Symptoms and Normal Blood Work

[Guest guest]

If you have symptoms and normal blood work, then according to the Royal College

of Physicians and the endocrinology associations, then you DO NOT have

hypothyroidism. You may have the symptoms of hypothyroidism, but you thyroid

gland is functioning or you are getting enough T4 somehow.

SO, what next? Well, by the differential diagnostic protocol, the " good doctor "

gets to start again, perhaps even broadening his search to non-thyroid

functions.

There are a variety of candidates:

1. The post thyroid function of peripheral conversion. It produces T3 and RT3.

So measure those. They are in the blood. Obviously, if T3 is deficient, take

some T3. But beware of adrenal insufficiency and fatigue.

2. The post thyroid function of peripheral cellular hormone reception seemingly

can not be tested directly. However, since this function produces energy by way

of oxygen plus sugar = water plus carbon dioxide plus energy, then the exhaled

carbon dioxide can be measured and/or the inhaled oxygen can be measured. The

tests are Basal Metabolism Rate and Resting Metabolism Rate.

3. And we must not forget the supporting chemistry goes to the conversion sites

and the peripheral cells by way of the blood, so it can be measured too....

There is also a paper on the differential diagnostic tests of fatigue, at least

the major causes. And they are done by rather standard tests.

So, starting the diagnostic process anew is quite right, proper, and really

necessary. Otherwise complain.....