Here are my new lab reports....Are they okay?

[Guest guest]

I went to the doctor on Friday and here's what the labs show:

T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

T3 154 (85-205) (was 120 12/17/04)

Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

TSH 1.128 (0.350-5.500) (was 16.415)

T4 7.6 (4.5-12.0) (was 6.0)

Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

Other tests run:

Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

Insulin, Fasting 17.1 (6.0-27.0)

Thryoid Antibodies 660 (0-34) YIKES!!

Thyroid Antithyroglobulin Ab 58 (0-40)

The doctor was pleased with these and wanted me to stay on 90 mg. of

Armour for three more months because I am feeling better and results

look better. He said after being on this amount since 12/17/04, he

will be able to tell in May, where to take me from this point. (Not

sure what to think, here.)

My energy level has increased and I can walk almost 3 miles a few

times a week and not DIE afterwards. But I am not losing weight. I

need to lose 50-60 pounds. With these results, what would you do?

Thanks for reading this long post!

Molly

[Guest guest]

The most important thing is do you feel like you are well and no

longer have hypo smptoms anymore? Also, what is your average body

temperature now? Is it 98.6, which is normal?

http://www.drrind.com/tempgraph.asp

http://www.thyrophoenix.com/self_monitor.htm

____________________

> T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

_________________

My opinion is that this is low. The middle of the range is 1.18, so

you are below that. Since thyroid test ranges are sewed downward

toward hypothyroidism due to problems in how they are determined, it

would be better to be above the midrange.

_______________

> T3 154 (85-205) (was 120 12/17/04)

_______________

The middle of the range is 145, so you are a bit above. But, total

T3 includes T3 that is tied up and unavailable.

____________________

> Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

______________

Middle of the range is 3.25. You are just barely there.

______________________

> TSH 1.128 (0.350-5.500) (was 16.415)

___________________

I think TSH should be below zero on well adjusted thyroid patients

because if there is ample thyroid in the blood, the pituitary will

not need to be making TSH much to get more hormone out of the

thyroid.

__________________

> T4 7.6 (4.5-12.0) (was 6.0)

_________________

Middle of the range is 8.25. You are below that.

___________________

> Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

> Other tests run:

>

> Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

> Insulin, Fasting 17.1 (6.0-27.0)

> Thryoid Antibodies 660 (0-34) YIKES!!

____________________

Any time there are antibodies, tests are all suspect and you need to

adjust thyroid dose by symptoms, body temperature, pulse, and

breathing rate. Tests measure thyroid levels without being able to

distinguish how much is being removed by the antibodies and does not

get into tissues. So, with antibodies, you have to go by how you

feel more than anything else.

_______________

> Thyroid Antithyroglobulin Ab 58 (0-40)

>

> The doctor was pleased with these and wanted me to stay on 90 mg.

of

> Armour for three more months because

________________

90 mg is really a small dose in my opinion. since the heatlhy human

thryoid makes between 3 and 5 grains a day and older studies have

found that most people do not get any effect from thyroid doses less

than 3 to 5 grains, it seems you could go up a lot more and then you

might be able to loose some weight. The reason that doses less than

3 to 5 grains have no effect is due to the pituitary cutting

production of TSH by the amount needed to drop production from your

own thyroid by the amount you are taking. So, if you take 1 grain,

your pituitary will adjust TSH to drop thyroid production by 1

grain. It serves to kind of zero out low dose therapy. Were there is

no adrenal insufficiency or low nutritional status, you cannot

overdose on doses less than your own thyroid would make.

The average thyroid doses for well over 5 years before the TSH test

was 2 or 3 grains to 5 grains and I am not sure how many get by on

two grains. You have to have really good pituitary function.

http://thyroid.about.com/library/derry/bl11.htm

http://thyroid.about.com/library/derry/bl3a.htm

Thyroid doses in the past were 2 to 3 times higher than they are

today and people were quite healthy at those levels. They dropped

after the TSH test came on the scene and some influential

endocrinologists thought it was more accurate than going by symptoms.

Author: Dr PBS Fowler

Date Published: 23-May-2001

Publication: Lancet 2001; 357: 619-24. Volume 357,

Number 9273 23 June 2001

Title: Letter in response to Colin Dayan's article '

Interpretation of thyroid function tests'.

Before the days of hormone assays, hypothyroid patients

received about double the average dose of thyroxine

given today, but did not develop osteoporosis or atrial

fibrillation. Doses should be judged clinically rather

than be governed by misinterpreted hormone results.

P B S Fowler

1 Dayan CM. Interpretation of thyroid function tests.

Lancet 2001; 357: 619-24.

__________________

Seems that if you are not satisfied you can safely go up higher.

http://www.eje.org/eje/149/0091/1490091.pdf

________________________________________________

I am feeling better and results

> look better. He said after being on this amount since 12/17/04,

he

> will be able to tell in May, where to take me from this point.

(Not

> sure what to think, here.)

______________________

After only one or two months, he should be able to tell you where to

go from there. The trouble with waiting too long is if you dose is

inadequate, then the longer it goes on the weaker the adrenals

become and other problems can develope.

____________________

>

> My energy level has increased and I can walk almost 3 miles a few

> times a week and not DIE afterwards. But I am not losing weight.

I

> need to lose 50-60 pounds. With these results, what would you do?

____________________

Since I am taking 3-3/4 grains and am not overweight, and I never

did feel good at all on 2 grains, and my whole life got tremendously

better when I got to 3 grains, I would not be satisfied with your

situation. I was not at all myself, normal or healthy at 2 grains.

Tish

[Guest guest]

The most important thing is do you feel like you are well and no

longer have hypo smptoms anymore? Also, what is your average body

temperature now? Is it 98.6, which is normal?

http://www.drrind.com/tempgraph.asp

http://www.thyrophoenix.com/self_monitor.htm

____________________

> T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

_________________

My opinion is that this is low. The middle of the range is 1.18, so

you are below that. Since thyroid test ranges are sewed downward

toward hypothyroidism due to problems in how they are determined, it

would be better to be above the midrange.

_______________

> T3 154 (85-205) (was 120 12/17/04)

_______________

The middle of the range is 145, so you are a bit above. But, total

T3 includes T3 that is tied up and unavailable.

____________________

> Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

______________

Middle of the range is 3.25. You are just barely there.

______________________

> TSH 1.128 (0.350-5.500) (was 16.415)

___________________

I think TSH should be below zero on well adjusted thyroid patients

because if there is ample thyroid in the blood, the pituitary will

not need to be making TSH much to get more hormone out of the

thyroid.

__________________

> T4 7.6 (4.5-12.0) (was 6.0)

_________________

Middle of the range is 8.25. You are below that.

___________________

> Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

> Other tests run:

>

> Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

> Insulin, Fasting 17.1 (6.0-27.0)

> Thryoid Antibodies 660 (0-34) YIKES!!

____________________

Any time there are antibodies, tests are all suspect and you need to

adjust thyroid dose by symptoms, body temperature, pulse, and

breathing rate. Tests measure thyroid levels without being able to

distinguish how much is being removed by the antibodies and does not

get into tissues. So, with antibodies, you have to go by how you

feel more than anything else.

_______________

> Thyroid Antithyroglobulin Ab 58 (0-40)

>

> The doctor was pleased with these and wanted me to stay on 90 mg.

of

> Armour for three more months because

________________

90 mg is really a small dose in my opinion. since the heatlhy human

thryoid makes between 3 and 5 grains a day and older studies have

found that most people do not get any effect from thyroid doses less

than 3 to 5 grains, it seems you could go up a lot more and then you

might be able to loose some weight. The reason that doses less than

3 to 5 grains have no effect is due to the pituitary cutting

production of TSH by the amount needed to drop production from your

own thyroid by the amount you are taking. So, if you take 1 grain,

your pituitary will adjust TSH to drop thyroid production by 1

grain. It serves to kind of zero out low dose therapy. Were there is

no adrenal insufficiency or low nutritional status, you cannot

overdose on doses less than your own thyroid would make.

The average thyroid doses for well over 5 years before the TSH test

was 2 or 3 grains to 5 grains and I am not sure how many get by on

two grains. You have to have really good pituitary function.

http://thyroid.about.com/library/derry/bl11.htm

http://thyroid.about.com/library/derry/bl3a.htm

Thyroid doses in the past were 2 to 3 times higher than they are

today and people were quite healthy at those levels. They dropped

after the TSH test came on the scene and some influential

endocrinologists thought it was more accurate than going by symptoms.

Author: Dr PBS Fowler

Date Published: 23-May-2001

Publication: Lancet 2001; 357: 619-24. Volume 357,

Number 9273 23 June 2001

Title: Letter in response to Colin Dayan's article '

Interpretation of thyroid function tests'.

Before the days of hormone assays, hypothyroid patients

received about double the average dose of thyroxine

given today, but did not develop osteoporosis or atrial

fibrillation. Doses should be judged clinically rather

than be governed by misinterpreted hormone results.

P B S Fowler

1 Dayan CM. Interpretation of thyroid function tests.

Lancet 2001; 357: 619-24.

__________________

Seems that if you are not satisfied you can safely go up higher.

http://www.eje.org/eje/149/0091/1490091.pdf

________________________________________________

I am feeling better and results

> look better. He said after being on this amount since 12/17/04,

he

> will be able to tell in May, where to take me from this point.

(Not

> sure what to think, here.)

______________________

After only one or two months, he should be able to tell you where to

go from there. The trouble with waiting too long is if you dose is

inadequate, then the longer it goes on the weaker the adrenals

become and other problems can develope.

____________________

>

> My energy level has increased and I can walk almost 3 miles a few

> times a week and not DIE afterwards. But I am not losing weight.

I

> need to lose 50-60 pounds. With these results, what would you do?

____________________

Since I am taking 3-3/4 grains and am not overweight, and I never

did feel good at all on 2 grains, and my whole life got tremendously

better when I got to 3 grains, I would not be satisfied with your

situation. I was not at all myself, normal or healthy at 2 grains.

Tish

[Guest guest]

Hi,

I'm assuming from the word 'mom' in your email that you are female, yes?

For a woman, your Free T3 and Free T4 still look low. They are at the

midpoint of the range and women tend to feel better in the upper third

or even close to the very top of the range.

Weight loss sometimes needs several months on the optimal dosage to

kick in. Your tissues have been starved for certain compounds and lots

of things need to heal before your body will devote energy to weight loss.

Cheers,

Friday

>

> I went to the doctor on Friday and here's what the labs show:

>

> T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

> T3 154 (85-205) (was 120 12/17/04)

> Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

> TSH 1.128 (0.350-5.500) (was 16.415)

> T4 7.6 (4.5-12.0) (was 6.0)

> Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

> Other tests run:

>

> Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

> Insulin, Fasting 17.1 (6.0-27.0)

> Thryoid Antibodies 660 (0-34) YIKES!!

> Thyroid Antithyroglobulin Ab 58 (0-40)

>

> The doctor was pleased with these and wanted me to stay on 90 mg. of

> Armour for three more months because I am feeling better and results

> look better. He said after being on this amount since 12/17/04, he

> will be able to tell in May, where to take me from this point. (Not

> sure what to think, here.)

>

> My energy level has increased and I can walk almost 3 miles a few

> times a week and not DIE afterwards. But I am not losing weight. I

> need to lose 50-60 pounds. With these results, what would you do?

>

> Thanks for reading this long post!

>

> Molly

[Guest guest]

Hi,

I'm assuming from the word 'mom' in your email that you are female, yes?

For a woman, your Free T3 and Free T4 still look low. They are at the

midpoint of the range and women tend to feel better in the upper third

or even close to the very top of the range.

Weight loss sometimes needs several months on the optimal dosage to

kick in. Your tissues have been starved for certain compounds and lots

of things need to heal before your body will devote energy to weight loss.

Cheers,

Friday

>

> I went to the doctor on Friday and here's what the labs show:

>

> T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

> T3 154 (85-205) (was 120 12/17/04)

> Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

> TSH 1.128 (0.350-5.500) (was 16.415)

> T4 7.6 (4.5-12.0) (was 6.0)

> Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

> Other tests run:

>

> Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

> Insulin, Fasting 17.1 (6.0-27.0)

> Thryoid Antibodies 660 (0-34) YIKES!!

> Thyroid Antithyroglobulin Ab 58 (0-40)

>

> The doctor was pleased with these and wanted me to stay on 90 mg. of

> Armour for three more months because I am feeling better and results

> look better. He said after being on this amount since 12/17/04, he

> will be able to tell in May, where to take me from this point. (Not

> sure what to think, here.)

>

> My energy level has increased and I can walk almost 3 miles a few

> times a week and not DIE afterwards. But I am not losing weight. I

> need to lose 50-60 pounds. With these results, what would you do?

>

> Thanks for reading this long post!

>

> Molly

[Guest guest]

You are still hypo. Your TSH needs to be more suppressed and the other

numbers need to be lower.

Regards,

LaCretia

>

>

>I went to the doctor on Friday and here's what the labs show:

>

>T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

>T3 154 (85-205) (was 120 12/17/04)

>Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

>TSH 1.128 (0.350-5.500) (was 16.415)

>T4 7.6 (4.5-12.0) (was 6.0)

>Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

>Other tests run:

>

>Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

>Insulin, Fasting 17.1 (6.0-27.0)

>Thryoid Antibodies 660 (0-34) YIKES!!

>Thyroid Antithyroglobulin Ab 58 (0-40)

>

>The doctor was pleased with these and wanted me to stay on 90 mg. of

>Armour for three more months because I am feeling better and results

>look better. He said after being on this amount since 12/17/04, he

>will be able to tell in May, where to take me from this point. (Not

>sure what to think, here.)

>

>My energy level has increased and I can walk almost 3 miles a few

>times a week and not DIE afterwards. But I am not losing weight. I

>need to lose 50-60 pounds. With these results, what would you do?

>

>Thanks for reading this long post!

>

>Molly

>

>

>

>

>

>

>

>

[Guest guest]

You are still hypo. Your TSH needs to be more suppressed and the other

numbers need to be lower.

Regards,

LaCretia

>

>

>I went to the doctor on Friday and here's what the labs show:

>

>T4, Free (Direct) 1.15 (0.61-1.76) (was 0.92 12/17/04)

>T3 154 (85-205) (was 120 12/17/04)

>Triiodothyronine, Free, Serum 3.3 (2.3-4.2) (was 2.7)

>TSH 1.128 (0.350-5.500) (was 16.415)

>T4 7.6 (4.5-12.0) (was 6.0)

>Free thryoxine index 2.1 (1.2-4.9) (was 1.8)

>

>Other tests run:

>

>Glycohoemoglobin (GHb), Total 5.6 (4.2-7.0) - 3 month glucose

>Insulin, Fasting 17.1 (6.0-27.0)

>Thryoid Antibodies 660 (0-34) YIKES!!

>Thyroid Antithyroglobulin Ab 58 (0-40)

>

>The doctor was pleased with these and wanted me to stay on 90 mg. of

>Armour for three more months because I am feeling better and results

>look better. He said after being on this amount since 12/17/04, he

>will be able to tell in May, where to take me from this point. (Not

>sure what to think, here.)

>

>My energy level has increased and I can walk almost 3 miles a few

>times a week and not DIE afterwards. But I am not losing weight. I

>need to lose 50-60 pounds. With these results, what would you do?

>

>Thanks for reading this long post!

>

>Molly

>

>

>

>

>

>

>

>