your thyroid...you need to have THAT checked first. Also, you probably could have the pituitary looked at if it has not been done so far.
Yet my hunch, is that the free t3 is normalish because its pooling in your blood and not getting into the cells. Thus, the labs 'say' your free t3 is ok, but its in the blood and not cells, thus your still hypo. Some of us worse off adrenal cases have it even worse where they are hypo/hyper at the same time.
Also, why is the t4 not free but total t4 (or at least thats what im assuming the t4 test was). Seems your doc is a little off in my book.
I did have the Antithyroglobulin Ab test run also. It came back as follows: <20 with a range of 0-40
Interesting you bring up adrenals, because my cortisol during this test was 21.6 on a scale of 3.1-22.4. This is the highest it has ever been. Everything I search for related to high cortisol points to cushings disease...
• Cortisol, Free & Cortisone, 24-Hour Urine (37355X) - (89771N)
• Cortisol, Free and Total, LC/MS/MS (37077X) - (3350N)
• CORTISOL, FREE, 12-HOUR URINE - (330)
• Cortisol, Free, 24-Hour Urine LC/MS/MS - (11280X)
• Cortisol, Free, LC/MS/MS (36423X) - (21469P)
This one looks similar to the good Testosterone test.
What say you?
Woud this be a better test for Cortisol, rather than the usual AM/PM blood or four points saliva?
Cortisol, Free and Total, LC/MS/MS (37077X) - (3350N)
Quest Diagnostics: Test Menu
Cortisol, Total, LC/MS/MS mcg/dL
Adult Reference Ranges for Cortisol, Total,
Males and Females 8-10 AM 5-21 mcg/dL
4-6 PM 2-14 mcg/dL
Cortisol, Free, LC/MS/MS mcg/dL
Adult Reference Ranges for Cortisol, Free,
8:00 - 10:00 AM 0.07-0.93 mcg/dL
4:00 - 6:00 PM 0.04-0.45 mcg/dL
10:00 - 11:00 PM 0.04-0.35 mcg/dL
well the high e2 is definetly not helping things (especially when you consider how much more frequent women have thyroid and adrenal issues than men). The reverse t3 does not seem to be too problematic, although it is higher than prefered.
Your free t3 and free t4 are definetly low....Im not sure if even the free t4 is dropping since im not sure of your previous values.