RE: long awaited Endo app today

[Guest guest]

You won the argument Sue - and well done. He can flail his arms

around all over the place (which is something a lot of these poor frustrated

endoprats do when they don't know what's wrong with their patient, because

their TSH is not outside of the reference range) but the fact is, he knows

something is wrong, hence his frustration. Your TSH is NOT normal and it will

be good to see what your fT4 and fT3 results show. Make sure you get a copy of

all your blood results and the reference range for each one done. He

doesn't mention thyroid antibodies on the blood form, so perhaps telephone him

and ask if you could add Thyroid peroxidase antibody

(TPOAb) and Thyroglobulin antibody (TgAb). Do you have any members of your

family who have a thyroid or autoimmune disease? Did he even ask you this

question? I would ask also if you could add to that list of blood tests

ferritin, vitamin B12, vit. D3, magnesium, folate, copper and zinc because if

the level of any of these are low, the thyroid hormone can't be properly

utilised.

The blood test results ONLY show the amount of thyroid hormone

that is in your blood and not whether the thyroid hormone is being absorbed at

cellular level, so you cannot simply rely on serum thyroid function tests

results. Your TSH of 2.14 is obviously not where it should be (which is around

1.0).

Unfortunately, the NHS ONLY test your adrenals to find out

whether you might be suffering with 's disease (too little or no

cortisol secretion) or Cushing's syndrome (too high a level of cortisol

secretion), but they do not test to see whether you are suffering with adrenal

fatigue or any of the stages leading to 's or Cushing's, so it is likely

you will be told that you don't have an adrenal problem, even though you may

well have. Be prepared for that one.

This forum is full of members who have been told that because

their serum thyroid function tests have been returned within the normal

reference range, they don't have a problem and they have not known what to do,

when sadly, it is found through other tests/doctors/clinical

examination/symptoms/signs/family history that yes, they DO have a problem, and

we do what we can to put them on the road to recovery.

Luv - Sheila

Hi All. well not very good news im affraid, the

Endoc said that the TSH was the most sensative test and if that was within

range then no doctor would have any reason to do any other tests (TSH was

tested for on an overnight stay in hospital on 17/11/10 for pain under right

ribcage Result 2.14mu/L ref range 0.35-5.50). Of course i argued this point

saying that thousands of people have perfect TSH but are still clinicly

hypothyroid but he was having none of it, he would not listen to my list of

symptoms but did say that the only thing that he was prepared to do a check for

was pituitary function as that was the only other reason you would have my

symptoms with a normal TSH. After further discussions (arguement) and a lot of

hand waving by the doc he also said that he was going to test my adrenals ( i

have to take a pill >Dexamethasone2mg< @ 11pm and then go for blood test

of cortisol @ 9am) Strange thing is he gave me 2 blood forms and told me to go

now and get the one done then have the other done the morning after taking the

tablet, so as i sat waiting i looked at the blood form and it is for:

cortisol,free t4, free t3, fsh, growth hormone, IGF-1, LH, oestradiol,

prolactin, TFTs( diagnostic) urea & electrolytes, so does this mean this is

the full thyroid profile ?? did i win the arguement??. I will post the results

as soon as get them, it may be that i am barking up the wrong tree and the Endo

is right, i may have nothing wrong with my thyroid but without testing properly

how can they be so sure?? luv Sue (telford)X

[Guest guest]

Hi Sue, ~

urea & electrolytes ~ I just read that ammonia causes antagonism to the thyroid hormone receptor beta ~ meaning the T3 is not as effective at doing what T3 does !Any elevated urea/BUN/Ammonia will cause hypothyroidism.Bob>> You won the argument Sue - and well done. He can flail his arms around all> over the place (which is something a lot of these poor frustrated endoprats> do when they don't know what's wrong with their patient, because their TSH> is not outside of the reference range) but the fact is, he knows something> is wrong, hence his frustration.