Labs..confused again,help please

May 1, 2003

Hi,

Can someone tell me if these levels are alright?

TSH 0.13L range(0.47-5.01)

Is this hyper? My Endo(actually only got a hold of receptionist) said they were

normal now and to get tested in 2 months....I have been having severe starving

symptoms and hypoglycemia, heart racing(between 104-130 when racing,not too bad)

so thought for sure I was hyper...anyway had the lab fax my results and they

wrote " abnormal " on them..so wanted to make sure my endo didn't mess up. I am

12 weeks pregnant so my symptoms could be from that.

Thanks to anyone that can give me input. Jen

May 2, 2003

Jen,

The TSH level take a long time to change.

Your Doctor should include T-4 Total, T-3 Uptake, and T-4 Free tests.

If these levels are High then you are probably HYPER. Check other entries

and you will start to see a pattern.

Mike.

Original Message:

-----------------

From: jennifer jenlevi@...

Date: Thu, 01 May 2003 21:40:49 -0700

To: graves_support

Subject: Labs..confused again,help please

<tt>

Hi,

Can someone tell me if these levels are alright?

TSH 0.13L range(0.47-5.01)

Is this hyper? My Endo(actually only got a hold of receptionist) said they

were normal now and to get tested in 2 months....I have been having severe

starving symptoms and hypoglycemia, heart racing(between 104-130 when

racing,not too bad) so thought for sure I was hyper...anyway had the lab

fax my results and they wrote " abnormal " on them..so wanted to make sure

my endo didn't mess up. I am 12 weeks pregnant so my symptoms could be

from that.

Thanks to anyone that can give me input. Jen

May 2, 2003

-----BEGIN PGP SIGNED MESSAGE-----

Hash: SHA1

kristm@... wrote:

>

> The TSH level take a long time to change.

> Your Doctor should include T-4 Total, T-3 Uptake, and T-4 Free tests.

My local lab no longer offer total T4, it isn't that useful a test.

These day fT4 and fT3 assess thyroid function accurately, and fairly

reliably, and basically obselete all the plethora of thyroid this and

that uptake and index, even if my nurse hasn't quite caught up with the

interpretation of these newer tests.

> If these levels are High then you are probably HYPER. Check other entries

> and you will start to see a pattern.

Pregnancy complicates the whole thyroid (and immune system picture), my

advice ask the endo " why abnormal is acceptable " , or ask for a second

opinion from a reproductive endocrinologist, and do it promptly as the

stages of pregnancy move fast.

It may well be that the TSH result is nothing to worry about, and is

" normal " for pregnancy, but at the very least this endo should have

taken the time to explain why it is nothing to worry about (since it is

obviously worrying you).

So don't panic, or worry unduely, but do pursue an explanation, and I

suspect it will have to be from a professional. Good as some here are on

blood tests, I don't think any of us are reproductive endocrinologists,

and even those who have had babies after diagnosis with Graves' probably

haven't experience of more than one or two pregnancies.

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May 2, 2003

Hi Jen,

It sure would help if you also had FT4 and FT3 results. And it's important to

note if your TSH was higher before and now has dropped, which would be more

significant than it's staying close to what it was.

Is this your resting heart rate? Like after 10 minutes of rest? If so, you

might want to mention this to your doctor.

Soon, your thyroid levels will be falling and your immune system will also

slow down and it could be that your doctor is anticipating this and wants to

prevent any chance of hypothyroidism.

Usually someone in the office screens lab results to make sure the doctor

doesn't miss anything while reviewing them. Since the range for TSH is

usually 0.3-3.04 the screener would have stamped abnormal. But being TSH is

often suppressed in early pregnancy, and you may not yet be secreting TSH

adequately, your doctor probably doesn't consider this significant. Hope this

helps. Take care, Elaine

May 2, 2003

Mike,

I hate to be disagreeable, but have to chime in here: Total T4 and T-3

uptake are meaningless, antiquated tests. they have been supplanted by Free

T4 and when necessary, Free T3 tests.

Terry

>

> Reply-To: graves_support

> Date: Fri, 2 May 2003 07:11:14 -0400

> To: graves_support

> Subject: RE: Labs..confused again,help please

>

> Jen,

> The TSH level take a long time to change.

> Your Doctor should include T-4 Total, T-3 Uptake, and T-4 Free tests.

> If these levels are High then you are probably HYPER. Check other entries

> and you will start to see a pattern.

> Mike.

>

> Original Message:

> -----------------

> From: jennifer jenlevi@...

> Date: Thu, 01 May 2003 21:40:49 -0700

> To: graves_support

> Subject: Labs..confused again,help please

>

> <html><body>

>

> <tt>

> Hi,

>

> Can someone tell me if these levels are alright?

> TSH 0.13L range(0.47-5.01)

> Is this hyper? My Endo(actually only got a hold of receptionist) said they

> were normal now and to get tested in 2 months....I have been having severe

> starving symptoms and hypoglycemia, heart racing(between 104-130 when

> racing,not too bad) so thought for sure I was hyper...anyway had the lab

> fax my results and they wrote " abnormal " on them..so wanted to make sure

> my endo didn't mess up. I am 12 weeks pregnant so my symptoms could be

> from that.

> Thanks to anyone that can give me input. Jen

>

>

May 7, 2003

And you were exactly right! My levels are getting better,and that is what my

endo meant,,,thought I must have been imagining my symptoms! I am nearing

the end of my first trimester and my starvation,rapid heartrate are getting

much better...once again you saved the day,thanks!!! Jen~the one that has

many blonde moments a day:)

Re: Labs..confused again,help please

> Hi Jen,

> It sure would help if you also had FT4 and FT3 results. And it's important

to

> note if your TSH was higher before and now has dropped, which would be

more

> significant than it's staying close to what it was.

> Is this your resting heart rate? Like after 10 minutes of rest? If so, you

> might want to mention this to your doctor.

> Soon, your thyroid levels will be falling and your immune system will also

> slow down and it could be that your doctor is anticipating this and wants

to

> prevent any chance of hypothyroidism.

> Usually someone in the office screens lab results to make sure the doctor

> doesn't miss anything while reviewing them. Since the range for TSH is

> usually 0.3-3.04 the screener would have stamped abnormal. But being TSH

is

> often suppressed in early pregnancy, and you may not yet be secreting TSH

> adequately, your doctor probably doesn't consider this significant. Hope

this

> helps. Take care, Elaine

>

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